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The second time around: parity and birth experience.

K L Norr, C R Block, A G Charles

    JOGN Nursing; Journal of Obstetric, Gynecologic, and Neonatal Nursing
    |January 1, 1980
    PubMed
    Summary
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    Multiparas, or women with previous births, experience more physical discomfort and less worry during pregnancy than primiparas. However, they receive less support during labor and less postpartum contact, challenging assumptions about childbirth experiences.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Reproductive Health

    Background:

    • Conventional wisdom suggests multiparas have easier subjective experiences due to simpler obstetrical outcomes.
    • This study investigates the subjective experiences of pregnancy, labor, and postpartum in relation to parity.

    Purpose of the Study:

    • To compare the subjective experiences of pregnancy, labor, and postpartum between multiparas and primiparas.
    • To challenge the assumption that multiparas universally have easier subjective childbirth experiences.

    Main Methods:

    • A study involving 249 urban, middle-class women.
    • Comparison of subjective experiences between women with previous births (multiparas) and first-time mothers (primiparas).

    Main Results:

    Related Experiment Videos

    • Multiparas reported more physical discomfort but fewer worries during pregnancy.
    • Multiparas worried more about labor but prepared less for birth.
    • Despite easier labors, multiparas received less spousal support and had no significant difference in pain or enjoyment.
    • Postpartum, multiparas sought less contact with their newborns.

    Conclusions:

    • The subjective childbirth experience of multiparas is more complex than commonly believed.
    • Findings challenge the focus on supportive care primarily for primiparas.
    • Implications for prepared versus nonprepared childbirth approaches are noted.