Evidence map›Paper›PMID 37666545›Full record

ArticleBMJ open2023

What women want if they were to have another baby: the Australian Birth Experience Study (BESt) cross-sectional national survey.

Hazel Keedle, Risharda Lockwood, Warren Keedle, Daniella Susic, Hannah G Dahlen

Abstract 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Weaving birth: interdependence and the fungal turn.Frontiers in global women's health · 2025
    Article
  7. Article
  8. Article
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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

5 authors.

Hazel KeedleSchool of Nursing and Midwifery, Western Sydney University, Penrith South, New South Wales, Australia h.keedle@westernsydney.edu.au.ORCID 0000-0003-1083-7843
Risharda LockwoodSchool of Nursing and Midwifery, Western Sydney University, Penrith South, New South Wales, Australia.
Warren KeedleSchool of Nursing and Midwifery, Western Sydney University, Penrith South, New South Wales, Australia.
Daniella SusicWomen's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-5607-5154
Hannah G DahlenSchool of Nursing and Midwifery, Western Sydney University, Penrith South, New South Wales, Australia.ORCID 0000-0002-4450-3078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore if Australian women would do anything differently if they were to have another baby. DESIGN AND

settingThe Birth Experience Study (BESt) online survey explored pregnancy, birth and postnatal experiences for women who had given birth during 2016-2021 in Australia.

participantsIn 2021, 8804 women responded to the BESt survey and 6101 responses to the open text responses to the survey question 'Would you do anything different if you were to have another baby?' were analysed using inductive content analysis.

resultsA total of 6101 women provided comments in response to the open text question, resulting in 10 089 items of coding. Six categories were found: 'Next time I'll be ready' (3958, 39.2%) described how women reflected on their previous experience, feeling the need to better advocate for themselves in the future to receive the care or experience they wanted; 'I want a specific birth experience' (2872, 28.5%) and 'I want a specific model of care' (1796, 17.8%) highlighted the types of birth and health provider women would choose for their next pregnancy. 'I want better access' (294, 2.9%) identified financial and/or geographical constraints women experience trying to make choices for birth. Two categories included comments from women who said 'I don't want to change anything' (1027, 10.2%) and 'I don't want another pregnancy' (142, 1.4%). Most women birthed in hospital (82.9%) and had a vaginal birth (59.2%) and 26.7% had a caesarean.

conclusionOver 85% of comments left by women in Australia were related to making different decisions regarding their next birth choices. Most concerningly women often blamed themselves for not being more informed. Women realised the benefits of continuity of care with a midwife. Many women also desired a vaginal birth as well as better access to birthing at home.

Indexed as

Decision MakingParturitionAustraliaCross-Sectional StudiesEmotionsFemaleHumansInfantPregnancyhealth equitymaternal medicinequalitative researchquality in health care

Identifiers

PMID37666545
PMCPMC10496680

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.