The mindset of birth predicts birth outcomes: Evidence from a prospective longitudinal study

Hoffmann, Lisa; Hilger, Norbert; Banse, Rainer

doi:10.1002/ejsp.2940

Cited by 8 publications

(4 citation statements)

References 99 publications

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“…Оскільки впевненість, розслабленість, відчуття контролю над пологами та безперервна підтримка менш імовірно призведуть до сильного болю, жінки, швидше за все, впораються з пологами та матимуть позитивний досвід пологів [16][17][18][19]. Психологічна підготовка до пологів може зменшити потребу у знеболюванні та збільшити задоволення від нього [20,21].…”

Section: результати дослідження та їх обговоренняunclassified

“…Соціально-культурні фактори, культурні переконання та ставлення суспільства до пологів можуть впливати на очікування жінки та стратегії подолання. У деяких культурах біль під час пологів розглядається як їхня природна частина, тоді як в інших вважають, що його слід [21,22]. Крім того, під час пологів важлива соціальна підтримка.…”

Section: результати дослідження та їх обговоренняunclassified

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Application of epidural analgesia in obstetric hospitals of Ukraine and its alternative

Zhуlka,

Kovalova,

Shcherbinska

et al. 2024

RHW

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Epidural analgesia (EA) provides the most effective labor analgesia, however, it significantly affects the process of childbirth, so finding out the true frequency of adverse outcomes in the case of EA during vaginal birth is relevant.The objective: to establish the frequency of use of EA in maternity healthcare institutions of Ukraine, to determine the relationship between the development of adverse perinatal outcomes in women with vaginal births and use of EA, and the introduction of alternative methods of analgesia for vaginal births.Materials and methods. The frequency of adverse outcomes was analyzed in the group of women who had a vaginal birth and who did not use EA (n=27 503) and in the group of women who had a vaginal birth with EA (n=22 214). The frequency of EA use in vaginal births in 2023 was studied during premature births at 22–25 weeks of pregnancy, 26–32 weeks and 32–37 weeks, pregnancies with preeclampsia, diabetes, breech presentation of the fetus, and the presence of a uterine scar.The data of the medical records of the electronic health care system of women who had vaginal births during 2023 served as the information base. Bibliosemantic, analytical, epidemiological, statistical and conceptual research methods were used.Results. The use of EA is a common method of analgesia for childbirth in Ukraine. EA during childbirth significantly increases the chances of a woman having a prolonged labor (odds ratio (OR) 4.71; p<0.001), weakness of labor (OR 3.52; p<0.001), stimulation of labor (OR 2.36; p< 0.001), instrumental vaginal births (OR 2.76; p<0.001), rupture of the perineum of the 2nd degree (OR 1.24; p<0.001), cervical rupture (OR 1.15; p=0.011), vaginal rupture (OR 1.17; p<0.001), episiotomy (OR 1.71; p<0.001), delayed separation of the placenta (OR 1.32; p<0.001) and fetal distress (OR 1.8; p<0.001).An alternative to EA can be effective non-pharmacological pain management (NРPM), which has numerous advantages in terms of the absence of complications. Effective implementation of NPPM in practice requires the development of a comprehensive approach, including improved education and support for women, availability of resources, and promotion of dissemination of knowledge about NPPM among health care providers.Conclusions. In the study, reliable results were obtained regarding a higher frequency of adverse outcomes in women who received EA compared to women who did not receive EA, namely: prolonged labor, weakness of labor, stimulation of labor, instrumental vaginal delivery, second-degree perineal rupture, cervical rupture, vaginal rupture, episiotomy, delayed separation of the placenta, and fetal distress.These results indicate the need for a balanced approach to the use of EA, based on the benefits and risks for the woman and the fetus. The use of NPPM is a promising alternative that potentially improves the birth experience, reduces adverse effects, and improves outcomes for both mothers and newborns.These methods use the natural pain-relief mechanisms of the organism and promote relaxation, comfort, reduced anxiety, and increased labor satisfaction. In addition, their use has a minimal number of side effects and risks, which makes them an attractive option for most women.

