Limitations of the review
Though we searched multiple databases, there is a possibility that we may have missed out some studies, as our
search criteria were broad, in keeping with the review
objective. We did not conduct any meta-analysis or
combining of results from studies of varying quality
using weights or scores; this has resulted in lack of any
quantifiable results on strength of associations of determinants with maternal satisfaction. Another limitation
was the review’s inclusive approach to study selection,
incorporating various methodologies and not considering quality assessment as a screening criterion. The only
purpose was to achieve a wide range of determinants, regardless of the quality of studies.
The reviews aims to represent developing country contexts, but inter- and intra-country socio-cultural variations are bound to play a differentiating role and may
affect the generalizability of the results. Most studies explored satisfaction in facility settings or facility-based
care as opposed to home deliveries or home-based care.
Hardly any studies captured information on satisfaction
in the context of home deliveries, which remain significantly high in developing countries. Meta-analysis of satisfaction scores was inhibited by the inclusion of studies
of diverse design and quality. Qualitative studies investigated issues related to women’s satisfaction in much
greater detail, but could not provide any objective assessment of level of satisfaction. Mixed methods studies
were at an advantage in this regard, as they were able to
substantiate women’s ratings of satisfaction with indepth analysis of their experience of care.