Factors related to a negative birth experience – A mixed methods study

Henriksen, Lena; Grimsrud, Elisabeth; Schei, Berit; Lukasse, Mirjam

doi:10.1016/j.midw.2017.05.004

Cited by 152 publications

(138 citation statements)

References 42 publications

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“…Not being involved evoked feelings of being invisible and ignored. This is in line with Henriksen, Grimsrud, Schei, and Lukasse (), who argued that women were unprepared for complications and inadequate care, and felt that they were not seen or heard during childbirth, which contributed to a negative birth experience (Henriksen et al, ). A caring relationship versus feelings of being abandoned indicates that the women's needs were not always fulfilled because health‐care practitioners were unable to be available, present, and provide continuous follow ups.…”

Section: Discussionsupporting

confidence: 78%

Qualitative study of women's experiences of safe childbirth in maternity care

Rönnerhag

Severinsson

Haruna

et al. 2018

Nursing & Health Sciences

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Few studies have focused on women's childbirth experiences in relation to patient safety. The aim of this study was to explore the meaning of safety as a process phenomenon by outlining women's positive and negative experiences of safety in childbirth. A descriptive explorative design was chosen and 16 interviews were conducted. Qualitative content analysis was used. One main theme emerged: safe childbirth through involvement and guidance, based on four subthemes. The characteristics of women's experiences of safe childbirth included the need to be informed and involved by sharing and receiving trustworthy information. Women's experiences of unsafe childbirth included lack of meaningful and trustworthy information that resulted in feelings of being misled or lulled into a false sense of security. Not being involved evoked feelings of being ignored. In conclusion, this study highlights issues of importance for safe maternity care. The perspectives of childbearing women can contribute to an understanding of how to achieve meaningful improvements to provide safer maternity care.

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Section: Discussionsupporting

confidence: 78%

Qualitative study of women's experiences of safe childbirth in maternity care

Rönnerhag

Severinsson

Haruna

et al. 2018

Nursing & Health Sciences

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“…In the postpartum period, the posttraumatic stress disorder (PSD) of a woman and her family [6] causes depression [19] and adversely affects maternal bonding [20] breastfeeding [2,7], and partner relationship. In addition, it may lead to the next pregnancy not to be planned for a long time [21] a negative perception regarding the midwifery and obstetric professions that contribute to birth and dissatisfaction with the unit of birth in the society [22]. Due to all these reasons, the physiological and natural perception of birth requires women to experience their delivery positively [10,19].…”

Section: Introductionmentioning

confidence: 99%

Multigravidas' perceptions of traumatic childbirth: Its relation to some factors, the effect of previous type of birth and experience

Aktaş¹

2018

Med-Science

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To investigate the relationship between multigravidas' perceptions of traumatic childbirth (PTC) and their socio-demographic characteristics and the effect of their previous types of birth and experiences on PTC. This descriptive study was conducted in a state hospital in Northern Turkey. The universe of the study consisted of multigravidas. The sample of the study comprised 161 pregnant women determined with G power analysis. The data were collected using the "Pregnant Introductory Information Form" and "Perception of Traumatic Childbirth Scale". The age, gestational week and the number of pregnancy of the participants were 28.27 ± 5.13, 30.45 ± 7.71 and 1.94 ± 1.07 respectively. The average PTC score was 70.57 ± 21.89. 1.9%, 28.6%i 39.1% and 23.6% of the pregnant women perceived their birth as "very low", "low", "moderate" and as "high" traumatic respectively. There was a negative correlation between the average PTC score and the gestational age, the number of pregnancies and the duration of the adverse events and positive correlation between the average PTC score and the number of hospital visits during pregnancy (p <0.05). Compared with those who had cesarean section and no intervention, PTC score was higher in those who had a previous vaginal delivery and interventions. The average PTC score of those planning to give vaginal delivery was higher than those planning cesarean birth (p <0.05). The women who had a chronic disease before pregnancy (p<0.05) and those who had a vaginal birth with only a midwife and were satisfied with her communication had lower PTC scores (p> 0.05). Six out of every 10 pregnant women perceived their delivery traumatic at a moderate / high level. PTC was higher in those having vaginal birth and an intervention previously and planning a vaginal birth again. The early identification of the risk of PTC before pregnancy or early pregnancy and taking precautions are recommended.

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“…Many factors influence the woman's birth experience. Previous studies have found an association between a negative childbirth experience and a lack of support from the midwife [10,11]. Similarly, Hodnett found that the amount of support from the caregivers and the caregiver-patient relationship were two of the most important factors contributing to women's experiences of delivery [12].…”

Section: Introductionmentioning

confidence: 91%

The impact of obstetric interventions and complications on women’s satisfaction with childbirth - a population based cohort study including 16000 women.

Falk¹,

Nelson²,

Blomberg³

2019

Preprint

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Background: As a quality marker and a tool for benchmarking between units, a visual analogue scale (VAS) (ranging from 1 to 10) to estimate woman’s satisfaction with childbirth was introduced in 2014. This study aimed to assess how obstetric interventions and complications affected women’s satisfaction with childbirth. Methods: A retrospective cohort study including 16775 women with an available VAS score who gave birth between January 2016 and December 2017. VAS score, maternal and obstetric characteristics were obtained from electronic medical records and crude and adjusted odds ratios (aOR) were calculated. Results: The total prevalence of dissatisfaction with childbirth (VAS 1-3) was 5.7%. The main risk factors for dissatisfaction with childbirth were emergency cesarean section, aOR 3.98 95% confidence interval (CI) 3.27-4.86, postpartum hemorrhage ³2000 ml, aOR 1.85 95%CI 1.24-2.76 and Apgar score <7 at five minutes, aOR 2.95 95%CI 1.95-4.47. The amount of postpartum hemorrhage showed a dose-response relation to dissatisfaction with childbirth. Moreover, labor induction, instrumental vaginal delivery, and obstetric anal sphincter injury were significantly associated with women´s dissatisfaction with childbirth. A total number of 4429/21204 (21%) women giving birth during the study period had missing values on VAS. A comparison of characteristics between women with and without a recorded VAS score was performed. There were statistically significant differences in maternal age and maternal BMI between the study population and excluded women due to missing values on VAS. Moreover, 64% of the women excluded were multiparas, compared to 59% in the study population. Conclusions: Obstetric interventions and complications, including emergency cesareans section and postpartum hemorrhage, were significantly related to dissatisfaction with childbirth. Such events are common and awareness of these associations might lead to a more individualized care of women during and after childbirth.

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Factors related to a negative birth experience – A mixed methods study

Cited by 152 publications

References 42 publications

Qualitative study of women's experiences of safe childbirth in maternity care

Qualitative study of women's experiences of safe childbirth in maternity care

Multigravidas' perceptions of traumatic childbirth: Its relation to some factors, the effect of previous type of birth and experience

The impact of obstetric interventions and complications on women’s satisfaction with childbirth - a population based cohort study including 16000 women.

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