Maternal satisfaction with shared decision-making among women who underwent caesarean section in Sidama region South Ethiopia: Facility-based cross-sectional study

Abstract

Abstract Background:- Maternal satisfaction with shared decision-making is one of the most important aspects of the healthcare delivery system that aims at providing quality services that meet the expectations of the mothers. In Ethiopia have been limited studies of maternal satisfaction with shared decision-making. Therefore, the study aims to explore maternal satisfaction with involvement in decision-making to identify the key influencing factors. Methods:- Facility-based cross-sectional study was conducted from June 01/2022-July 01/2022 in Sidama region Public Hospitals, among women who underwent a caesarean section. The total sample size was 416. A simple random sampling technique was used to select the study participant. Bivariate and multivariable binary logistic regression was carried out. The strength of the association of outcome and predictor variables was presented by crude and adjusted odds ratio at a 95% confidence interval. Variables with a p-value of < 0.05 were considered statistically significant. Result:-In this study, among total study participants, 174 (41.8%) respondents were satisfied with shared decision-making during a caesarean section. Urban residence [AOR 1.7 (95% CI: 1.02, 2.7)], explaining the procedure in the mother tongue [AOR 2.4 (95% CI: 1.5, 3.9)], provision adequate information [AOR 3.2 (95% CI: 1.87, 5.3)] and spent sufficient time with care providers [AOR 1.8(95% CI: 1.08, 2.9)]were positively associated with maternal satisfaction. Conclusion and recommendation:-Maternal satisfaction with shared decision-making are relatively low. Therefore, healthcare providers need to do more to increase mothers' satisfaction with collaborative decision-making during the procedure.