Maternal satisfaction with delivery service is used to measure the ability of services provided to meet consumers' expectations. Satisfying women with the care given during labor and delivery helps to develop a positive childbirth experience and a favorable attitude towards motherhood. Also, satisfied clients have a higher chance to return to the facility in the future and recommend the institution to their neighbors and relatives (1).
Maternal, newborn, and child health is of paramount importance in the strategy to attain a healthy and productive population. Each year in Africa, 30 million women become pregnant, and 18 million give birth at home without skilled care and 700 women die of pregnancy-related causes, 3,100 newborns die, and another 2,400 are stillborn and 9,600 children die after their first month of life and before their fifth birthday for Each day in Africa. (2).
Childbirth conditions and its process are some of the significant life events to a woman. The time of childbirth as well as shortly thereafter is the most dangerous period in a child and mother's life.
Maternal and newborn deaths are heavily concentrated at the period of delivery and one week following the delivery, as evident in 50% of all maternal and newborn deaths occur in the first 24 hours of birth (3).
The proportion of mothers who were satisfied with delivery care in this study was 61.9%. Women's satisfaction with delivery care was associated with the wanted status of the pregnancy, immediate maternal condition after delivery, waiting time to see the health worker, availability of waiting area, care providers' measure taken to assure privacy during examinations, and amount of cost paid for service. (4).
Satisfaction is a statement reporting quality of service and relationship between caregiver and patient measured by comparing quality services and patient's expectations. Although there has been a substantial decline in the annual number of maternal deaths, an estimated 273,500 women die each year as a result of maternal causes where sub-Saharan Africa and southern Asia account for 85% of the global burden (5).
The proportion of pregnant women who had given birth at health institution were 31.4% who had followed ANC for recent pregnancy, only 22.9% gave birth at the health institution. Factors associated with health institution delivery were the number of pregnancies (three and above) and difficult labor. However, difficulty labor/prolonged has remained a significant predictor of institutional delivery (6).
Unfortunately, in Ethiopia ANC coverage at least one visit and four visits are 42.5% and 19.1% respectively. Birth attended by a skilled provider is about 10% and 9.9% were in a health facility. The EDHS 2016 reveals that only 18.8% of births were delivered in a health facility in the Oromia region. In Ethiopia according to the latest estimation, the maternal mortality rate has declined from 676/100,000 live births in 2011 to 412/100,000 live births in 2016 EDHS 2016 (7).
The maternal mortality ratio in developing countries in 2013 is 230/100,000 live births. The major complication that accounts for nearly 75% of all maternal deaths are bleeding, especially following childbirth, sepsis, and prolonged or obstructed labor (8).
This study was intended to assess the level of maternal satisfaction on delivery services, identify the factors affecting maternal satisfaction, provide a recommendation to improve the quality of delivery service, would be helpful to fill research knowledge gaps and to improve the level of maternal satisfaction in Jimma Medical Center.