Do Childbirth Classes Influence Decision Making about Labor and Postpartum Issues?

Handfield, Bronny; Bell, Robin J.

doi:10.1111/j.1523-536x.1995.tb00692.x

Cited by 28 publications

(37 citation statements)

References 11 publications

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“…Factors include experiencing severe pain [8,9], excessive stress [8], being injured [10][11][12][13], receiving an obstetric intervention [14,15], perceptions of inadequate medical care [16], long labour [17], personality characteristics [18,19], being knowledgeable about birth [20,21], self-efficacy [22,23], ability to cope with adversity [18], feeling in control [24][25][26][27], level of choice provided [23,28,29], feeling empowered [20,30], labouring in a comfortable environment [31,32], continuous support throughout labour [24,33,34], quality relationships with care providers [10,31,34] and delivery of a healthy infant [11,31].…”

Section: Introductionmentioning

confidence: 99%

A survey of women’s birth experiences in Scotland using the Birth Satisfaction Scale (BSS)

Martin¹,

Martin²

2015

EJPCH

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Background: 'Birth satisfaction' is important since experience of labour can influence women's post-natal adjustment. Objective: To explore: (1) childbearing women's experiences of 'birth satisfaction' and (2) identify contexts in which it is more appropriate to use the 30-item Birth Satisfaction Scale (BSS) or the 10-item BSS-Revised (BSS-R). Study design: A quantitative survey was conducted using the 30-item BSS. As a function of completing the 30-item BSS, participants also completed the short-form 10-item BSS-R. Participants: A convenience sample of post-natal women (n=228) attending for National Health Service (NHS) care at the Ayrshire Maternity Unit in the West of Scotland (UK) participated. Participants were within their first 10 post-natal days. Results: The 30-item BSS mean scores = 115.84 (SD 14.05). The thematically determined subscale mean scores of quality of care provision (BSS-QC; 8-items), women's personal attributes (BSS-WA; 8-items) and stress experienced during labour (BSS-SL;14-items) subscales, were 32.2 (4.09), 31.9 (4.16) and 51.73 (8.04) respectively. Women experienced greater 'birth satisfaction' when they had a Spontaneous Vertex Delivery compared with a complicated delivery. Primigravidas were generally less 'birth satisfied' than multiparous women.

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Section: Introductionmentioning

confidence: 99%

A survey of women’s birth experiences in Scotland using the Birth Satisfaction Scale (BSS)

Martin¹,

Martin²

2015

EJPCH

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“…Having a long labour is potentially compounded by parity, related obstetric factors, anxiety and reduced personal control 20,21,22 . Concerning (Q3), 'The delivery-room staff encouraged me to make decisions about how I wanted my birth to progress', providing choice profoundly affects women's experiences of labour and birth 4,25,26 ; which necessitates that maternity-care professionals empower women with knowledge to become constructive decision-makers25 in relation to how they would like their labour to be managed 21,28,29 . Also, in accordance with (Q4), 'I felt anxious during my labour and birth', anxious women have a predisposition towards having negative birth expectations 30 , which renders midwives accountable for instilling confidence through delivering effective preparatory education 31 .…”

Section: Discussionmentioning

confidence: 99%

“…Preparation for childbirth palpably influences birth satisfaction 3 , with engagers more confident and able to cope 31,32 . It also enhances selfefficacy 25 , which has been shown to reduce pain experience 24 . The Scotland validation study for (Q5), 'I felt well supported by staff during my labour and birth' 29 , meta-analysed 14 trials (n=5020 women) that measured the effects of continuous support from caregivers during labour on childbearing women's labour experience.…”

Section: Discussionmentioning

confidence: 99%

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The reversed Birth Satisfaction Scale: translation, adaptation and validation for a Greek sample

