Preventing traumatic childbirth experiences: 2192 women's perceptions and views.

Area of Science:

• Obstetrics and Gynecology
• Perinatal Mental Health
• Patient Experience Research

Background:

• Traumatic childbirth experiences significantly impact maternal well-being.
• Understanding women's perceptions is crucial for improving obstetric care and prevention strategies.

Purpose of the Study:

• To explore and quantify women's perceptions of traumatic childbirth.
• To identify factors contributing to trauma and potential prevention methods.
• To enhance woman-centered care provided by midwives and obstetricians.

Main Methods:

• A retrospective online survey was administered to 2192 women reporting traumatic childbirth.
• Participants completed a 35-item questionnaire assessing trauma attributions and prevention beliefs.
• Recruitment occurred via social media and parent support groups.

Main Results:

• Key trauma attributions included loss of control (54.6%), fear for baby's health (49.9%), and intense pain (47.4%).
• Caregiver improvements cited were better communication (39.1%) and emotional/practical support (29.8%).
• Women believed asking for or refusing interventions could have prevented trauma (37.0%).

Conclusions:

• Traumatic childbirth is frequently linked to loss of control, communication failures, and inadequate support.
• Improved caregiver communication and support are vital for preventing and mitigating childbirth trauma.
• Empowering women to actively participate in decision-making may reduce traumatic experiences.