[en] Introduction and objectives: The process of childbirth and puerperium is a period of special vulnerability for women, so analyzing their satisfaction and anxiety is of interest for scientific and clinical practice. The objective of this study was to determine the level of anxiety at the end of pregnancy and postpartum, satisfaction with the care received and associated factors, in pregnant women treated at the Lucus Augusti University Hospital (HULA) in 2016. Material and methods: An observational prospective follow-up study was carried out in pregnant women >=18 years of age who attended the fetal monitoring consultation at HULA during 2016. Demographic and clinical data were collected, completing validated questionnaires to assess the level of anxiety (STAI A/E) and satisfaction with the care received (COMFORTS). Results: 448 women were included, with an age of 33.6±4,7 years. 46,4% were primiparous and 39,5% high-risk pregnancies. 52,8% completed a eutocic delivery, with 27,0% cesarean sections. Regarding anxiety as a state, in the fetal monitoring consultation, 12,6% of the women presented a degree of severe anxiety, 63,1% moderate/mild anxiety and 24,3% minimal anxiety. These postpartum data were 10,9%, 51,3% and 37,8%, respectively. Trait anxiety was minimal in 43,7%, moderate/mild in 48,0%, and severe in 8,3%. The only variable that was significantly associated with anxiety-antepartum state in the multivariate analysis was a history of mental disorders (OR=2,571; 95%CI:(1,341-4,928)). A similar result was obtained in terms of trait-anxiety (OR=2,190; 95%CI:(1,269-3,777)) and postpartum state-anxiety (OR=2,652; 95%CI:(1,126-6,244)). 94,5% of the pregnant women were satisfied with the care received. The aspects with the highest degree of dissatisfaction or associated indifference were newborn care (12,3%) and postpartum care (7,9%). It is observed that presenting moderate-severe prepartum and postpartum anxiety significantly increases dissatisfaction or indifference (OR=3,5 IC95%= (1,1-11,1); OR=4,0 IC95%= (1,4-11,8), respectively). In turn, an instrumental delivery (OR=4,3 IC95%= (1,3-14,2)) or a cesarean section (OR=2,8 IC 95%= (0,8-9,9)) increases the probability of dissatisfaction with respect to a normal delivery. Conclusions: The percentage of women satisfied with the care received during childbirth and postpartum is high, especially in normal deliveries. Anxiety is a frequent problem that influences satisfaction with the birth process and requires adequate attention.

[gl] Introdución y obxectivos: O proceso de parto e posparto é un período de especial vulnerabilidade para as mulleres, polo que analizar a súa satisfacción e ansiedade resulta de interese para a práctica científica e clínica. O obxectivo deste estudo foi determinar o nivel de ansiedade ao final do embarazo e posparto, satisfacción coa atención recibida e factores asociados, en mulleres embarazadas atendidas no Hospital Universitario Lucus Augusti (HULA) en 2016. Material e métodos: Realizouse un estudo observacional de seguimento prospectivo en mulleres embarazadas >=18 anos que acudiron á consulta de seguimento fetal do HULA durante o ano 2016. Recolléronse datos demográficos e clínicos, cubrindo cuestionarios validados para avaliar o nivel de ansiedade (STAI A/ E) e satisfacción coa atención recibida (COMFORTS). Resultados: Iincluíronse 448 mulleres, cunha idade de 33,6±4,7 anos. O 46,4% eran primíparas e o 39,5% embarazos de alto risco. O 52,8% realizou o parto eutócicamente, cun 27,0% cesáreas. No tocante á ansiedade como estado, na consulta de seguimento fetal, o 12,6% das mulleres presentaron un grao de ansiedade severa, o 63,1% ansiedade moderada/leve e o 24,3% ansiedade mínima. Estes datos posparto foron do 10,9%, 51,3% e 37,8%, respectivamente. A ansiedade por trazos foi mínima no 43,7%, moderada/leve no 48,0% e grave no 8,3%. A única variable que estivo significativamente asociada co estado de ansiedade-anteparto na análise multivariante foi a historia de trastornos mentais (OR=2,571; IC 95%: (1,341-4,928)). Un resultado similar obtívose en termos de trazo-ansiedade (OR=2.190; IC 95%:(1,269-3,777)) e estado posparto-ansiedade (OR=2,652; IC 95%:(1,126-6,244)). O 94,5% das embarazadas mostrouse satisfeita coa atención recibida. Os aspectos con maior grao de insatisfacción ou indiferenza asociada foron o coidado do neonato (12,3%) e o posparto (7,9%). Obsérvase que presentar ansiedade moderada-grave durante o preparto e o posparto aumenta significativamente a insatisfacción ou a indiferenza (OR=3,5 IC95%=(1,1-11,1); OR=4,0 IC95%=(1,4-11,8), respectivamente). Pola súa banda, un parto instrumental (OR=4,3 IC95%=(1,3-14,2)) ou unha cesárea (OR=2,8 IC 95%=(0,8-9,9)) aumenta a probabilidade de insatisfacción con respecto a un parto normal. Conclusións: A porcentaxe de mulleres satisfeitas cos coidados recibidos durante o parto e o posparto é elevada, sobre todo nos partos normais. A ansiedade é un problema frecuente que inflúe na satisfacción co proceso do parto e que require unha atención adecuada.