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Factors related to a negative birth experience - A mixed methods study.
Lena Henriksen1, Elisabeth Grimsrud2, Berit Schei3
1Department of Nursing and Health Promotion, Oslo and Akershus University College of Applied Sciences, P.O. Box 4 St. Olavs plass, 0130 Oslo, Norway; Division of General Gynaecology and Obstetrics, Oslo University Hospital, P.O Box 4950 Nydalen, N-0424 Oslo, Norway.
Midwifery
|May 22, 2017
Summary
A negative childbirth experience affects 21.1% of women, often linked to fear of birth and abuse history. Women felt unseen, unheard, and unprepared for complications, impacting their birth experience.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Health
- Perinatal Mental Health
Background:
- Negative childbirth experiences impact maternal well-being and can influence future reproductive choices.
- Understanding women's perspectives is crucial for improving intrapartum care.
- Previous research highlights various factors contributing to dissatisfaction during childbirth.
Purpose of the Study:
- To explore factors associated with negative childbirth experiences from women's perspectives.
- To identify key themes and contributing elements to adverse birth outcomes.
- To provide insights for healthcare providers to enhance the quality of childbirth care.
Main Methods:
- A mixed-methods study utilizing data from the Norwegian cohort of the Bidens study.
- Quantitative analysis of data from 1352 multiparous women.
- Thematic analysis of 103 free-text comments from women reporting negative birth experiences.
Main Results:
- The prevalence of negative childbirth experiences was 21.1%.
- Associated factors included fear of birth (AOR: 5.00) and history of abuse (AOR: 1.34). Women who were para 2 reported fewer negative experiences (AOR: 0.66).
- Key themes identified were 'complications', 'not being seen or heard', and 'pain and loss of control'.
Conclusions:
- Women felt unprepared for complications and experienced inadequate care, contributing to negative birth experiences.
- Feeling ignored or disrespected during childbirth significantly worsened the experience.
- Findings can inform midwives and healthcare providers to proactively prevent negative birth experiences and improve patient care.
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