Previous birth experience and birth anxiety: predictors of caesarean section on demand?

Tschudin, Sibil; Alder, Judith; Hendriksen, Stephanie; Bitzer, Johannes; Popp, Karoline Aebi; Zanetti, Rosanna; Hösli, Irène; Holzgreve, Wolfgang; Geissbühler, Verena

doi:10.1080/01674820902789233

Cited by 44 publications

(49 citation statements)

References 17 publications

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“…Nevertheless, it is important to acknowledge that many women have suffered negative experiences during childbirth, and there are often negative consequences of retaining the negative memories for a prolonged period. Some studies have revealed that negative childbirth experiences may lead to serious consequences such as post-traumatic stress disorder [3], maternal depression [14], opting for caesarean section at subsequent childbirth [15], and subsequent low fertility [16]. Previous research has shown that caregiver support during labor is related to childbirth experience [17-19].…”

Section: Discussionmentioning

confidence: 99%

A longitudinal study of women’s memories of their childbirth experiences at five years postpartum

Takehara

Noguchi

Shimane

et al. 2014

BMC Pregnancy Childbirth

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BackgroundFew studies have investigated whether women can accurately recall their birthing experiences after a long period. We investigated the consistency of women’s memories of their childbirth experiences between those at a few days postpartum and 5 years later.MethodsThis prospective cohort study comprised 1,168 women who delivered at a maternity hospital and four maternity homes in Japan between May 2002 and August 2003. Data were collected using structured interviews and transcriptions from medical records. The childbirth experience was assessed using the Childbirth Experience Scale (CBE-Scale) at a few days postpartum and 5 years later.ResultsWe obtained 584 (50.0%) valid responses from women who completed the survey at a few days postpartum and 5 years later. Significant differences were observed in 16 out of 18 items on the CBE-Scale when responses were compared at both time points. Women who answered "yes" to any item on the CBE-Scale at the baseline survey tended to demonstrate a more precise recollection for that item 5 years after childbirth than those who answered "no" for the corresponding item.ConclusionsWe conclude that women remember their childbirth experience clearly at 5 years after the childbirth.

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Section: Discussionmentioning

confidence: 99%

A longitudinal study of women’s memories of their childbirth experiences at five years postpartum

Takehara

Noguchi

Shimane

et al. 2014

BMC Pregnancy Childbirth

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show abstract

“…This can have adverse effects on the relationship with their partner and the bond with their baby (Elmir et al, 2010). Negative experiences are also associated with avoidance of a subsequent pregnancy (Gottvall and Waldenström, 2002;Porter et al, 2006) and a wish for an elective caesarean section in future births (Hildingsson et al, 2002;Tschudin et al, 2009). …”

Section: Introductionmentioning

confidence: 96%

Influence on birthing positions affects women's sense of control in second stage of labour

et al. 2013

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“…Cultural factors, the structure of antenatal care and delivery services, as well as how they are funded, are likely to influence preferences for CS [14]. However, it may be argued that the perception of the upcoming birth is deeply embedded in a woman's personality and prior experiences, including traumas [15][16][17][18]. Based on this assumption, reported preference for CS would not be related to external factors and thus may not vary across countries.…”

Section: Introductionmentioning

confidence: 99%

Pregnant women’s preference for cesarean section and subsequent mode of birth – a six-country cohort study

Ryding

Lukasse

Kristjansdottir

et al. 2016

Journal of Psychosomatic Obstetrics & Gynecology

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Introduction: The rate of cesarean section (CS) for non-medical reasons has risen and is a concern for health care. Women's preferences may vary across countries for psychosocial or obstetric reasons.Methods: A prospective cohort study of 6,549 women in routine antenatal care, giving birth in Belgium, Iceland, Denmark, Estonia, Norway or Sweden. Preference for mode of birth was self-reported in mid-pregnancy. Birth outcome data were collected from hospital records.Results: A CS was preferred by 3.5% of primiparous women and 8.7% of the multiparous women. Preference for CS was associated with severe fear of childbirth, with a negative birth experience in multiparous women, and with depressive symptoms in the primiparous. Women were somewhat more prone to prefer a cesarean in Iceland, OR 1.70(1.02-2.83), adjusted for age, education, depression, fear of childbirth, history of abuse, previous cesarean and previous negative birth experience. Out of the 404 women who preferred CS during pregnancy, 286 (70.8%) were delivered by CS, mostly for a medical indication. A total of 9% of the cesareans in the cohort had a non-medical indication only.Conclusions: Women's preference for cesarean section often seems to be due to health concerns. Both medical and psychological factors need to be addressed in antenatal counseling. Obstetricians need to convey accurately to women the risks and benefits of CS in her specific case. Maternity professionals should identify and explore psychosocial reasons for women's preferences.

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Previous birth experience and birth anxiety: predictors of caesarean section on demand?

Abstract: As negative birth experience predicts the wish for a CS, specific supportive care during first pregnancy could play a pivotal role in making this decision.

Cited by 44 publications

References 17 publications

A longitudinal study of women’s memories of their childbirth experiences at five years postpartum

A longitudinal study of women’s memories of their childbirth experiences at five years postpartum

Influence on birthing positions affects women's sense of control in second stage of labour

Pregnant women’s preference for cesarean section and subsequent mode of birth – a six-country cohort study

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