Document Detail


Experience of labor and birth in 1111 women.
MedLine Citation:
PMID:  10624845     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The association between women's overall experience of labor and birth and a range of possible explanatory variables were studied in a group of 1111 women who participated in a birth center trial. Data were collected by a questionnaire in early pregnancy (demographic background, parity, personality traits, and expectations), hospital records (pharmacological pain relief, induction, augmentation of labor, duration of labor, operative delivery, and infant outcome), and a follow-up questionnaire 2 months after the birth (the principal outcome "overall experience of labor and birth," pain, anxiety, freedom in expression, involvement, midwife, and partner support). Logistic regression was conducted by including all variables that were associated with the birth experience when analyzed one by one. In a second regression analysis, only explanatory variables measured independently of the principal outcome were included; that is, only data collected from the pregnancy questionnaire and the hospital records. The first regression analysis identified five explanatory variables: involvement in the birth process (perceived control) and midwife support were associated with a positive experience; anxiety, pain, and having a first baby with a negative experience. Parity remained a significant predictor in the second regression analysis, but the others were replaced by augmentation of labor, cesarean section, instrumental vaginal delivery, and nitrous oxide (Entonox), which were all associated with a negative birth experience.
Authors:
U Waldenström
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of psychosomatic research     Volume:  47     ISSN:  0022-3999     ISO Abbreviation:  J Psychosom Res     Publication Date:  1999 Nov 
Date Detail:
Created Date:  2000-01-27     Completed Date:  2000-01-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376333     Medline TA:  J Psychosom Res     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  471-82     Citation Subset:  IM    
Affiliation:
Department of Nursing, Karolinska Institutet, Stockholm, Sweden. Ulla.Waldenstrom@omv.ki.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Anxiety
Decision Making
Female
Humans
Labor, Obstetric*
Midwifery*
Pain*
Parity
Patient Satisfaction*
Pregnancy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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