Relationship between obstetric outcome and psychological measures in pregnancy and the postnatal year

Elliott, Sandra; Anderson, Michael G.; Brough, Dean; Watson, J. P.; Rugg, Andrew

doi:10.1080/02646838408403446

Cited by 25 publications

(12 citation statements)

References 29 publications

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“…Obstetric interventions, however, with the exception of cesarean section, were not related to emotional well-being, which is consistent with the findings of Elliott et a1 (24). One should not conclude that the experience of interventions is irrelevant to women's feelings, however.…”

Section: Psychological Outcomes and Events Of Laborsupporting

confidence: 88%

Expectations, Experiences, and Psychological Outcomes of Childbirth: A Prospective Study of 825 Women

Green

Coupland

Kitzinger

1990

Birth

423

301

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A prospective study of 825 women booked for delivery in six hospitals in southeastern England was conducted to determine their expectations of childbirth. Women completed three questionnaires, two before the birth and one six weeks after. Questions covered both objective and subjective aspects of birth, and gave particular attention to control, its importance and its relevance to psychological outcomes. Four different indices of psychological outcome were considered: fulfillment, satisfaction, emotional well-being, and the words that women used to describe their babies, which were shown to be related to different patterns of independent variables and of intrapartum events. Our results did not support popular stereotypes: high expectations were not found to be bad for women, although low expectations often were. Information and feeling in control were consistently associated with positive psychological outcomes.

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Section: Psychological Outcomes and Events Of Laborsupporting

confidence: 88%

Expectations, Experiences, and Psychological Outcomes of Childbirth: A Prospective Study of 825 Women

Green

Coupland

Kitzinger

1990

Birth

423

301

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show abstract

“…Obstetric intervention during labour and birth was calculated through an audit of the women's medical records using the Obstetric Procedure Score devised by Elliot et al (1984) and subsequently used by Brown and Lumley (1998). This score takes into account the number of type of procedures occurring in each woman's labour and birth, with higher scores assigned to more complex interventions such as epidural anaesthesia and caesarean section.…”

Section: Outcome Measuresmentioning

confidence: 99%

Women's experiences of continuity of midwifery care in a randomised controlled trial in Australia

Homer¹,

Davis²,

Cooke

et al. 2002

Midwifery

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Objective: To compare the experiences of women who received a new model of continuity of midwifery care with those who received standard hospital care during pregnancy, labour, birth and the postnatal period.Design: A randomised controlled trial was conducted. One thousand and eighty-nine women were randomly allocated to either the new model of care, the St George Outreach Maternity Project (STOMP), or standard care. Women completed a postal questionnaire 8-10 weeks after the birth.Participants: Women in the trial were of mixed obstetric risk status and more than half the sample were born in a non-English speaking country.Results: Questionnaires were returned from 69 per cent of consenting women. STOMP women were significantly more likely to have talked with their midwives and doctors about their personal preferences for childbirth and more likely to report that they knew enough about aspects of labour and birth, particularly induction of labour, pain relief and caesarean section. Almost 80 per cent of women in the STOMP group experienced continuity of care, that is, one of their team midwives was present, during labour and birth. STOMP women reported a significantly higher 'sense of control during labour and birth'. Sixty three per cent of STOMP women reported that they 'knew' the midwife who cared for them during labour compared with 21 per cent of control women. In a secondary analysis, women who had a midwife during labour who they felt that they knew, had a significantly higher sense of 'control' and a more positive birth experience compared with women who reported an unknown midwife.Postnatal care elicited the greatest number of negative comments from women in both the STOMP and the control group. Conclusion:The reorganisation of maternity services to enable women to receive continuity of care has benefits for women. The benefits of a known labour midwife needs further research.

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“…A painful and troublesome birth experience may lead to additional psychological problems postpartum, such as emotional disturbances, breastfeeding problems and extra need for practical help at home after discharge from hospital (Almgren et al, 1972). In other studies (Meares et al, 1976;Elliott, 1984;Areskog et al, 1984), puerperal depression/emotional imbalance postnatally could not be explained in terms of difficult circumstances of the delivery. Some research findings indicate a possible relationship between anxiety in pregnancy and severe emotional imbalance postnatally (Tod, 1964;Areskog, 1982).…”

mentioning

confidence: 84%

Childbirth experience and postpartum emotional disturbance

Psychol.

1988

Journal of Reproductive and Infant Psychology

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Relationship between obstetric outcome and psychological measures in pregnancy and the postnatal year

Cited by 25 publications

References 29 publications

Expectations, Experiences, and Psychological Outcomes of Childbirth: A Prospective Study of 825 Women

Expectations, Experiences, and Psychological Outcomes of Childbirth: A Prospective Study of 825 Women

Women's experiences of continuity of midwifery care in a randomised controlled trial in Australia

Childbirth experience and postpartum emotional disturbance

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