title: [Risk factors associated with maternal satisfaction during childbirth: a retrospective cohort study].
abstract: OBJECTIVE
  Factors associated with maternal satisfaction of anesthetic management during labour and delivery are poorly known. The purpose of this study was to assess these factors.
  
  
  METHODS
  We performed a retrospective cohort study on parturients admitted between January 2004 and December 2008. Data on patients' demographics, comorbidities, procedures performed and various aspects of their anesthetic experience were retrieved from the anesthetic records. Maternal satisfaction was measured using a numerical scale from 0 to 10 (0 = not satisfied at all, 10 = very satisfied). A cutoff of ≤ 6 was taken as poor satisfaction. We performed a multivariate analysis to identify the different predictors of maternal satisfaction and more specifically those related to pain, overall experience with the technique, delays, and presence of anesthetic, obstetrical and neonatal complications.
  
  
  RESULTS
  There were 15,386 parturients admitted during the study period. Of these, 10,034 had complete information in the chart and 761 (7.6%) parturients were dissatisfied with their anesthetic care. Factors decreasing patient satisfaction were high risk pregnancy [odds ratio (OR) 95% confidence interval (CI) 0.59 (0.34-1.02)] and difficult delivery [OR (95% CI) 0.62 (0.52-0.74)]. Pain, a negative experience of the procedure, delays, poor coordination in management, and the presence of complications decreased patient satisfaction [OR (95% CI) 0.07 to 0.71]; P < 0.001.
  
  
  CONCLUSIONS
  Maternal satisfaction with anesthesia care is largely determined by the effectiveness and correct performance of the procedure carried from the technical and human point of view. However, other factors such as a good coordination in patient management and the absence of complications also influence maternal satisfaction.
authors: Département d'Anesthésie, Pharmacologie et Soins Intensifs, Hôpitaux Universitaires de Genève-Suisse, Genève 14, Suisse.
authors: Béatrice
authors: B
authors: Gil-Wey
authors: Georges L
authors: GL
authors: Savoldelli
authors: Christian
authors: C
authors: Kern
authors: Guy
authors: G
authors: Haller
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D015331:Cohort Studies; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric; D015999:Multivariate Analysis; D017060:Patient Satisfaction; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D055815:Young Adult