Assessment of factors affecting pregnant women’s satisfaction during natural and cesarean childbirth in a teaching hospital

Background and objectives: Reduction in cesarean birth rates in Iran require certain conditions and necessities for realization. A fundamental aspect is the optimization and reinforcement of the physical structure, as well as the effect of psychological factors and the country’s maternity hospitals which are affecting pregnant women’s satisfaction during natural and cesarean childbirth. Methods: This descriptive analytical study was carried out on 47 mothers with natural childbirth and 58 mothers with cesarean childbirth in three teaching hospitals in Iran between 2016 and 2017.  A standard questionnaire containing 16 main dimensions. Two of them; "Presence of the husband during childbirth" and "Privacy against strangers" which were related to Psychological dimension and total of 44 questions were applied. Chi-Square, sample t-test, and Friedman test were applied for data analysis. All data were analyzed with using SPSS software version 20. Results: The presence of husband during childbirth (13.33%), the existence of window and view to exteriors (10.99%), and use of nature (10.95%) ranked the most important items for improvement of satisfaction of mothers at maternity ward while privacy against strangers (5.74%) was the less important parameter. Conclusions: By confirming the results of previous research on better management of the delivery process; "in the presence of husband", "well-designed physical environment for the presence of husbands in the maternity ward"," privacy for mothers and companions", "Separate spaces for childbirth separately for each couple ) LDR, LDRP room)" and "husband training or using a midwife for better communication between mothers and healthcare staffs" can improve mothers satisfaction and their husbands and help to Achieve higher efficiency