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The maternal childbirth experience more than a decade after delivery
- Source :
- American Journal of Obstetrics and Gynecology. 217:342.e1-342.e8
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Maternal satisfaction with the birth experience is multidimensional and influenced by many factors, including mode of delivery. To date, few studies have investigated maternal satisfaction outside of the immediate postpartum period.This study investigated whether differences in satisfaction based on mode of delivery are observed more than a decade after delivery.This was a planned, supplementary analysis of data collected for the Mothers' Outcomes after Delivery study, a longitudinal cohort study of pelvic floor disorders in parous women and their association with mode of delivery. Obstetric and demographic data were obtained through patient surveys and obstetrical chart review. Maternal satisfaction with childbirth experience was assessed via the Salmon questionnaire, administered to Mothers' Outcomes after Delivery study participants10 years from their first delivery. This validated questionnaire yields 3 scores: fulfillment, distress, and difficulty. These 3 scores were compared by mode of delivery (cesarean prior to labor, cesarean during labor, spontaneous vaginal delivery, and operative vaginal delivery). In addition, the impact of race, age, education level, parity, episiotomy, labor induction, and duration of second stage of labor on maternal satisfaction were examined.Among 576 women, 10.1-17.5 years from delivery, significant differences in satisfaction scores were noted by delivery mode. Salmon scale scores differed between women delivering by cesarean and those delivering vaginally: women delivering vaginally reported greater fulfillment (0.40 [-0.37 to 0.92] vs 0.15 [-0.88 to 0.66], P.001) and less distress (-0.34 [-0.88 to 0.38] vs 0.20 [-0.70 to 0.93], P.001) than those who delivered by cesarean. Women who delivered by cesarean prior to labor reported the greatest median fulfillment scores and the lowest median difficulty scores. Median distress scores were lowest among those who delivered by spontaneous vaginal birth. Among women who underwent cesarean delivery, labor induction and prolonged second stage were associated with higher difficulty scores. These factors did not affect satisfaction scores among women who delivered vaginally. Among women who delivered vaginally, operative vaginal delivery was associated with less favorable scores across all 3 scores.Maternal satisfaction with childbirth is influenced by mode of delivery. The birth experience leaves an impression on women more than a decade after delivery.
- Subjects :
- Adult
Episiotomy
medicine.medical_specialty
medicine.medical_treatment
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Labor Stage, Second
Pregnancy
Surveys and Questionnaires
medicine
Humans
Childbirth
Labor, Induced
Longitudinal Studies
030212 general & internal medicine
030219 obstetrics & reproductive medicine
Maryland
Obstetrics
Vaginal delivery
business.industry
Parturition
Obstetrics and Gynecology
Middle Aged
Delivery, Obstetric
Delivery mode
Parity
Patient Satisfaction
Labor induction
Female
business
Postpartum period
Maternal Age
Cohort study
Subjects
Details
- ISSN :
- 00029378
- Volume :
- 217
- Database :
- OpenAIRE
- Journal :
- American Journal of Obstetrics and Gynecology
- Accession number :
- edsair.doi.dedup.....b3a70162c72ea42a7aedbad7011533cf