Midwives’ Competency and Birthing Home Management in Relation to Mother’s Satisfaction during Childbirth

Midwives hold a crucial position throughout the childbirth process, from labor and delivery to postpartum care, exerting a profound influence on the safety and positivity of the birthing experience for both mothers and infants. The study investigated the midwives’ competency and birthing home management in relation to mothers’ satisfaction during childbirth. This study employed a descriptive-correlational design in birthing homes in Region 10. There were 120 midwives, 120 postpartum mothers, and one birthing home administrator from each identified birthing home as respondents for the quantitative study.  This study used the following research instruments: Midwives’ Competency, Midwives’ Birthing Home Management, and   Mothers’ Level of Satisfaction Questionnaire. Weighted Mean and Standard Deviation, Pearson’s correlation coefficient, and Regression Analysis were the statistical tools used. The study found that midwives demonstrate high competency across various areas. Midwives exhibit strong competency in managing birth homes, showing proficiency. Mothers express high satisfaction with childbirth, valuing their involvement in decision-making and the quality of care. Midwives’ competency levels have no bearing on mothers’ satisfaction, except for quality of care and emotional support, which significantly influenced by cultural competence and diversity. Regarding midwives’ birthing home management, there is no notable correlation with maternal satisfaction, aside from emotional support and postpartum care, which influenced by advocacy and support, as well as critical thinking and decision-making. Risk management and emergency preparedness negatively affect maternal satisfaction during childbirth, suggesting the influence of other unexamined factors. Midwives demonstrate notable competency and proficiency in managing birthing homes. Further exploration into influential variables and enhancing midwives’ cultural competence, diversity awareness, and emotional support skills are necessary to address maternal satisfaction during childbirth.