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Section: результати дослідження та їх обговоренняunclassified

Application of epidural analgesia in obstetric hospitals of Ukraine and its alternative

Zhуlka,

Kovalova,

Shcherbinska

et al. 2024

RHW

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“…These participants felt the least stressed during childbirth, significantly more in control over the process and were least anxious, compared to medicated types of delivery (both vaginal and CS). It may be partially due to the characteristics of a woman that help her birth with no medical interventions (Domańska et al, 2014;Hoffmann et al, 2023). However, other behavioural and contextual factors (such as the quality of care provided, non-medical support, parity, age, history of previous childbirths or physiology of childbirth itself (Prosser et al, 2018) help a woman give birth with no need for interventions.…”

Section: 4mentioning

confidence: 99%

Translation and validation of the Polish-language version of the Birth Satisfaction Scale-Revised (BSS-R) and its relationship to the type of delivery and the baby’s Apgar score

Pawlicka,

Wróbel,

Baranowska

et al. 2024

Health Psychology Report

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BackgroundMaternal birth experience is being increasingly recognised as a key clinical outcome parameter. The Birth Satisfaction Scale-Revised (BSS-R) is a short self-report measure designed to assess birth experience. The current investigation sought to trans-late the BSS-R into Polish and validate this version of the BSS-R (PL-BSS-R).Participants and procedureThe BSS-R was translated into Polish by an expert panel using forward and backward translation. A complex within-subjects design with an embedded between-subjects component was used to determine the key psychometric characteristics of the PL-BSS-R. Two hundred ninety-four Polish-speaking women in Poland completed the follow-up component of the study where the PL-BSS-R was administered. The PL-BSS-R measurement properties were examined using confirmatory factor analysis, divergent, convergent validity analysis, internal consistency appraisal and investigation of known-groups discriminant characteristics.ResultsThe PL-BSS-R was found to have generally very good measurement properties and to be equivalent to the original English-language version across key validity indices. The PL-BBS-R was found to be significantly correlated with neonatal physical health immediately postpartum and differed across delivery modes.ConclusionsThe PL-BSS-R is a psychometrically robust measure of birth experience appropriate for clinical and research use within Po-land. Important associations were noted between subjective maternal birth experience and objective measures of neonatal physical health, indicating a critically important future research direction.

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“…As confidence, relaxation, the feeling of control in their labor, and continuous support are all less likely to result in severe pain, the women are more likely to cope and have a positive birth experience [15][16][17][18]. Psychological preparation for childbirth can reduce the need for analgesia and increase satisfaction with pain management [19,20]. Socio-cultural factors, cultural beliefs, and societal attitudes toward childbirth can influence a woman's expectations and coping strategies.…”

Section: Understanding Pain In Labormentioning

confidence: 99%

Non-Pharmacological Pain Management in Labor: A Systematic Review

Nori,

Kassim,

Helmi

et al. 2023

JCM

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Childbirth is a remarkable, life-changing process and is frequently regarded as an excruciating, physically and emotionally demanding experience that women endure. Labor pain management poses a significant challenge for obstetricians and expectant mothers. Although pharmacological pain management is the gold standard, it still imposes risks on the mother and baby. Recently, non-pharmacological pain management (NPPM) has emerged as a safe, effective option. Six databases were searched for articles published up to 2023 using specific related keywords and defined inclusion and exclusion criteria. The extraction and gathering of data was made so as to be categorized into physical, psychological, and complementary NPPM techniques. In light of the enormous development and diversity of NPPM techniques, the present review aims to examine contemporary NPPM knowledge and application, discussing efficacy, advantages, limitations, and potential adverse effects, with a specific focus on women’s individual requirements, to strengthen obstetricians’ knowledge in guiding decision-making for women in childbirth.

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The mindset of birth predicts birth outcomes: Evidence from a prospective longitudinal study

Cited by 8 publications

References 99 publications

Application of epidural analgesia in obstetric hospitals of Ukraine and its alternative

Application of epidural analgesia in obstetric hospitals of Ukraine and its alternative

Translation and validation of the Polish-language version of the Birth Satisfaction Scale-Revised (BSS-R) and its relationship to the type of delivery and the baby’s Apgar score

Non-Pharmacological Pain Management in Labor: A Systematic Review

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