ArticleActa obstetricia et gynecologica Scandinavica2022
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).
Article in Acta obstetricia et gynecologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06122168 ("Sweet Expectation and Positive Thinking" the Use of the Mandala in the Induction of Labor), which is not on this map. Cited by 12 papers.
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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.
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.
"Sweet Expectation and Positive Thinking" the Use of the Mandala in the Induction of Labor: a Randomized Clinical Pilot Study.
Who cites it
12 citing papers in PubMed, 19 citations in OpenAlex.
- Is indication for induction of labor associated with mode of delivery in term first births? A Norwegian registry-based study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Assessment of childbirth experience over time-A prospective cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Rating of overall childbirth experience: A qualitative study of a quantitative measurement.Acta obstetricia et gynecologica Scandinavica · 2025Article
- 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
- Is induction of labor associated with poorer maternal satisfaction on labor analgesia? A retrospective study of deliveries with neuraxial analgesia in Helsinki University Hospital delivery units, Finland, 2022.European journal of midwifery · 2025Article
- Sweet Expectation and Positive Thinking: The Use of Mandalas in Labor Induction. A Randomized Pilot Clinical Study.International journal of women's health · 2025Article
- The current status of primipara's childbirth experience and its correlation with their reproductive intention: a cross-sectional survey study.BMC pregnancy and childbirth · 2024Article
- Cultural adaptation, validation and evaluation of the psychometric properties of Childbirth Experience Questionnaire version 2.0 in the Spanish context.BMC pregnancy and childbirth · 2024Article
- Women satisfaction on choosing the cervical ripening method: Oral misoprostol versus balloon catheter.European journal of obstetrics & gynecology and reproductive biology: X · 2023Article
- Overall childbirth experience: what does it mean? A comparison between an overall childbirth experience rating and the Childbirth Experience Questionnaire 2.BMC pregnancy and childbirth · 2023Article
- Effect of the maternal childbirth experience on a subsequent birth: a retrospective 7-year cohort study of primiparas in Finland.BMJ open · 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
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPrimiparity and labor induction, especially when cervical ripening is required, are risk factors for a negative childbirth experience. Our aim was to compare childbirth experience in primiparous women with cervical ripening by balloon catheter or oral misoprostol using the validated Childbirth Experience Questionnaire (CEQ). We also wanted to compare assessment of a negative childbirth experience by visual analogue scale (VAS) and CEQ. MATERIAL AND
methodsThis is a prospective study of 362 primiparous women undergoing cervical ripening and labor induction by balloon catheter (67.4%) or oral misoprostol (32.6%) at Helsinki University Hospital, Finland, between January 1, 2019 and January 31, 2020. After delivery, the women assessed their childbirth experience using the CEQ, and patient records provided the patient characteristics, delivery outcomes and VAS ratings. We analyzed the results using IBM SPSS Statistics.
resultsOverall, the women experienced their labor and delivery rather positively, with a mean CEQ score of 2.9 (SD 0.6) (scale 1-4), and no differences were detectable when comparing women with cervical ripening by balloon catheter or misoprostol. However, women with balloon catheter were more often satisfied with the method chosen for them and would choose the same method in a future pregnancy. Compared with CEQ, VAS seems mainly to reflect the women's perception of their own capacity to give birth and the safety of the hospital setting, not the level of professional support or participation in decision-making. According to our results, CEQ and VAS are comparable, but the usability of the CEQ is limited by its inability to distinguish the most negative and the most positive experiences, and the VAS is limited by its simplicity.
conclusionsWomen with cervical ripening by balloon catheter or oral misoprostol experienced their childbirth rather positively, results being similar in both groups. However, women with cervical ripening by balloon catheter were more content with their labor induction. The CEQ and VAS can both be used to assess the childbirth experience of primiparous women undergoing labor induction, but both methods have limitations.
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