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The impact of obstetric interventions and complications on womens satisfaction with childbirth a population based cohort study including 16,000 women
Linköpings universitet, Medicinska fakulteten. Region Östergötland, Barn- och kvinnocentrum, Kvinnokliniken i Linköping. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelning för neurobiologi.
Region Östergötland, Barn- och kvinnocentrum, Kvinnokliniken i Linköping. Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Medicinska fakulteten.
Linköpings universitet, Medicinska fakulteten. Region Östergötland, Barn- och kvinnocentrum, Kvinnokliniken i Linköping. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för barns och kvinnors hälsa.
2019 (Engelska)Ingår i: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 19, nr 1, artikel-id 494Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: As a quality marker and a tool for benchmarking between units, a visual analogue scale (VAS) (ranging from 1 to 10) to estimate womans satisfaction with childbirth was introduced in 2014. This study aimed to assess how obstetric interventions and complications affected womens satisfaction with childbirth. Methods: A retrospective cohort study including 16,775 women with an available VAS score who gave birth between January 2016 and December 2017. VAS score, maternal and obstetric characteristics were obtained from electronic medical records and crude and adjusted odds ratios (aOR) were calculated. Results: The total prevalence of dissatisfaction with childbirth (VAS 1-3) was 5.7%. The main risk factors for dissatisfaction with childbirth were emergency cesarean section, aOR 3.98 95% confidence interval (CI) 3.27-4.86, postpartum hemorrhage amp;gt;= 2000 ml, aOR 1.85 95%CI 1.24-2.76 and Apgar score amp;lt; 7 at five minutes, aOR 2.95 95%CI 1.95-4.47. The amount of postpartum hemorrhage showed a dose-response relation to dissatisfaction with childbirth. Moreover, labor induction, instrumental vaginal delivery, and obstetric anal sphincter injury were significantly associated with womens dissatisfaction with childbirth. A total number of 4429/21204 (21%) women giving birth during the study period had missing values on VAS. A comparison of characteristics between women with and without a recorded VAS score was performed. There were statistically significant differences in maternal age and maternal BMI between the study population and excluded women due to missing values on VAS. Moreover, 64% of the women excluded were multiparas, compared to 59% in the study population. Conclusions: Obstetric interventions and complications, including emergency cesareans section and postpartum hemorrhage, were significantly related to dissatisfaction with childbirth. Such events are common and awareness of these associations might lead to a more individualized care of women during and after childbirth.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2019. Vol. 19, nr 1, artikel-id 494
Nyckelord [en]
Birth satisfaction; VAS; Visual analog scale; Mode of childbirth; Cesarean; Induction
Nationell ämneskategori
Reproduktionsmedicin och gynekologi
Identifikatorer
URN: urn:nbn:se:liu:diva-163678DOI: 10.1186/s12884-019-2633-8ISI: 000511436400004PubMedID: 31829151Scopus ID: 2-s2.0-85076336100OAI: oai:DiVA.org:liu-163678DiVA, id: diva2:1393935
Anmärkning

Funding Agencies|Ostergotland County Council

Tillgänglig från: 2020-02-17 Skapad: 2020-02-17 Senast uppdaterad: 2020-04-29Bibliografiskt granskad

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