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Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial

OBJECTIVE: To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study. DESIGN: A register-based, multicentre, randomised, controlled, superiority trial. SETTING: Women were...

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Autores principales: Nilvér, Helena, Wessberg, Anna, Dencker, Anna, Hagberg, Henrik, Wennerholm, Ulla-Britt, Fadl, Helena, Wesström, Jan, Sengpiel, Verena, Lundgren, Ingela, Bergh, Christina, Wikström, Anna-Karin, Saltvedt, Sissel, Elden, Helen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031013/
https://www.ncbi.nlm.nih.gov/pubmed/33827832
http://dx.doi.org/10.1136/bmjopen-2020-042340
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author Nilvér, Helena
Wessberg, Anna
Dencker, Anna
Hagberg, Henrik
Wennerholm, Ulla-Britt
Fadl, Helena
Wesström, Jan
Sengpiel, Verena
Lundgren, Ingela
Bergh, Christina
Wikström, Anna-Karin
Saltvedt, Sissel
Elden, Helen
author_facet Nilvér, Helena
Wessberg, Anna
Dencker, Anna
Hagberg, Henrik
Wennerholm, Ulla-Britt
Fadl, Helena
Wesström, Jan
Sengpiel, Verena
Lundgren, Ingela
Bergh, Christina
Wikström, Anna-Karin
Saltvedt, Sissel
Elden, Helen
author_sort Nilvér, Helena
collection PubMed
description OBJECTIVE: To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study. DESIGN: A register-based, multicentre, randomised, controlled, superiority trial. SETTING: Women were recruited at 14 hospitals in Sweden, 2016–2018. PARTICIPANTS: Women with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks. INTERVENTIONS: The women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379). OUTCOME MEASURES: As main outcome, women’s childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1–10) within 3 days after delivery at the remaining eleven hospitals. RESULTS: The total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22). CONCLUSIONS: There were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high. TRIAL REGISTRATION NUMBER: ISRCTN26113652.
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spelling pubmed-80310132021-04-27 Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial Nilvér, Helena Wessberg, Anna Dencker, Anna Hagberg, Henrik Wennerholm, Ulla-Britt Fadl, Helena Wesström, Jan Sengpiel, Verena Lundgren, Ingela Bergh, Christina Wikström, Anna-Karin Saltvedt, Sissel Elden, Helen BMJ Open Obstetrics and Gynaecology OBJECTIVE: To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study. DESIGN: A register-based, multicentre, randomised, controlled, superiority trial. SETTING: Women were recruited at 14 hospitals in Sweden, 2016–2018. PARTICIPANTS: Women with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks. INTERVENTIONS: The women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379). OUTCOME MEASURES: As main outcome, women’s childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1–10) within 3 days after delivery at the remaining eleven hospitals. RESULTS: The total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22). CONCLUSIONS: There were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high. TRIAL REGISTRATION NUMBER: ISRCTN26113652. BMJ Publishing Group 2021-04-06 /pmc/articles/PMC8031013/ /pubmed/33827832 http://dx.doi.org/10.1136/bmjopen-2020-042340 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Obstetrics and Gynaecology
Nilvér, Helena
Wessberg, Anna
Dencker, Anna
Hagberg, Henrik
Wennerholm, Ulla-Britt
Fadl, Helena
Wesström, Jan
Sengpiel, Verena
Lundgren, Ingela
Bergh, Christina
Wikström, Anna-Karin
Saltvedt, Sissel
Elden, Helen
Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial
title Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial
title_full Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial
title_fullStr Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial
title_full_unstemmed Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial
title_short Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial
title_sort women’s childbirth experiences in the swedish post-term induction study (swepis): a multicentre, randomised, controlled trial
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031013/
https://www.ncbi.nlm.nih.gov/pubmed/33827832
http://dx.doi.org/10.1136/bmjopen-2020-042340
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