Observational studyBMC pregnancy and childbirth2019
The impact of obstetric interventions and complications on women's satisfaction with childbirth a population based cohort study including 16,000 women.
Observational study in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
49 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pharmacological pain relief and women´s birth experience: a systematic review.BMC pregnancy and childbirth · 2025Pooled it
- Pooled it
- Women's Childbirth Experiences in the WILL Randomised Trial (When to Induce Labour to Limit Risk in Pregnancy Hypertension): A Mixed Methods Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Trial
- Prevalence and risk factors of maternal dissatisfaction after vaginal delivery: A multicenter prospective study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Trial
- Motivations for and experience with labor induction at 39 weeks in women with obesity-A qualitative study.Acta obstetricia et gynecologica Scandinavica · 2025Trial
- Trial
- Lateral episiotomy or no episiotomy in vacuum assisted delivery in nulliparous women (EVA): multicentre, open label, randomised controlled trial.BMJ (Clinical research ed.) · 2024Trial
- Trial
- Women's lived experiences of induction of labour in late- and post-term pregnancy within the Swedish post-term induction study - a phenomenological study.International journal of qualitative studies on health and well-being · 2022Trial
- Oral tramadol versus oral celecoxib for analgesia after mediolateral episiotomy repair in obese primigravidae: a randomized controlled trial.International urogynecology journal · 2021Trial
- Women's childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial.BMJ open · 2021Trial
- Review
- Associations between formal social support in early postpartum, parenting self-efficacy, and parent-infant bonding: A cross-sectional survey.International journal of nursing studies advances · 2026Article
- Observational
- Association between induction of labor and birth experience: A national population-based study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Caul birth: A retrospective cohort study on prevalence, predictors, and maternal and neonatal outcomes.European journal of midwifery · 2026Article
- The opinions of migrant women from Ukraine regarding intrapartum and midwifery care in Poland: a cross-sectional comparative study.Frontiers in public health · 2026Article
- Article
- Maternal satisfaction and birth experiences after elective induction vs. spontaneous onset in late-term pregnancy: a register-based study.BMC pregnancy and childbirth · 2025Article
- Rating of overall childbirth experience: A qualitative study of a quantitative measurement.Acta obstetricia et gynecologica Scandinavica · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs a quality marker and a tool for benchmarking between units, a visual analogue scale (VAS) (ranging from 1 to 10) to estimate woman's satisfaction with childbirth was introduced in 2014. This study aimed to assess how obstetric interventions and complications affected women's satisfaction with childbirth.
methodsA 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.
resultsThe 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 ≥2000 ml, aOR 1.85 95%CI 1.24-2.76 and Apgar score < 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 women's 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.
conclusionsObstetric 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.
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