Evidence map›Paper›PMID 36894202›Full record

ArticleBMJ open2023

Effect of the maternal childbirth experience on a subsequent birth: a retrospective 7-year cohort study of primiparas in Finland.

Johanna Maria Joensuu, Hannu Saarijärvi, Hanna Rouhe, Mika Gissler, Veli-Matti Ulander, Seppo Heinonen, Paulus Torkki, Tomi Mikkola

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
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

10 citing papers in PubMed, 14 citations in OpenAlex.

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  4. Assessment of childbirth experience over time-A prospective cohort study.Acta obstetricia et gynecologica Scandinavica · 2025
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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

8 authors at 3 institutions in 3 countries.

Johanna Maria JoensuuPublic Health, University of Helsinki Faculty of Medicine, Helsinki, Finland johanna.joensuu@hus.fi.ORCID 0000-0002-6349-7419
Hannu SaarijärviFaculty of Management and Business, Tampere University, Tampere, Finland.
Hanna RouheDepartment of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland.
Mika GisslerInformation, Finnish Institute for Health and Welfare, Helsinki, Finland.
Veli-Matti UlanderDepartment of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland.
Seppo HeinonenDepartment of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland.
Paulus TorkkiPublic Health, University of Helsinki Faculty of Medicine, Helsinki, Finland.ORCID 0000-0002-1127-4205
Tomi MikkolaDepartment of Obstetrics and Gynecology, Helsinki University Hospital, Helsinki, Finland.
University of Helsinki · FITampere University · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the effect of the childbirth experience on the likelihood and interval to a subsequent live birth.

designRetrospective analysis of a 7-year cohort.

settingChildbirths in Helsinki University Hospital delivery units.

participantsAll parturients giving birth to a term and living baby from a single pregnancy in Helsinki University Hospital delivery units from January 2012 to December 2018 (n=120 437). Parturients delivering their first child (n=45 947) were followed until the birth of a subsequent child or the end of 2018.

main outcome measureThe interval to a subsequent childbirth connected to the experience of the first childbirth was the primary outcome of the study.

resultsA negative first childbirth experience decreases the likelihood of delivering a subsequent child during the follow-up (adjusted HR=0.81, 95% CI 0.76 to 0.86) compared with those experiencing the first childbirth as positive. For parturients with a positive childbirth experience, the median interval to a subsequent delivery was 3.90 years (3.84-3.97) compared with 5.29 years (4.86-5.97) after a negative childbirth experience.

conclusionThe negative childbirth experience influences reproductive decisions. Consequently, more focus should be placed on understanding and managing the antecedents of positive/negative childbirth experiences.

Indexed as

Delivery, ObstetricParturitionChildCohort StudiesFemaleFinlandHumansPregnancyRetrospective Studiesobstetricspublic healthreproductive medicine

Identifiers

PMID36894202
PMCPMC10008220
OpenAlexW4323660485

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.