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Maternal birth experience at operative vaginal birth
Sasha M Skinner1, Billie Bradford1, Eleanor Kippen2
1Department of Obstetrics and Gynaecology, Women's and Newborns, Monash Health, Victoria, Australia; Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia.
Women and Birth : Journal of the Australian College of Midwives
|December 24, 2025
Summary
Operative birth can lead to negative experiences, but factors like communication and support can improve satisfaction. Understanding these elements is key to enhancing maternal care during operative births.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Perinatal Psychology
Background:
- Operative birth is a recognized risk factor for adverse birth experiences.
- modifiable factors influencing these experiences require further investigation.
Purpose of the Study:
- To investigate factors associated with birth experience after operative second-stage birth.
- Included operative vaginal birth (OVB) and fully dilated caesarean (FDCS).
Main Methods:
- Prospective mixed-methods study in Melbourne, Australia.
- Survey data matched with clinical records.
- Logistic regression and thematic analysis used.
Main Results:
- 14.4% of 2783 women reported negative birth experiences.
- Negative experiences linked to prolonged second stage, anal sphincter injury, and postpartum hemorrhage.
- Maternal age over 35 and vacuum-assisted birth showed protective effects.
Conclusions:
- Maternal satisfaction is shaped by clinical and contextual factors.
- Effective communication, emotional support, shared decision-making, and antenatal education are crucial for improving operative birth experiences.
