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The childbirth experience: obstetric and psychological predictors in Italian primiparous women

BACKGROUND: The experience of childbirth crucially impacts a mother’s psychological well-being and the mother-infant relationship. It is recognised that negative births can be linked to different forms of discomfort, both for the mother as well as for the infant. This prospective longitudinal study...

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Autores principales: Fenaroli, Valentina, Molgora, Sara, Dodaro, Serena, Svelato, Alessandro, Gesi, Livia, Molidoro, Giulia, Saita, Emanuela, Ragusa, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858642/
https://www.ncbi.nlm.nih.gov/pubmed/31730468
http://dx.doi.org/10.1186/s12884-019-2561-7
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author Fenaroli, Valentina
Molgora, Sara
Dodaro, Serena
Svelato, Alessandro
Gesi, Livia
Molidoro, Giulia
Saita, Emanuela
Ragusa, Antonio
author_facet Fenaroli, Valentina
Molgora, Sara
Dodaro, Serena
Svelato, Alessandro
Gesi, Livia
Molidoro, Giulia
Saita, Emanuela
Ragusa, Antonio
author_sort Fenaroli, Valentina
collection PubMed
description BACKGROUND: The experience of childbirth crucially impacts a mother’s psychological well-being and the mother-infant relationship. It is recognised that negative births can be linked to different forms of discomfort, both for the mother as well as for the infant. This prospective longitudinal study aimed to study the effect of obstetric and psychological variables on women’s subjective experience of childbirth. METHODS: 111 primiparous Italian women completed a set of questionnaires at 38–40 weeks of pregnancy (Time 1) and 1–5 days after childbirth (Time 2). Sociodemographic and obstetric information were collected. Data about the childbirth were obtained from the mother’s ward birth records. Women completed the Wijma Delivery Expectancy/Experience Questionnaire both before and after childbirth. RESULTS: The subjective experience of birth was significantly predicted by the duration of the expulsive phase (β = .26; p < .05), the use of epidural analgesia (β = .21;  p< .05) and by fear of birth (β = .21; p < .05). The effect of mode of birth and duration of the dilatation phase on women’s birth experience was not found. CONCLUSIONS: In our study, neither instrumental childbirth nor caesarean section have a significant effect on women’s birth experience. Instead, both a longer expulsion phase and epidural analgesia contribute to the negative experience. Moreover, the higher the fear of birth, the worse the women’s emotional experience. These findings confirmed the role of obstetric and psychological variables on birth experience. More investigation about this topic could be useful to develop specific interventions to prepare women for birth.
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spelling pubmed-68586422019-11-29 The childbirth experience: obstetric and psychological predictors in Italian primiparous women Fenaroli, Valentina Molgora, Sara Dodaro, Serena Svelato, Alessandro Gesi, Livia Molidoro, Giulia Saita, Emanuela Ragusa, Antonio BMC Pregnancy Childbirth Research Article BACKGROUND: The experience of childbirth crucially impacts a mother’s psychological well-being and the mother-infant relationship. It is recognised that negative births can be linked to different forms of discomfort, both for the mother as well as for the infant. This prospective longitudinal study aimed to study the effect of obstetric and psychological variables on women’s subjective experience of childbirth. METHODS: 111 primiparous Italian women completed a set of questionnaires at 38–40 weeks of pregnancy (Time 1) and 1–5 days after childbirth (Time 2). Sociodemographic and obstetric information were collected. Data about the childbirth were obtained from the mother’s ward birth records. Women completed the Wijma Delivery Expectancy/Experience Questionnaire both before and after childbirth. RESULTS: The subjective experience of birth was significantly predicted by the duration of the expulsive phase (β = .26; p < .05), the use of epidural analgesia (β = .21;  p< .05) and by fear of birth (β = .21; p < .05). The effect of mode of birth and duration of the dilatation phase on women’s birth experience was not found. CONCLUSIONS: In our study, neither instrumental childbirth nor caesarean section have a significant effect on women’s birth experience. Instead, both a longer expulsion phase and epidural analgesia contribute to the negative experience. Moreover, the higher the fear of birth, the worse the women’s emotional experience. These findings confirmed the role of obstetric and psychological variables on birth experience. More investigation about this topic could be useful to develop specific interventions to prepare women for birth. BioMed Central 2019-11-15 /pmc/articles/PMC6858642/ /pubmed/31730468 http://dx.doi.org/10.1186/s12884-019-2561-7 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Fenaroli, Valentina
Molgora, Sara
Dodaro, Serena
Svelato, Alessandro
Gesi, Livia
Molidoro, Giulia
Saita, Emanuela
Ragusa, Antonio
The childbirth experience: obstetric and psychological predictors in Italian primiparous women
title The childbirth experience: obstetric and psychological predictors in Italian primiparous women
title_full The childbirth experience: obstetric and psychological predictors in Italian primiparous women
title_fullStr The childbirth experience: obstetric and psychological predictors in Italian primiparous women
title_full_unstemmed The childbirth experience: obstetric and psychological predictors in Italian primiparous women
title_short The childbirth experience: obstetric and psychological predictors in Italian primiparous women
title_sort childbirth experience: obstetric and psychological predictors in italian primiparous women
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858642/
https://www.ncbi.nlm.nih.gov/pubmed/31730468
http://dx.doi.org/10.1186/s12884-019-2561-7
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