Comparison of primiparous womenʼs childbirth experience in labor induction with cervical ripening by balloon catheter or oral misoprostol – a prospective study using a validated childbirth experience questionnaire (CEQ) and visual analogue scale (VAS)

Abstract

Introduction: Primiparity and labor induction, especially when cervical ripening is required, are risk factors for a negative childbirth experience. Our aim was to compare childbirth experience in primiparous women with cervical ripening by balloon catheter or oral misoprostol using the validated Childbirth Experience Questionnaire (CEQ).We also wanted to compare assessment of a negative childbirth experience by visual analogue scale (VAS) and CEQ. Material and methods:This is a prospective study of 362 primiparous women undergoing cervical ripening and labor induction by balloon catheter (67.4%

Women satisfaction on choosing the cervical ripening method: Oral misoprostol versus balloon catheter

“…Anyhow, there was no significant difference regarding patient satisfaction for this criterion in our study. Our results are consistent with those of Mieke et al [20] , which find no difference between the two methods of cervical ripening on that outcome, and with those of Place et al [18] , which find that 78,3 % of women were satisfied in balloon catheter group and 77,1 % in oral misoprostol group. Recent study of Anjali et al [26] suggests that the association of oral misoprostol and balloon catheter would reduce the time of labor, but no satisfaction outcome were evaluated.…”

“…Regarding time of delivery, Dupuis et al [17] suggested that delivery within 24 h influence positively the maternal satisfaction. It is unclear about which cervical ripening method between balloon catheter or oral misoprostol enables a more rapid delivery, as the different studies seem contradictory [10] , [11] , [18] , [25] . Anyhow, there was no significant difference regarding patient satisfaction for this criterion in our study.…”

“…Few authors have dwelt on patient satisfaction regarding the method of cervical ripening. Place et al [18] assessed the overall childbirth experience of women after cervical ripening with balloon catheter or oral misoprostol by using the Childbirth Experience Questionnaire, which is not specific for artificial induction of labor. They added a part to the Childbirth Experience Questionnaire specially for the induction part of the labor, but it was not validated by a previous study.…”

“…However, data in the literature on women t satisfaction during induction of labor are scanty [13] , [14] , [15] . Few of them compare different methods of cervical ripening, with satisfaction as secondary outcome [16] , or by evaluating not only the induction but the whole childbirth [17] , [18] .…”

Effect of the maternal childbirth experience on a subsequent birth: a retrospective 7-year cohort study of primiparas in Finland

“…We used a simple 10-point VAS to measure the childbirth experience, which does not cover the multidimensional and subjective experience of childbirth but offers a simplified means to assess the overall childbirth experience. Furthermore, prior literature shows that VAS sufficiently measures the childbirth experience14 24–27 and correlates with more detailed measures of the childbirth experience 14 24 28. A lack of demographic and socioeconomic data in our study limited the possibility of studying the impact of these factors on subsequent childbirth, although microlevel indicators based on these discrepancies have been shown to influence on entire maternal care continuum 29.…”