Pre- and during-labour predictors of low birth satisfaction among Iranian women: a prospective analytical study

Autor: Hadi Hassankhani, Jila Nahaee, Fatemeh Abbasalizadeh, Mojgan Mirghafourvand, Colin R. Martin, Caroline J. Hollins Martin, Sakineh Mohammad-Alizadeh-Charandabi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Episiotomy
Adult
medicine.medical_specialty
Labour
medicine.medical_treatment
Reproductive medicine
Psychological intervention
Satisfaction
Iran
Anxiety
Satisfaction
Risk factors
Predictors
Childbirth
Labour
Iran
lcsh:Gynecology and obstetrics
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
medicine
Childbirth
Humans
030212 general & internal medicine
Prospective Studies
lcsh:RG1-991
reproductive and urinary physiology
030219 obstetrics & reproductive medicine
Labor
Obstetric
Dehydration
Vaginal delivery
business.industry
Obstetrics
Predictors
Cephalic presentation
Parturition
Obstetrics and Gynecology
Gestational age
medicine.disease
Delivery
Obstetric
Dystocia
Ethical code: IR.TBZMED.REC.1397.624
Obstetric Labor Complications
Risk factors
Patient Satisfaction
Female
business
Research Article
Zdroj: BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-11 (2020)
ISSN: 1471-2393
Popis: BackgroundMaternal childbirth dissatisfaction has short- and long-term negative effects on the mothers’ health and life, as well as on relation with her child and family. Due to lack of studies in Iran and other counties, we aimed to determine pre- and during- labour predictors of low birth satisfaction.MethodsSeven hundred women with low risk singleton pregnancy participated in this prospective analytical study. The participants were hospitalized for vaginal delivery with fetus in cephalic presentation and gestational age of 370–416at two teaching centers in Tabriz (Iran). Woman characteristics, anxiety state (using Spielberger inventory) and dehydration were assessed at cervical dilatation of 4–6 cm. Iranian (Persian) birth satisfaction scale-revised was applied 12–24 h after birth. Multiple linear regression was used to determine the predictors.ResultsExcluding 26 women who were outliers, 674 women were analyzed. The mean birth satisfaction score was 23.8 (SD 6.5) from an attainable score of 0–40. The during-labour predictors of low birth satisfaction score were severe and moderate anxiety, labour dystocia, insufficient support by staff, vaginal birth with episiotomy and tear, emergency cesarean section, labour induction and labour augmentation with oxytocin, and woman dehydration. The pre-labour predictors included being primiparous, sexual and emotional violence during pregnancy, gestational age of 400–416, preference for cesarean section, no attendance at pregnancy classes, and insufficient household income. The proportion of the variance explained by the during-labour variables was 75%, by pre-labour variables was 14% and by overall was 76%.ConclusionsThe controllable during-labour predictors explains most of the variance of the satisfaction score. It seems that responding to women’s physical and psychological needs during labour and applying less interventions could improve women’s childbirth satisfaction.
Databáze: OpenAIRE
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