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Aim: To evaluate mothers’ satisfaction with childbirth experience in a cohort of women who delivered during COVID pandemia and to compare them to a pre-COVID cohort. Design: We performed a cross-sectional study in a low-risk Maternity Unit. Methods: Women who delivered during COVID-19 pandemic were compared to a pre-COVID cohort recruited in 2018 in the same setting. Italian version of the Birth Satisfaction Scale-Revised (I-BSS-R) was used. Results: Three hundred and seventy-seven women were included (277 pre-COVID and 100 during COVID pandemic). No differences in terms of satisfaction at birth were reported (I-BSS-R mean 27.0, SD 5.3 versus mean 27.6, SD 6.1, p 0.34), despite an increased rate of active intrapartum interventions. Intrapartum variables that significantly reduced satisfaction were the same in the two groups: epidural analgesia (p&nbsp

Objective: To compare mothers’ satisfaction at birth and intrapartum care during COVID-19 pandemic compared to a pre-COVID cohort. Design: Prospective cohort study Setting: Low risk maternity unit in Northern Italy Population: Women who delivered during COVID-19 pandemic compared to a pre-COVID cohort recruited in the same setting in February-May, 2018. Methods: Italian version of the Birth Satisfaction Scale-Revised (I-BSS-R) was used. Main Outcome Measures: Satisfaction at birth in relation to socio-demographic characteristics, obstetric history and intrapartum care variables. Results: 377 women were included (277 pre-COVID and 100 during COVID pandemic). A higher rate of induction [40%, COVID versus 25% pre-COVID, p 0.004], fewer active phases >12 h [6% COVID versus 15% pre-COVID, p 0.018] and more acceleration with oxytocin [35% COVID versus 24.9% pre-COVID, p 0.05] were found. No differences in terms of satisfaction at birth were reported (I-BSS-R mean 27.0, SD 5.3 versus mean 27.6, SD 6.1, p 0.34). Intrapartum variables that significantly reduced maternal satisfaction were the same in the two groups: epidural analgesia (p 12 h and CS in labor. Conclusions: No differences were reported concerning global satisfaction at birth, despite an increased rate of active intrapartum intervention. Keywords: Childbirth experience, COVID-19, intrapartum intervention

Objective: To assess the factors affecting neonatal acidemia, including occurrence of tachysystole/hypertonus in fetuses exposed to oxytocin during labour and with continuously-monitored fetal heart rate (FHR) tracings. Methods: Prospective observational study of all women with term pregnancies who received oxytocin for induction/augmentation of labour. FHR tracings were prospectively classified using ACOG classification. Independent predictors of neonatal acidemia were identified using multivariate linear regression with p < 0.05 considered significant. Results: We included 430 women, 236 of whom (54.9%) had spontaneous onset of labour. The duration of active phase of the second stage of labour and the presence of abnormal FHR tracing during labour were significantly associated with UA pH (p < 0.001) and BE (p < 0.001), while maximum dose of oxytocin (p < 0.17; p < 0.7) and tachysystole (p < 0.9; p < 0.8) were not. At logistic regression, the duration of active phase of the second stage of labour was independently predictive of neonatal acidemia (p < 0.009) while abnormal FHR tracing approached significance (p < 0.088). Conclusions: In women receiving oxytocin during labour, the duration of active phase of the second stage of labour correlates with neonatal acidemia, whereas maximum dose of oxytocin, duration of oxytocin administration and occurrence of tachysystole during labour do not.