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Maternal Satisfaction with Childbirth Services in a Birthing Center: A Comparative
Abiruchi Budhathoki1, Krishna Gaudel2, Saraswati Sharma3
1Maharajgunj Nursing College, Maharajgunj, Kathmandu, Nepal.
Journal of Nepal Health Research Council
|November 30, 2025
Summary
Mothers receiving care in a midwife-led birthing center reported significantly higher satisfaction with childbirth services compared to those in an obstetrician-led labor room. Expanding the midwifery model can enhance overall maternal satisfaction.
Area of Science:
- Maternal Health
- Midwifery Care
- Obstetrics
Background:
- Maternal satisfaction is a key indicator of quality maternity care.
- Midwife-led models of care are associated with higher maternal satisfaction.
- Comparing different models of childbirth services is crucial for improving care.
Purpose of the Study:
- To compare maternal satisfaction with childbirth services between midwife-led birthing centers and obstetrician-led labor rooms.
- To evaluate the effectiveness of the midwifery-led model in enhancing patient experience.
Main Methods:
- A cross-sectional descriptive comparative study design was employed.
- 70 postnatal mothers from a birthing center (midwifery-led) and 70 from a labor room (obstetrician-led) were compared.
- Data were collected via pretested structured interviews.
Main Results:
- Mothers in the birthing center reported a median satisfaction score of 96.88%, significantly higher than the 77.66% in the labor room (p<0.001).
- The midwifery-led model demonstrated superior maternal satisfaction outcomes.
Conclusions:
- The midwifery-led model significantly improves maternal satisfaction with childbirth services.
- Expansion of the midwifery-led model is recommended to enhance overall maternal satisfaction in maternity care.
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