Universität zu Köln

Volkert, Anna ORCID: 0000-0002-7593-2668, Bach, Lisa ORCID: 0009-0006-1461-4902, Hagenbeck, Carsten, Kössendrup, Jan, Oberröhrmann, Charlotte ORCID: 0000-0001-5870-2249, Okumu, Mi-Ran ORCID: 0000-0002-9301-8829 and Scholten, Nadine ORCID: 0000-0002-7793-7745 (2024). Obstetric interventions’ effects on the birthing experience. BMC Pregnancy and Childbirth, 24 (1). pp. 1-8. Springer Nature. ISSN 1471-2393

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Abstract

[Artikel-Nr.: 508] Background: The birth experience plays a pivotal role in the mother´s mental well-being and has a crucial effect on the mother-child bond. Unanticipated medical interventions, including fundal pressure, episiotomy, assisted vaginal delivery (AVD), or unplanned cesarean section (CS) during labor, may adversely affect the birth experience. The objective of this study is to identify factors contributing to the diminished evaluation of the birth experience after assessing the prevalence of unplanned obstetrical interventions in Germany. Methods: For this cross-sectional analysis, 4000 mothers whose children were born 8 or 12 months before were asked about their birth experience via a paper-based questionnaire. Overall 1102 mothers participated in the study, representing a response rate of 27.6%. The revised Childbirth Experience Questionnaire (CEQ2) was used to measure the childbirth experience. In addition to descriptive and bivariate analyses using the Wilcoxon rank-sum test and Kruskal-Wallis-test, we calculated multivariate linear regression models for each dimension of the CEQ2. Results: In general, the participants evaluated their childbirth experience favorably, assigning an average rating of 3.09 on a scale ranging from 1 to 4. Women who experienced fundal pressure, an AVD, or an unplanned CS rated their birth experience significantly worse compared to women who gave birth without interventions. Unplanned CSs received the lowest ratings for “personal capability” and “perceived safety,” and an AVD resulted in lower scores for “professional support” and “participation.” However, the interventions we studied did not account for much of the variation in how the childbirth experience plays out for different individuals. Conclusion: Obstetric interventions have a significant effect on different dimensions of the birth experience. If a high level of birth satisfaction is to be achieved, it is important to know which dimension of satisfaction is affected by the intervention so that explicit measures, like fostering communication, participation or safety can be taken to promote improvement. German Clinical Trial Register: DRKS00029214, retrospectively registered (Registration Date 22.06.2023).

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Volkert, Anna UNSPECIFIED https://orcid.org/0000-0002-7593-2668 UNSPECIFIED Bach, Lisa UNSPECIFIED https://orcid.org/0009-0006-1461-4902 UNSPECIFIED Hagenbeck, Carsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Kössendrup, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Oberröhrmann, Charlotte UNSPECIFIED https://orcid.org/0000-0001-5870-2249 UNSPECIFIED Okumu, Mi-Ran UNSPECIFIED https://orcid.org/0000-0002-9301-8829 UNSPECIFIED Scholten, Nadine UNSPECIFIED https://orcid.org/0000-0002-7793-7745 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-815763
Identification Number:	10.1186/s12884-024-06626-5
Journal or Publication Title:	BMC Pregnancy and Childbirth
Volume:	24
Number:	1
Page Range:	pp. 1-8
Number of Pages:	8
Date:	27 July 2024
Publisher:	Springer Nature
ISSN:	1471-2393
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft > Institut für Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft (IMVR) Faculty of Medicine > Frauenheilkunde > Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe
Subjects:	Social sciences Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Birth experience ; Birth interventions ; Episiotomy ; Fundal pressure ; Instrumental delivery ; Cesarean section English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81576