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Patient satisfaction is an imperative health care outcome (1). Its assessment has become part and parcel of hospital care quality monitoring and improvement programs (2). A review of the literature revealed that satisfaction is an important component of evaluation of a model of care (3), although it is a very individual, subjective, multifaceted concept, making it difficult to measure and interpret (3,4). Patient satisfaction is the most important concept in medical care, because patients/clients satisfaction and dissatisfaction could create different responses in regard to medical services and cares. Satisfied patients/clients generally accept and follow up the treatment and recommend the others to do the same (4,5). Patient satisfaction with nursing services gains even more importance, since owing to the nature of nursing practice, patients may judge the overall quality of hospital services on the basis of their perceptions of the nursing care received (6). It is clear that maternal satisfaction is multidimensional and is influenced by both medical and social (emotional and ethical) factors. It is a complex psychological response to childbirth. It is much mentioned, but often poorly defined. Mothers have different views about childbirth experience at the same time. Women’s satisfaction can be divided empirically into three independent dimensions. The first (fulfillment/delight) identifies the extent to which feelings of enthusiasm, happiness, excitement and delight are associated with childbirth. The second (distress) concerns the more passive, emotional responses, and contrasts feelings of relaxation with those of anxiety and panic (7). Childbirth can be regarded as a developmental crisis that engenders considerable stress for most women. Stress is increased when the birth occurs by cesarean section (8). Cesarean delivery is still prevalent, particularly in low-income countries (9). It is involves surgical delivery through incisions given in the abdominal and uterine walls. Compared to women delivering vaginally, women undergoing cesarean sections experience more pain and stress during childbirth. Women who deliver by cesarean section also worry comparatively more about the baby’s condition during labor and experience more fear during delivery. The importance of emotional supporting is indicated (10). It is related to longer and more difficult postpartum recovery, a greater likelihood of obstetric complications and surgical delivery subsequently and worry comparatively more about the baby’s condition during labor (10,11). The third factor (difficulty) measures physical discomfort, including pain and exhaustion. These three components are independent; that is, whether a mother experienced physical discomfort and pain is no guide to how satisfied she is on one of the other dimensions (7). Some factors that influence satisfaction, are related to aspects of the caring relationship. These include an attentive attitude by the care provider, time taken for care including waiting time and time taken with the woman, the provision of information and communication continuity of Abstract Objectives: The aim of this study was to assess the quality of cesarean care in regard to physical, emotional and ethical aspects among mothers who had recently delivered by cesarean section. Materials and Methods: By using quota sampling method and questionnaire tool, 392 mothers who had been hospitalized for cesarean section in public and private hospitals of Tabriz, were selected. SPSS version 13, descriptive statistics, independent t test, analysis of variance (ANOVA) and correlation tests were used for data analysis. Results: Findings indicated that the rate of mothers’ satisfaction in labor and post-partum stages in the ethical and physical dimensions were highest in both kinds of hospitals. The analysis of data showed significant difference between mothers’ satisfaction with all aspects of care in the public and private hospitals (P < 0.001). Conclusion: The results showed that mothers were more satisfied of physical and ethical dimensions, but emotional dimension of care in both kinds of hospitals was low so we should try to raise the quality of this aspect of caring.

Mothers Satisfied From Quality of Care Given During Cesarean Delivery in Public and Private Hospitals of Tabriz, Iran