Speciality in Obstetrics and Gynecology

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Browsing Speciality in Obstetrics and Gynecology by Author "WORKENAH KASSAYE"

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    MATERNAL SATISFACTION WITH CESAREAN SECTION PAIN MANAGEMENT AND ITS ASSOCIATED FACTORS AT ASELLA REFERRAL AND TEACHING HOSPITAL, ETHIOPIA, 2026
    (2025-05-01) WORKENAH KASSAYE
    ABSTRACT Background: Cesarean section is a common obstetric procedure that reduces maternal and neonatal morbidity and mortality when indicated. However, postoperative pain remains a major challenge, particularly in low and middle-income countries, and may negatively affect recovery and maternal satisfaction. Maternal satisfaction with postoperative pain management is an important indicator of obstetric care quality, yet evidence on its determinants is limited in Ethiopia. Objective; This study aimed at assessing maternal satisfaction with postoperative pain management following cesarean section and factor associated with it. Methods: Facility based cross-sectional study was conducted from July1,2025 to November 30,2025 among women who underwent cesarean section at Asella referral and teaching hospital in Ethiopia. A total of 309 participants were selected using systematic random sampling. Data were collected using a structured, pretested, interviewer-administered questionnaire. Postoperative pain was assessed using a standardized pain scale, and maternal satisfaction was measured using validated tools. Data were analyzed using descriptive statistics and multivariable logistic regression, with statistical significance set at p < 0.05. Results: A total of 309 participants were enrolled in the study. Overall, 54.5% of women reported being satisfied with postoperative pain management. Factors independently associated with satisfaction included prior surgical experience (AOR = 2.33; 95% CI: 1.27–4.26; p = 0.006), receipt of adequate preoperative information (AOR = 2.48; 95% CI: 1.35–4.56; p = 0.004), alleviation of preoperative anxiety (AOR = 2.60; 95% CI: 1.49–4.53; p = 0.001), use of a nerve block (AOR = 12.20; 95% CI: 2.52–59.09; p = 0.002), midline incision (AOR = 3.36; 95% CI: 1.37–8.20; p = 0.008), regular healthcare worker visits (AOR = 2.49; 95% CI: 1.10–5.65; p = 0.028), and provision of information about pain relief options (AOR = 1.91; 95% CI: 1.11–3.29; p = 0.020). Conclusion and Recommendations: Improving satisfaction requires a patient-centered, multidimensional approach beyond pain reduction alone. Strengthening preoperative counseling, optimizing multimodal analgesia, enhancing provider–patient communication, and standardizing pain management protocols are essential to improving maternal experience and quality of obstetric care. Hospitals should institutionalize structured postoperative visits and prioritize patient centered care. Keywords: Cesarean section; Postoperative pain; maternal satisfaction; Pain management; Ethiopia.