ArticleActa obstetricia et gynecologica Scandinavica2025
Primiparous and multiparous women's birthing experiences and satisfaction with pain management in the first and second stages of vaginal delivery-A prospective cohort study.
Article in Acta obstetricia et gynecologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The effects, outcomes and acceptability of sterile water injections to relieve low back pain among birthing women in a tertiary hospital in Ghana: a non-randomised study.BMC pregnancy and childbirth · 2026Article
- Primiparous and multiparous women's birthing experiences and satisfaction with pain management in the first and second stages of vaginal delivery-A prospective cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
introductionMost women are satisfied with their delivery experience but the effects of pain relief and different pain relief methods on the birthing experience remain inconsistent. We wanted to evaluate the impact of pain relief on the birthing experience during the first and second stages of labor among primiparous and multiparous women. MATERIAL AND
methodsA total of 2042 parturients (953 primiparous and 1089 multiparous women) completed a questionnaire on the second day after vaginal delivery and, using visual analogue scale (VAS), assessed their experience and satisfaction with their pain management during the first and second stages of labor. The experiences of primiparous and multiparous women were compared, and the factors associated with positive and negative birthing experiences were ascertained.
resultsOverall birthing experience was better among multiparous than among primiparous women (VAS 8.6 vs. 8.0; p < 0.001). Reported satisfaction with pain management revealed no significant differences between multiparous and primiparous women during the first stage of labor (VAS 8.2 vs. 8.1) or the second stage of labor (VAS 7.8 vs. 7.7). Some variation was reported in satisfaction with the various pain management methods, epidural and spinal block having the highest ratings during both stages of labor. However, despite differences in satisfaction with pain management, in overall birthing experience, no difference according to pain relief administered was reported among multiparous and only minor differences in primiparous women in the second stage of labor. Those parturients reporting negative birthing experiences (VAS ≤5) reported relatively high satisfaction with pain management during the first stage of labor (medians 8 and 8 in multiparous and primiparous women respectively) while satisfaction with second-stage pain management was clearly lower (respective medians 2 and 5). In a regression model satisfaction with pain management during the second stage of labor varied significantly with birthing experience.
conclusionsThe childbirth experience was slightly better among multiparous than among primiparous women, although there were no significant differences regarding satisfaction with pain management according to parity during the first or second stage of labor. Satisfaction with pain relief during the second stage of labor was significantly associated with overall birthing experience.
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