Discussion
This is the first study that tries to assess the level of maternal
satisfaction with post-operative pain management after c/s at the study
area .this study was not done in Ethiopia since we try to discuss the
research done on general population satisfaction. The findings of this
study revealed that the majority of the participants 244(72.4%) This
was higher than the study conducted in Tigray Region Zonal Hospital
where patient satisfaction was 43.6% and lower than (31)study conducted
in Pakistan district hospital where patient satisfaction was 97% (32).
This may be due to the high patient load in Tigray Regional Hospital
due to seasonal malaria in the area and may also be due to the time or
study period variability of the two studies.
In contrast, the level of patient satisfaction in this study was higher
than the study conducted in government hospitals of Ethiopia like Debre
Birhan, and Jimma Zonal Hospital where patient satisfaction was 57.7%,
and 57.1%, respectively (33) . This may be because DMCSH was
established earlier than both Debre Birhan and Jimma Hospital so they
might be our hospital have greater access to resources, including
better-trained and experienced staff. High patient load also may
decrease patient satisfaction in those hospitals. It might also be due
to the low motivation of health professionals in the current study as
compared with the previous studies. This low motivation may be a result
of payment and other administrative issues.
The level of patient satisfaction in this study was also lower than the
regional health bureau target which was 85% and above (34). This may be
because the hospital only gives service to a high population number.
This study showed that maternal satisfaction was about 72.4This was
higher than the study conducted in Gondar university hospital and Addis
Ababa (35). This might be because
Gondar University Hospital is an academic hospital in which the presence
of a high number of health science students in comparison with DMSCH
hospital might lead to overcrowding.
Conclusion and
Recommendation
The overall level of maternal satisfaction with postoperative pain
management was considerably low as compared with other studies. Hence,
it is vital to implement a time-interval pain assessment method during
the first 24 hours of the postoperative period and treat accordingly
based on the WHO pain ladder. Moreover, we suggested that all mothers
who underwent c/s should receive peripheral nerve blocks as part of
multimodal analgesia to decrease the incidence and severity of post-op
pain in order to increase the level of maternal satisfaction.