Vivilaki¹,

Zemperligkou²,

Iliopoulou³

et al. 2017

Eur J Midwifery

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INTRODUCTION The Birth Satisfaction Scale (BSS) is an important screening instrument that is used with mothers during the postpartum period for the identification of postnatal birth satisfaction. The purpose of this study was to validate and adapt the Greek version of the BSS to test its sensitivity, specificity and predictive values. METHODS Childbearing women (n=310) were recruited from the perinatal care registers of the Maternity Departments of 3 Hospitals of Athens municipality (public Maternity Departments) in 2014. Inclusion criteria included fluency in spoken and written Greek language, within 1-4 postpartum days, and delivery of a healthy infant. Exploratory Factor Analysis (EFA) on the 30-items on the BSS revealed 7 orthogonal factors (KMO measure of sampling adequacy=0.856 and Bartlett's test of sphericity=2999.806, df=435, p<0.0005). A Receiver Operating Characteristic (ROC) analysis was conducted to evaluate global functioning of the scale. Within this context the scoring of the BSS was reversed from the original, to indicate that a lower score was a worse outcome. RESULTS The Greek BSS showed high overall internal consistency (Cronbach's alpha value: 0.876, p<0.0001). The internal consistency characteristics of the Greek BSS showed good reliability: Cronbach's alpha was 0.876 for the total scale (Items 1-30), Standardized alpha 0.859 and Guttman split-half 0.864, Spearman-Brown 0.866. Our findings confirm the multidimensionality of BSS, demonstrating a seven-factor structure that contained subscales, reflecting the postnatal birth satisfaction. Exploratory Factor Analysis (EFA) demonstrated that the 7-factor model offered a very good fit to our data. The area under the minor satisfaction ROC curve is 0.796 (SD=0.025, Asymp. Sig.=0.0005; CI=0.748-0.845), sensitivity=73.8%, and specificity=70%. CONCLUSIONS Our data confirm the validity of the Greek version of the BSS at identifying postnatal birth satisfaction. Hence, the Greek BSS could be used as a useful instrument in both clinical practice and research.

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“…These findings are consistent with women's decision making about breastfeeding. 31,32 We identified an additional theme: Decision ownership. The women in our study claimed the decision as personal, concerning herself and her partner, as exclusive executives of the decision.…”

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confidence: 99%

Shared Decision-Making Regarding Place of Birth–Mission Impossible or Mission Accomplished?

Fontein-Kuipers¹,

Banda²,

Hassink³

et al. 2017

Women Health Open J

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Aim: To explore Dutch pregnant women's experiences of shared-decision making about place of birth to better understand this process for midwifery care purposes. Design: Qualitative exploratory study with a constant comparison/grounded theory design. Methods: We performed semi-structured interviews, including two focus groups and eight individual interviews among 16 primarous and multiparous women with uncomplicated pregnancies. Consent was obtained and interviews were audiotaped and fully transcribed. The interviews were analyzed utilizing a cyclical process of coding and categorizing, following which the themes were structured based on the three-step shared-decision making model of Elwyn.1 Results: We identified the three themes according to Elwyn's model: Choice talk, Option talk and Decision talk. We expanded the model with one additional theme: Decision ownership. The four themes explained women's decision making process about place of birth. Women perceived shared-decision making about place of birth as a decision to be taken with their partner instead of with the midwife. Women and their partners regarded the decision about place of birth as a choice to be made as a couple and expecting parents; not as a decision in which the midwife needs to be actively involved. Women and their partners considered their options and developed a strong preference about where to give birth; even before the initial contact with the midwife was made. Involvement of the midwife occurred during the later stages of the decision-making process, where the women sought acknowledgement of their choice which was already made. Conclusion: Women considered their partners as the most and actively involved in the shareddecision making process regarding the place of birth. The women's decision-making process about the place of birth did not fully occur during the antenatal care period. The midwife should ideally be involved before or during the early stages of pregnancy to facilitate the process.

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Do Childbirth Classes Influence Decision Making about Labor and Postpartum Issues?

Cited by 28 publications

References 11 publications

A survey of women’s birth experiences in Scotland using the Birth Satisfaction Scale (BSS)

A survey of women’s birth experiences in Scotland using the Birth Satisfaction Scale (BSS)

The reversed Birth Satisfaction Scale: translation, adaptation and validation for a Greek sample

Shared Decision-Making Regarding Place of Birth–Mission Impossible or Mission Accomplished?

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