Evidence map›Paper›PMID 34736888›Full record

ArticleWomen and birth : journal of the Australian College of Midwives2022

The impacts of the COVID-19 pandemic on birth satisfaction in a prospective cohort of 2,341 U.S. women.

Heidi Preis, Brittain Mahaffey, Cassandra Heiselman, Marci Lobel

Abstract read
In one paragraph

Article in Women and birth : journal of the Australian College of Midwives, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. Childbirth Satisfaction during the COVID-19 Pandemic in a Hospital in Southwestern Spain.International journal of environmental research and public health · 2022
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  17. COVID-19 Special Issue - The Impact of COVID-19 on women, babies, midwives, and midwifery care.Women and birth : journal of the Australian College of Midwives · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Heidi PreisDepartment of Psychology, Stony Brook University, Stony Brook, NY 11794, United States. Electronic address: heidi.preis@stonybrook.edu.
Brittain MahaffeyDepartment of Psychiatry and Behavioral Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, United States.
Cassandra HeiselmanDepartment of Obstetrics and Gynecology, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, United States.
Marci LobelDepartment of Psychology, Stony Brook University, Stony Brook, NY 11794, United States.

Funding

Evaluation and validation of a novel instrument to assess the psychosocial and drug history backgrounds of pregnant women with or without Opioid Use DisorderR21DA049827 · NIDA · STATE UNIVERSITY NEW YORK STONY BROOK · PI PREIS, HEIDI · 2020 to 2021
$868k
An Internet-Delivered Mind-Body Program for Reducing Prenatal Maternal StressK23HD092888 · NICHD · STATE UNIVERSITY NEW YORK STONY BROOK · PI MAHAFFEY, BRITTAIN LYNN · 2018 to 2022
$702k
NICHD NIH HHS K23 HD092888NIDA NIH HHS R21 DA049827
6 · The paper itself

Abstract

problemBirth satisfaction is an important health outcome that is related to postpartum mood, infant caretaking, and future pregnancy intention.

backgroundThe COVID-19 pandemic profoundly affected antenatal care and intrapartum practices that may reduce birth satisfaction.

aimTo investigate the extent to which pandemic-related factors predicted lower birth satisfaction.

methods2341 women who were recruited prenatally in April-May 2020 and reported a live birth between April-October 2020 were included in the current analysis. Hierarchical linear regression to predict birth satisfaction from well-established predictors of birth satisfaction (step 1) and from pandemic-related factors (step 2) was conducted. Additionally, the indirect associations of pandemic-related stress with birth satisfaction were investigated.

findingsThe first step of the regression explained 35% of variance in birth satisfaction. In the second step, pandemic-related factors explained an additional 3% of variance in birth satisfaction. Maternal stress about feeling unprepared for birth due to the pandemic and restrictions on companions during birth independently predicted lower birth satisfaction beyond the non-pandemic variables. Pandemic-related unpreparedness stress was associated with more medicalized birth and greater incongruence with birth preference, thus also indirectly influencing birth satisfaction through a mediation process. DISCUSSION: Well-established contributors to birth satisfaction remained potent during the pandemic. In addition, maternal stress and restriction on accompaniment to birth were associated with a small but significant reduction in birth satisfaction.

conclusionStudy findings suggest that helping women set flexible and reasonable expectations for birth and allowing at least one intrapartum support person can improve birth satisfaction.

Indexed as

COVID-19FemaleHumansPandemicsParturitionPersonal SatisfactionPregnancyProspective StudiesBirth experienceBirth preferencesCOVID-19 pandemicPandemic-related pregnancy stressPatient satisfactionPsychologicalStress

Identifiers

PMID34736888
PMCPMC8501233

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.