Negative childbirth experience – what matters most? a register-based study of risk factors in three time periods during pregnancy

Viirman, Frida; Hesselman, Susanne; Wikström, Anna‐Karin; Svanberg, Agneta Skoog; Skalkidou, Alkistis; Poromaa, Inger Sundström; Wikman, Anna

doi:10.1016/j.srhc.2022.100779

Cited by 11 publications

(9 citation statements)

References 30 publications

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“…Interestingly, we found no differences in the provision of informed consent among women with fear of birth or a history of mental health issues in this study, although it is known that these groups are at risk of having a negative birth experience [ 55 , 56 ]. Even if our results do not provide evidence that informed consent is particularly important for these groups, there is still reason to believe that this is an important issue requiring further research.…”

Section: Discussioncontrasting

confidence: 57%

“…Furthermore, significantly less women with a university education had given their informed consent to midwifery practices and interventions, which may be attributed to the fact that that women with higher educational levels possess more information, have higher expectations, and therefore tend to be more critical. Higher educational attainment has previously been associated with negative experiences [ 55 ], but the opposite has also been reported [ 28 ]. This needs to be taken into consideration when interpreting the results.…”

Section: Discussionmentioning

confidence: 99%

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Informed consent to midwifery practices and interventions during the second stage of labor—An observational study within the Oneplus trial

Häggsgård,

Rubertsson,

Teleman

et al. 2024

PLoS ONE

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Objectives To study informed consent to midwifery practices and interventions during the second stage of labor and to investigate the association between informed consent and experiences of these practices and interventions and women’s experiences of the second stage of labor. Methods This study uses an observational design with data from a follow-up questionnaire sent to women one month after giving birth spontaneously in the Oneplus trial, a study aimed at evaluating collegial midwifery assistance to reduce severe perineal trauma. The trial was conducted between 2018–2020 at five Swedish maternity wards and trial registered at clinicaltrials.gov, no NCT03770962. The follow-up questionnaire contained questions about experiences of the second stage of labor, practices and interventions used and whether the women had provided informed consent. Evaluated practices and interventions were the use of warm compresses held at the perineum, manual perineal protection, vaginal examinations, perineal massage, levator pressure, intermittent catheterization of the bladder, fundal pressure, and episiotomy. Associations between informed consent and women’s experiences were assessed by univariate and multivariable logistic regression. Findings Of the 3049 women participating in the trial, 2849 consented to receive the questionnaire. Informed consent was reported by less than one in five women and was associated with feelings of being safe, strong, and in control. Informed consent was further associated with more positive experiences of clinical practices and interventions, and with less discomfort and pain from interventions involving physical penetration of the genital area. Conclusion The findings indicate that informed consent during the second stage is associated with feelings of safety and of being in control. With less than one in five women reporting informed consent to all practices and interventions performed by midwives, the results emphasize the need for further action to enhance midwives’ knowledge and motivation in obtaining informed consent prior to performance of interventions.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Informed consent to midwifery practices and interventions during the second stage of labor—An observational study within the Oneplus trial

Häggsgård,

Rubertsson,

Teleman

et al. 2024

PLoS ONE

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“…Another ethnographic study in Italy also vividly illustrates how both primiparous and multiparous women perceive this sense of uncertainty and fear during the childbirth process (Rania, 2019). Psychological experiences of such fear, validated by studies in Iran and Sweden, have been shown to contribute to negative childbirth experiences among women (Ghanbari-Homaie et al, 2021;Viirman et al, 2022). Research indicates that women often employ intricate psychological mechanisms to cope with the uncertainties and fears associated with childbirth.…”

Section: Introductionmentioning

confidence: 96%

The influence of sense of coherence on psychological birth trauma: a parallel mediation model based on health Salutogenesis theory

Zeng,

Jiang,

Zhang

et al. 2024

Front. Psychol.

