Maternal childbirth experience in induced and spontaneous labour measured in a visual analog scale and the factors influencing it; a two-year cohort study

Adler, Katti; Rahkonen, Leena; Kruit, Heidi

doi:10.1186/s12884-020-03106-4

Cited by 51 publications

(58 citation statements)

References 21 publications

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“…Factors associated with a worse patient satisfaction are caesarian delivery (OR : 0,31 [0,17 -0,54]) and the occurrence of postpartum hemorrhage [OR 1.3 (95% CI 1.1-1.6)] which is also in agreement with previous studies 14,26 .…”

Section: Discussionsupporting

confidence: 91%

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Offering women a choice in induction of labour in case of an unfavorable cervix: a prospective cohort study

Dupuis

Loussert

Vries

et al. 2021

Preprint

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Objective: To evaluate women’s choice in the method of labour induction between oral misoprostol, PGE2 pessary and the Foley catheter. To compare women’s satisfaction according to their choice and to identify factors associated with patient satisfaction. Design: Prospective cohort study. Setting: Tertiary hospital in Toulouse, France, from July 2019 to October 2020. Population: All women admitted for labour induction at term, by either oral misoprostol, PGE2 pessary or Foley catheter. Methods: Women chose their preferred method. Before and after the delivery, they were asked to argument their choice and to evaluate their satisfaction through the use of questionnaires. Main outcome measures: Global level of satisfaction. Results: Of the 520 women included, 67,5% of women chose oral Misoprostol compared to 21% PGE2 pessary and 11.5% the Foley catheter. Regarding global satisfaction, we found no significant difference between the three groups: 78,4%, 68,8% and 71,2% (p=0,091) for respectively oral misoprostol, PGE2 pessary and Foley catheter. Factors that seem to improve women’s satisfaction were nulliparity (OR = 2.03, 95%CI [1.19 - 3.53]), delivery within 24 hours after the start of induction (OR = 3.46, 95%CI. [2.02 - 6.14]) and adequate information (OR = 4.21,95%CI [1.86 - 9.64]). Factors associated with lower satisfaction rates were postpartum hemorrhage (OR = 0.51, 95%CI [0.30 - 0.88]) and caesarean section (OR = 0.31, 95%CI [0.17 - 0.54]). Conclusion: Women satisfaction rates were not different between the three methods, when chosen by the patients themselves. These finding should encourage caregivers to promote shared decision making when possible.

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Section: Discussionsupporting

confidence: 91%

“…Factors associated with patient satisfaction according to our study were concordant with previous studies 14,26 : primiparity, delivery within 24 hours after start of labour induction and the quality of the received information.…”

Section: Discussionsupporting

confidence: 90%

Offering women a choice in induction of labour in case of an unfavorable cervix: a prospective cohort study

Dupuis

Loussert

Vries

et al. 2021

Preprint

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“…In line with previous research, the women in our cohort with negative childbirth experience were more likely to be primiparous, have induced labor, an infant with Apgar score < 7 at 5 minutes, oxytocin augmentation, operative vaginal birth or emergency CS, obstetric anal sphincter injury or postpartum hemorrhage 2,3,13 .…”

Section: Discussionsupporting

confidence: 89%

“…Maternal childbirth experience is affected by several factors including maternal age, mode of delivery, postpartum hemorrhage, low Apgar score, induction of labor and obstetric anal sphincter injury 2,3,6,13 .…”

Section: Introductionmentioning

confidence: 99%

Maternal Childbirth Experience and Time in Labor - A Population-Based Cohort Study

Carlhäll

Nelson

Svenvik

et al. 2021

Preprint

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A negative childbirth experience may have long term negative effects on maternal health. New international guidelines allow a slower progress of labor in the early active phase, however a longer time in labor may influence the childbirth experience. In this population-based cohort study including 26,429 women, who gave birth between Jan 2016 to March 2020, the association between duration of the different phases of active labor and childbirth experience was studied. The women assessed their childbirth experience by visual analogue scale (VAS) score. Data including VAS score and labor time estimates were obtained from electronic medical records and adjusted odds ratios (aOR) were calculated.The prevalence of negative childbirth experience (VAS 1-3) was 4,9%. A significant association between longer duration of all phases of active labor and a negative childbirth experience (VAS 1-3) was found for primi- and multipara. The aOR for negative childbirth experience and longer time in active labor in primipara was 1.88, 95% CI (1.59-2.22) and for multipara aOR 1.90, 95% CI (1.59-2.28).It is of great importance to identify and optimize the clinical care of women with prolonged labor to reduce the risk of negative childbirth experience and associated adverse long-term effects.

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“…Some previous reports have shown that women may be less satisfied with their care or experience of labor if their labor is induced 24‐27 . This highlights the importance of information, support and counseling during IOL, especially in OP care.…”

Section: Discussionmentioning

confidence: 92%

Experiences of induction of labor with a catheter – A prospective randomized controlled trial comparing the outpatient and inpatient setting

Haavisto

Polo‐Kantola

Anttila

et al. 2020

Acta Obstet Gynecol Scand

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Introduction Approximately every fourth labor is induced. In Finland, when labor is induced, it is commonly carried out with a catheter in the inpatient (IP) setting. However, in uncomplicated, full‐term pregnancies, induction of labor (IOL) in the outpatient (OP) setting is also possible. Nevertheless, there is only a limited amount of information about the experiences of IOL in OP setting. Our study compared the experiences of catheter IOL in OP and IP settings. Material and methods We performed a prospective randomized study, including 113 women with uncomplicated full‐term pregnancies with planned IOL. After catheter insertion, women were randomized into OP or IP settings: after dropouts, there were 53 women in the OP group and 54 in the IP. The experiences of IOL were evaluated with three sets of visual analog scale (VAS) questionnaires: the general experience questionnaire (eight questions), the concurrent induction experience questionnaire (1, 5, 9, 13 hours; nine questions) and the postpartum experience questionnaire (14 questions). Results Both groups had low VAS scores, indicating good experiences of IOL. Women in the OP group were less satisfied (mean VAS difference Δ = 7.8, P = .015) and more anxious (Δ = 4.8, P = .008) than were women in the IP group. In the course of the IOL, all women became less satisfied (Δ = 8.4, P = .001), had more contraction pain (Δ = 8.9, P = .020) and had a higher frequency of contractions (Δ = 9.9, P = .004) but they were more relaxed and experienced less fear (Δ = 6.9, P = .036, Δ = 5.3, P = .001, respectively). There was no interaction between group and time. According to the postpartum experience questionnaire, both groups had a similar good general experience of IOL (P = .736) but the OP group had more fear (Δ = 9.5, P = .009) and was more anxious (Δ = 9.0, P = .007). Most of the women would choose catheter IOL in a subsequent pregnancy (OP 82.6%, IP 87.0%). Conclusions The women in the OP setting were less satisfied and more anxious than were the women in the IP setting. However, the differences were marginal and the general experience after IOL was good. IOL in an OP setting is thus a viable option in low‐risk full‐term pregnancies. Therefore, when using catheter IOL, both setting options should be available.

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Maternal childbirth experience in induced and spontaneous labour measured in a visual analog scale and the factors influencing it; a two-year cohort study

Cited by 51 publications

References 21 publications

Offering women a choice in induction of labour in case of an unfavorable cervix: a prospective cohort study

Offering women a choice in induction of labour in case of an unfavorable cervix: a prospective cohort study

Maternal Childbirth Experience and Time in Labor - A Population-Based Cohort Study

Experiences of induction of labor with a catheter – A prospective randomized controlled trial comparing the outpatient and inpatient setting

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