Discussion

This is the first study that tries to assess the level of maternal satisfaction with post-operative pain management after c/s at the study area .this study was not done in Ethiopia since we try to discuss the research done on general population satisfaction. The findings of this study revealed that the majority of the participants 244(72.4%) This was higher than the study conducted in Tigray Region Zonal Hospital where patient satisfaction was 43.6% and lower than (31)study conducted in Pakistan district hospital where patient satisfaction was 97% (32).  This may be due to the high patient load in Tigray Regional Hospital due to seasonal malaria in the area and may also be due to the time or study period variability of the two studies.
In contrast, the level of patient satisfaction in this study was higher than the study conducted in government hospitals of Ethiopia like Debre Birhan, and Jimma Zonal Hospital where patient satisfaction was 57.7%, and 57.1%, respectively (33) . This may be because DMCSH was established earlier than both Debre Birhan and Jimma Hospital so they might be our hospital have greater access to resources, including better-trained and experienced staff. High patient load also may decrease patient satisfaction in those hospitals. It might also be due to the low motivation of health professionals in the current study as compared with the previous studies. This low motivation may be a result of payment and other administrative issues.
The level of patient satisfaction in this study was also lower than the regional health bureau target which was 85% and above (34). This may be because the hospital only gives service to a high population number. This study showed that maternal satisfaction was about 72.4This was higher than the study conducted in Gondar university hospital and Addis Ababa (35). This might be because Gondar University Hospital is an academic hospital in which the presence of a high number of health science students in comparison with DMSCH hospital might lead to overcrowding.
Conclusion and Recommendation
The overall level of maternal satisfaction with postoperative pain management was considerably low as compared with other studies. Hence, it is vital to implement a time-interval pain assessment method during the first 24 hours of the postoperative period and treat accordingly based on the WHO pain ladder. Moreover, we suggested that all mothers who underwent c/s should receive peripheral nerve blocks as part of multimodal analgesia to decrease the incidence and severity of post-op pain in order to increase the level of maternal satisfaction.