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BackgroundPsychological birth trauma has been associated with a variety of negative consequences for mothers, partners, newborns, and midwives. While prior research has identified demographic and clinical factors that may contribute to the development of psychological birth trauma, interventions targeting these factors can prove challenging. Therefore, the aim of this study was to explore how psychological birth trauma is influenced by psychosocial factors including Sense of Coherence, Childbirth-related Fear, Social Support and Childbirth Readiness.MethodsA cross-sectional study was conducted in 13 tertiary or secondary hospitals in mainland China from November 2021 to June 2022. One thousand three hundred and sixty-six women were recruited totally. Data regarding basic characteristics, Sense of Coherence (SOC, Sense of Coherence Scale-3), Childbirth-related Fear (CBRF, Fear of Childbirth Scale), Social Support (SS, Medical Outcomes Study Social Support Survey), Childbirth Readiness (CR, Childbirth Readiness Scale) and Psychological Birth Trauma (PBT, Psychological Birth Trauma Scale) were collected. Parallel mediation analysis was adopted to identify the underlying mechanisms between study variables.ResultsIt was found that: (1) SOC has been found to have both direct and indirect effects on PBT. Women with higher level of SOC tend to report lower level of PBT; (2) the indirect effect of SOC on PBT was significantly exerted through CBRF, SS and CR; (3) CBRF was found to weaken the protective effect of SOC, whereas SS and CR were found to enhance it. No significant difference was found in contracts of the three specific indirect effects.ConclusionSOC, CBRF, SS, and CR should be paid enough attention when designing intervention programs for women who might experience PBT. Interventions targeting SOC and CR are more likely to yield positive outcomes.

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“…However, episiotomy is likely to engender negative sentiments about childbirth, leading to dissatisfaction (Calik et al, 2018 ; Mohammad et al, 2014b ; Nahaee et al, 2020 ). Moreover, women undergoing instrumental or emergency cesarean deliveries tend to report lower levels of satisfaction with their birthing experiences (Viirman et al, 2022 ). In contrast, those who experience spontaneous vaginal deliveries tend to express a more positive assessment of their birthing experiences (Hildingsson et al, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of a Saudi Arabian version of the Birth Satisfaction Scale-Revised (BSS-R)

D'Sa,

Jahlan,

Alsatari

et al. 2024

Belitung Nurs J

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Background: Maternal outcomes are closely associated with birth satisfaction, and the Birth Satisfaction Scale-Revised (BSS-R), a concise, multidimensional self-report measure, has undergone translation and validation internationally. However, research on birth satisfaction in Saudi Arabia is scarce. The absence of valid Arabic-language tools for the Saudi population may impede critical research on this topic, necessitating the translation and use of psychometrically sound instruments for measuring birth satisfaction in Saudi women. Objective: This study aimed to translate and evaluate the psychometric properties of the Saudi Arabian version of the BSS-R (SA-BSS-R). Methods: A total of 218 Saudi women participated in the study, and psychometric analysis of the translated SA-BSS-R involved confirmatory factor analysis, divergent validity analysis, and known-group discriminant validity assessment within a cross-sectional study design. Results: The three-factor BSS-R measurement model displayed poor fit, and internal consistency fell below the threshold value. Additionally, it was observed that women undergoing an episiotomy had significantly lower overall SA-BSS-R scores. Conclusion: The SA-BSS-R manifested atypical measurement properties in this population. Despite insightful observations related to episiotomy, the identified measurement shortcomings highlight the need for a more robust and culturally sensitive translation to enhance measurement characteristics.

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Negative childbirth experience – what matters most? a register-based study of risk factors in three time periods during pregnancy

Cited by 11 publications

References 30 publications

Informed consent to midwifery practices and interventions during the second stage of labor—An observational study within the Oneplus trial

Informed consent to midwifery practices and interventions during the second stage of labor—An observational study within the Oneplus trial

The influence of sense of coherence on psychological birth trauma: a parallel mediation model based on health Salutogenesis theory

Psychometric properties of a Saudi Arabian version of the Birth Satisfaction Scale-Revised (BSS-R)

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