Parturients' opinions on the quality of delivery care in the obstetrics and gynecology department: case of the municipal medical center of Coronthie-Conakry
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20250840Keywords:
Opinion, Quality, Care, DeliveryAbstract
Background: In Africa, childbirth care depends on routine practices to the detriment of quality. The aim of this study was to analyze parturients' opinions on the quality of childbirth care offered at the Coronthie Community Medical Center (CMC).
Methods: The study was carried out at the CMC of Coronthie. It was a cross-sectional, descriptive study lasting 6 months from 01 July to 31 December 2021. The study included parturients with a term ≥28 SA, and excluded those with a term <28 SA, or who refused to participate.
Results: The mean age of parturients was 28.60±5 years. Most parturients (89.76%) were married women with secondary education (35.08%). The majority of parturients (59.86%) had given birth by caesarean section. No maternal deaths were recorded, and the neonatal mortality rate was 20/1000. Parturients (43.36%) were referred to the service. Over 2/3 of patients (76.03%) said that staff were competent and available. Most patients (86.49%) felt their privacy had been respected, while 2.18% said the opposite. The majority were satisfied with the overall care provided. To improve the quality of care. 54.98% suggested improving the ownership of the premises and 21% the behaviour of the staff.
Conclusions: Improving ownership of premises and staff behaviour would help to improve quality.
Metrics
References
World Health Organization. For childbirth to be a positive experience, individualized care is essential. 2020. Available at: https://www.who.int/news/item/ 15-02-2018-individualized-supportive-care-key-to-positive-childbirth-experience-says-who. Accessed on 24 January 2025.
World Health Organization. Recommendations on intrapartum care for a positive birth experience. 2018. Available at: https://www.who.int/publications/i/item /9789241550215. Accessed on 24 January 2025.
P4H Social Health Protection Network. National Health Development Plan Guinea 2015-2024. 2015. Available at: https://p4h.world/en/documents/guin eas-national-health-development-plan/#:~:text=Imple mentation%20of%20the%20PNDS%202015,in%20conjunction%20with%20all%20stakeholders. Accessed on 24 January 2025.
Ajavon DRD, Kakpovi K, Daketse YMS, Ketevi AA, Douaguibe B, Logbo-Akey KE, et al. Evaluation of the satisfaction of patients hospitalized after childbirth at the Maternity Hospital of Bè (Togo). Eur Sci J. 2021;17(29):210-22.
Kruk ME. Low quality of basic maternal care in primary health care facilities in sub-Saharan Africa: an analysis of national health systems surveys. Lancet Glob Health. 2016;4(11):845-55. DOI: https://doi.org/10.1016/S2214-109X(16)30180-2
Hatem M, Halabi-Nassif H, Maroun M. Evaluation of Maternal and Neonatal Health Services sein Guinea-Conakry and Togo. Sante Publique. 2018;S1(HS):101-11. DOI: https://doi.org/10.3917/spub.180.0101
Butori JB, Guiot O, Luperon JL, Janky E, Kadhel P. Assessment of imminence of unplanned out-of-hospital deliveries in Guadeloupe: experience of the mobile emergency and resuscitation service of Pointe-à-Pitre. J Gynecol Obstet Biol Reprod (Paris). 2014;43(3):254-62. DOI: https://doi.org/10.1016/j.jgyn.2013.01.009
Doucin H. Evaluation of the efficacy of lateral decubitus delivery. State diploma in midwifery. University of Angers. J Midwifery Reprod Health. 2023;11(3):3759-66.
Susuman AS. Health care services and maternal education in South Africa. Scand J Public Health. 2015;4(7):673-6. DOI: https://doi.org/10.1177/1403494815596501
World Health Organization. Improving maternal and newborn health and survival and reducing stillbirth. 2013. Available at: https://iris.who.int/bitstream/ handle/10665/367617/9789240073678-eng. Accessed on 24 January 2025.
Diémé Faye MÉ, Moreira P, Tamofo É, Diouf AA, Diouf A, Moreau JC. Monitoring pregnancy of women with a previous cesarean delivery: qualitative aspects and prognostic implications. Med Sante Trop. 2014;24(4):409-15. DOI: https://doi.org/10.1684/mst.2014.0403
Nguyen Thi PL, Lê TG, Emperor F, Briançon S. Satisfaction of hospitalized patients in Hô Chi Minh-Ville, Viet Nam. Public Health. 2012;4(14):345-60. DOI: https://doi.org/10.3917/spub.024.0345
Moola S, Baxter H, Lallo SD, Handa M, Hanvey L, Jefferies AN, et al. Labour and delivery care public health agency of Canada. 2018. Available at: https://www.canada.ca/content/dam/phac-aspc/docu ments/services/publications/healthy-living/maternity-newborn-care/soins-meres-nouveau-ne-lignes-directrices-nationales-chapitre-4-fra. Accessed on 24 January 2025.
Dingom MAN, Essiben F, Pemha G, Mboua BV, Fouogue TJ, Alima JM, et al. Evaluation of satisfaction with care during childbirth in pregnant women at Yaoundé Central Hospital. J SAGO. 2024;25(3):20-6.