The relationship of childbirth experience with maternal functioning and mental health of Iranian women: A cross-sectional study

Abstract

Background: Childbirth experience is a major outcome of labor, which is always associated with some potential psychological advantages or damages. Given the significant impact of childbirth on maternal role and on physical and mental health of mothers, this study aimed to investigate the relationship of childbirth experience with postpartum maternal functioning and mental health of women.Methods: This cross-sectional study was carried out on 483 mothers with vaginal childbirth, 4-16 weeks after delivery in health centers of Tabriz-Iran, 2018. The cluster random sampling method was used. The socio-demographic characteristics questionnaire, Questionnaire for Assessing the Childbirth Experience (QACE), Mental Health Inventory (MHI), and Barkin Index of Maternal Functioning (BIMF) were completed through interviews and the obtained data were analyzed using independent t-test, one-way ANOVA, Pearson’s correlation test, and the General Linear Model (GLM). Results: The mean score of childbirth experience was 1.6 (0.4) within the score range of 1-4. The mean score of mental health was 79.1 (15.0) out of 18-108 and maternal functioning was 97.4 (13.0) out of 0-120. Based on the correlation coefficients, there were significant correlations between the total score of mental health and maternal functioning and all its subdomains with childbirth experience (P<0.001), also based on GLM results, maternal functioning was significantly correlated with childbirth experience (P<0.001), receiving help for infant care (P<0.001) and the adequacy of family income (P=0.006). Mental health was significantly correlated with childbirth experience (P<0.001), complete life-satisfaction (P<0.001), and receiving help for infant care (P=0.025). Conclusion: The results showed significant relationships between childbirth experience with maternal functioning, mental health and all their subdomains. Considering these relationships, it seems that supportive care services offered by health care providers can improve mothers’ birth experiences and consequently lead to improved postpartum maternal functioning and mental health.