Cargando…

Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study

The choice of birthplace may have an important impact on a woman’s health. In this longitudinal study, we investigated the psychopathological risk factors that drive women’s choice of birthplace, since their influence is currently not well understood. The research was conducted in 2011/12 and we ana...

Descripción completa

Detalles Bibliográficos
Autores principales: Winter, Clara, Junge-Hoffmeister, Juliane, Bittner, Antje, Gerstner, Irene, Weidner, Kerstin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8779342/
https://www.ncbi.nlm.nih.gov/pubmed/35053986
http://dx.doi.org/10.3390/jcm11020292
_version_ 1784637552516399104
author Winter, Clara
Junge-Hoffmeister, Juliane
Bittner, Antje
Gerstner, Irene
Weidner, Kerstin
author_facet Winter, Clara
Junge-Hoffmeister, Juliane
Bittner, Antje
Gerstner, Irene
Weidner, Kerstin
author_sort Winter, Clara
collection PubMed
description The choice of birthplace may have an important impact on a woman’s health. In this longitudinal study, we investigated the psychopathological risk factors that drive women’s choice of birthplace, since their influence is currently not well understood. The research was conducted in 2011/12 and we analyzed data of 177 women (obstetric unit, n = 121; free standing midwifery unit, n = 42; homebirth, n = 14). We focused antepartally (M  = 34.3 ± 3.3) on sociodemographic and risk factors of psychopathology, such as prenatal distress (Prenatal Distress Questionnaire), depressiveness (Edinburgh Postnatal Depression Scale), birth anxiety (Birth Anxiety Scale), childhood trauma (Childhood Trauma Questionnaire), and postpartally (M = 6.65 ± 2.6) on birth experience (Salmon’s Item List), as well as psychological adaption, such as postpartum depressive symptoms (Edinburgh Postnatal Depression Scale) and birth anxiety felt during birth (modified Birth Anxiety Scale). Women with fear of childbirth and the beginning of birth were likely to plan a hospital birth. In contrast, women with fear of touching and palpation by doctors and midwives, as well as women with childhood trauma, were more likely to plan an out-of-hospital birth. Furthermore, women with planned out-of-hospital births experienced a greater relief of their birth anxiety during the birth process than women with planned hospital birth. Our results especially show that women with previous mental illnesses, as well as traumatic experiences, seem to have special needs during childbirth, such as a safe environment and supportive care.
format Online
Article
Text
id pubmed-8779342
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-87793422022-01-22 Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study Winter, Clara Junge-Hoffmeister, Juliane Bittner, Antje Gerstner, Irene Weidner, Kerstin J Clin Med Article The choice of birthplace may have an important impact on a woman’s health. In this longitudinal study, we investigated the psychopathological risk factors that drive women’s choice of birthplace, since their influence is currently not well understood. The research was conducted in 2011/12 and we analyzed data of 177 women (obstetric unit, n = 121; free standing midwifery unit, n = 42; homebirth, n = 14). We focused antepartally (M  = 34.3 ± 3.3) on sociodemographic and risk factors of psychopathology, such as prenatal distress (Prenatal Distress Questionnaire), depressiveness (Edinburgh Postnatal Depression Scale), birth anxiety (Birth Anxiety Scale), childhood trauma (Childhood Trauma Questionnaire), and postpartally (M = 6.65 ± 2.6) on birth experience (Salmon’s Item List), as well as psychological adaption, such as postpartum depressive symptoms (Edinburgh Postnatal Depression Scale) and birth anxiety felt during birth (modified Birth Anxiety Scale). Women with fear of childbirth and the beginning of birth were likely to plan a hospital birth. In contrast, women with fear of touching and palpation by doctors and midwives, as well as women with childhood trauma, were more likely to plan an out-of-hospital birth. Furthermore, women with planned out-of-hospital births experienced a greater relief of their birth anxiety during the birth process than women with planned hospital birth. Our results especially show that women with previous mental illnesses, as well as traumatic experiences, seem to have special needs during childbirth, such as a safe environment and supportive care. MDPI 2022-01-06 /pmc/articles/PMC8779342/ /pubmed/35053986 http://dx.doi.org/10.3390/jcm11020292 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Winter, Clara
Junge-Hoffmeister, Juliane
Bittner, Antje
Gerstner, Irene
Weidner, Kerstin
Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study
title Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study
title_full Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study
title_fullStr Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study
title_full_unstemmed Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study
title_short Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study
title_sort planned place of birth—impact of psychopathological risk factors on the choice of birthplace and its postpartum effect on psychological adaption: an exploratory study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8779342/
https://www.ncbi.nlm.nih.gov/pubmed/35053986
http://dx.doi.org/10.3390/jcm11020292
work_keys_str_mv AT winterclara plannedplaceofbirthimpactofpsychopathologicalriskfactorsonthechoiceofbirthplaceanditspostpartumeffectonpsychologicaladaptionanexploratorystudy
AT jungehoffmeisterjuliane plannedplaceofbirthimpactofpsychopathologicalriskfactorsonthechoiceofbirthplaceanditspostpartumeffectonpsychologicaladaptionanexploratorystudy
AT bittnerantje plannedplaceofbirthimpactofpsychopathologicalriskfactorsonthechoiceofbirthplaceanditspostpartumeffectonpsychologicaladaptionanexploratorystudy
AT gerstnerirene plannedplaceofbirthimpactofpsychopathologicalriskfactorsonthechoiceofbirthplaceanditspostpartumeffectonpsychologicaladaptionanexploratorystudy
AT weidnerkerstin plannedplaceofbirthimpactofpsychopathologicalriskfactorsonthechoiceofbirthplaceanditspostpartumeffectonpsychologicaladaptionanexploratorystudy