ArticleHeliyon2025
Negative childbirth experience in Dutch women: A socio-ecological analysis of individual, interpersonal, and organisational factors from the birth experience study.
Article in Heliyon, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Overcoming barriers and harnessing facilitators: Respectful maternity care in least-developed countries - a systematic review.Women's health (London, England)Pooled it
- Postpartum well-being in hemophilia carriers and women with von Willebrand disease: insights from patient-reported outcome measures.Research and practice in thrombosis and haemostasis · 2026Article
- Medical Interventions and Women's Perceptions of Respectful Intrapartum Care: A National Survey-Based Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Negative childbirth experience detrimentally impacts women's mental well-being, potentially leading to delaying future pregnancies, and an increased likelihood of requesting caesarean births. Aim: To examine differences between women who reported positive and negative childbirth experience and detangle the complexity of negative childbirth experience by building a socio-ecological model that includes individual, interpersonal, and organisational factors. Methods: We conducted the Birth Experience Study Netherlands (BESt-NL) survey in 2022 with two languages versions (Dutch-English), and incorporated validated measures, such as Mothers' autonomy in decision-making, the Mothers On Respect index, and the Nijmegen Continuity of Care questionnaire. We employed socio-ecological modelling of individual (e.g., sociodemographic, ethnicity, parity, adverse mental health, interpersonal (e.g., autonomy in decision-making, respect, partner support), and organisational factors (e.g., place of birth, continuity of care). We defined negative childbirth experience using the valid Childbirth Experience Questionnaire 2.0. We applied multivariable logistic regression to examine associations between those factors and negative childbirth experience. Findings: In total, (N = 1141) women were included in the BEST-NL study population, and 25 % of women (N = 285) experienced negative childbirth. Higher percentages were observed for non-Dutch ethnicity, preterm births, pregnancy complications, non-spontaneous births, adverse mental health, obstetrician-led care, and low autonomy, respect, social support, and continuity of care. Upon modelling, significant associations emerged i.e., education; or diminished i.e., place of birth; leaving robust associations in preterm, non-spontaneous birth, and adverse mental health, and inverse associations in high autonomy, respect, social support, and continuity of care. Conclusion: Socio-ecological modelling untangled the complexity of negative childbirth experience. This study recommends fostering efforts toward women with prenatal mental health conditions and migrants, emphasises the importance of high autonomy, respect, and continuity in high-quality intrapartum care, and highlights the positive impact of midwife-led care in reducing negative childbirth experience likelihood.
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