ArticleBMC pregnancy and childbirth2021
Methods of induction of labor and women's experience: a population-based cohort study with mediation analyses.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- 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
- Maternal satisfaction and perceived quality of care during childbirth in a tertiary care Italian Obstetrics Unit: a cross-sectional study.BMC pregnancy and childbirth · 2026Observational
- Nulliparous Women's Experience in the Immediate Postpartum Period After Cervical Ripening According to the Method: A Prospective Observational Study.Journal of clinical medicine · 2025Article
- Preferences for induction of labor methods in India: a qualitative study of views and experiences of women, clinicians, and researchers.AJOG global reports · 2024Article
- Women's experiences with unexpected induction of labor: A qualitative study.European journal of midwifery · 2023Article
- Comparison of primiparous women's childbirth experience in labor induction with cervical ripening by balloon catheter or oral misoprostol - a prospective study using a validated childbirth experience questionnaire (CEQ) and visual analogue scale (VAS).Acta obstetricia et gynecologica Scandinavica · 2022Article
- The experience of giving birth: a prospective cohort in a French perinatal network.BMC pregnancy and childbirth · 2022Article
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Authors and funding
7 authors at 4 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundNegative childbirth experience may affect mother wellbeing and health. However, it is rarely evaluated in studies comparing methods of induction of labor (IoL).
aimTo compare women's experience of IoL according to the method, considering the mediating role of interventions and complications of delivery.
methodsWe used data from the MEDIP prospective population-based cohort, including all women with IoL during one month in seven French perinatal networks. The experience of IoL, assessed at 2 months postpartum, was first compared between cervical ripening and oxytocin, and secondarily between different cervical ripening methods. Mediation analyses were used to measure the direct and indirect effects of cervical ripening on maternal experience, through delivery with interventions or complications.
findingsThe response rate was 47.8% (n = 1453/3042). Compared with oxytocin (n = 541), cervical ripening (n = 910) was associated less often with feelings that labor went 'as expected' (adjusted risk ratio for the direct effect 0.78, 95%CI [0.70-0.88]), length of labor was 'acceptable' (0.76[0.71-0.82]), 'vaginal discomfort' was absent (0.77[0.69-0.85]) and with lower global satisfaction (0.90[0.84-0.96]). Interventions and complications mediated between 6 and 35% of the total effect of cervical ripening on maternal experience. Compared to the dinoprostone insert, maternal experience was not significantly different with the other prostaglandins. The balloon catheter was associated with less pain. DISCUSSION: Cervical ripening was associated with a less positive experience of childbirth, whatever the method, only partly explained by interventions and complications of delivery.
conclusionCounselling and support of women requiring cervical ripening might be enhanced to improve the experience of IoL.
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