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Published on: January 27, 2010
Maternal and Delivery Characteristics and Self-Reported Perceived Control During Labor.
Gail Mallett1, Kim Hill, Lindsay Doherty
1Departments of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois, University of Utah Health Sciences Center, Salt Lake City, Utah, University of Alabama at Birmingham, Birmingham, Alabama, Stanford University, Stanford, California, Columbia University, New York, New York, Brown University, Providence, Rhode Island, University of Texas Medical Branch, Galveston, Texas, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, University of Texas Health Science Center at Houston-Children's Memorial Hermann Hospital, Houston, Texas The Ohio State University, Columbus, Ohio, MetroHealth Medical Center-Case Western Reserve University, Cleveland, Ohio, University of Texas Southwestern Medical Center, Dallas, Texas University of Pennsylvania, Philadelphia, Pennsylvania; Duke University, Durham, North Carolina, University of Pittsburgh, Pittsburgh, Pennsylvania, and Washington University in St. Louis, St. Louis, Missouri; the George Washington University Biostatistics Center, Washington, DC; and the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Maternal factors like unemployment, lack of insurance, Asian or Hispanic ethnicity, smoking, operative delivery, and labor pain significantly reduce perceived control during childbirth in low-risk nulliparous individuals.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Secondary analysis of a multicenter randomized trial comparing labor induction at 39 weeks gestation with expectant management in low-risk nulliparous individuals.
- Focus on factors influencing perceived control during childbirth.
Purpose of the Study:
- To evaluate the association between maternal and delivery characteristics and self-reported perceived control during childbirth.
- Identify demographic, socioeconomic, and clinical factors impacting childbirth control.
Main Methods:
- Utilized the Labor Agentry Scale (LAS) to measure perceived control post-delivery.
- Employed multivariable linear regression to analyze associations with maternal and delivery characteristics.
- Included factors such as age, race/ethnicity, insurance, BMI, smoking, delivery mode, and labor pain.
Main Results:
- Lower perceived control (LAS scores) associated with unemployment, lack of private insurance, Asian/Hispanic ethnicity, smoking, higher BMI, operative vaginal/cesarean delivery, and severe labor pain.
- Conversely, employment and private insurance were linked to higher perceived control.
Conclusions:
- Unemployment, lack of private health insurance, Asian race, Hispanic ethnicity, smoking, operative delivery, and increased labor pain are linked to diminished perceived control in low-risk nulliparous individuals.
- Findings highlight disparities in childbirth experiences and control.
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