Abstract
Purpose
The primary purpose of this study was to assess the influence of a systematic multidisciplinary birth preparation program on satisfaction with childbirth experience. A secondary aim was to detect factors that affect the childbirth satisfaction.
Methods
In this prospective study, 77 pregnant women who completed the 4-month birth preparation program (Group 1) and 75 women in the control group (Group 2) were asked to fill out two questionnaires with face-to-face interviews within 48 h after labor. One of the questionnaires was the translated form of Salmon’s Item List German (SIL-Ger), and SIL-Ger scores ≥70 was accepted as a satisfactory experience.
Results
There was no statistically significant difference between the groups in terms of sociocultural and intrapartum characteristics, and obstetric outcome parameters. The women who received antenatal education experienced significantly less pain (p = 0.01), had a better communication with midwife or obstetrician during delivery (p = 0.001), and participated more actively in decision-making before, during, and after childbirth (p < 0.001 for all). SIL score was significantly higher in Group 1 (105.7 ± 2.2 vs 80 ± 2.5, p < 0.01), and significantly more women had a SIL score ≥70 (96.1 vs 73.3%, p < 0.01). In multivariate logistic regression model, attending the birth preparation program and the level of pain perceived during labor were found to have a significant effect on the birth satisfaction.
Conclusion
Systematic birth preparation program improves satisfaction with childbirth experience by enabling women to communicate better with healthcare providers and to participate in decision-making during labor, as well as by decreasing the perception of labor pain.
Similar content being viewed by others
References
Goodman P, Mackey MC, Tavakoli AS (2004) Factors related to childbirth. J Adv Nurs 46(2):212–219
Hodnett ED (2002) Pain and women’s satisfaction with the experience of childbirth: a systematic review. Am J Obstet Gynecol 186:S160–S172
Bobdas-Salonen T (1998) How women experience the presence of their partners at the birth of their babies. Qual Health Res 8(6):784–800
Ip WY, Tang CS, Goggins WB (2009) An educational intervention to improve women’s ability to cope with childbirth. J Clin Nurs 18(15):2125–2135
Hart MA, Foster SN (1997) Couples’ attitudes toward childbirth participation: relationship to evaluation of labor and delivery. J Perinat Neonatal Nurs 11(1):10–20
Miquelutti MA, Cecatti JG, Makuch MY (2013) Antenatal education and the birthing experience of Brazilian women: a qualitative study. BMC Pregnancy Childbirth 5(13):171
Serçekuş P, Başkale H (2016) Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery 34:166–172
Kızılırmak A, Başer M (2016) The effect of education given to primigravida women on fear of childbirth. Appl Nurs Res 29:19–24
Fabian HM, Radestad IJ, Waldenström U (2005) Childbirth and parenthood education classes in Sweden. Women’s opinion and possible outcomes. Acto Obstet Gynecol Scand 84(5):436–443
Slade P, MacPherson SA, Hume A, Maresh M (1993) Expectations, experiences and satisfaction with labour. Br J Clin Psychol 32(Pt4):469–483
Gagnon AJ, Sandall J (2007) Individual or group antenatal education for childbirth or parenthood, or both. Cochrane Database Syst Rev 18(3):CD002869
McCormack HM, Horne DJ, Shetaher S (1988) Clinical applications of visual analogue scales: a critical review. Psychol Med 18(4):1007–1019
Salmon P, Drew NC (1992) Multidimensional assessment of women’s experience of childbirth: relationship to obstetric procedure, antenatal preparation and obstetric history. J Psychosom Res 36:317–337
Spaich S, Welzel G, Berlit S, Temerinac D, Tuschy B, Sütterlin M, Kehl S (2013) Mode of delivery and its influence on women’s satisfaction with childbirth. Eur J Obstet Gynecol Reprod Biol 170:401–406
Stadlmayr W, Amsler F, Lemola S, Stein S, Alt M, Bürgin D, Surbek D, Bitzer J (2006) Memory of childbirth in the second year: the long-term effect of a negative birth experience and its modulation by the perceived intranatal relationship with caregivers. J Psychosom Obstet Gynaecol 27(4):211–224
Dannenbring D, Stevens MJ, House AE (1997) Predictors of childbirth pain and maternal satisfaction. J Behav Med 20(2):127–142
Waldenström U (1999) Experience of labor and birth in 1111 women. J Psychosom Res 47(5):471–482
Brownbridge P. The nature and consequences of childbirth pain. Eur J Obstet Gynecol Reprod Biol. 1995(59 Suppl)S9–S15
Kangas-Saarela T, Kangas-Karki K (1994) Pain and pain relief in labour: parturients’ experience. Int J Obstet Anesth 3(2):67–74
Waldenström U, Bergman V, Vasell G (1996) The complexity of labour pain: experiences of 278 women. J Psychosom Obstet Gynaecol 17(4):215–218
Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E, Ryding E-L (2014) A randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. Birth 41(4):384–394
Lally JE, Murtagh MJ, Macphail S, Thomson R (2008) More in hope than expectation: a systematic review of women’s expectations and experience of pain relief in labour. BMC Med 14:6–7
Brixval CS, Axelsen SF, Thygesen LC, Due P, Koushede V (2016) Antenatal education in small classes may increase childbirth self-efficacy: results from a Danish randomized trial. Sex Reprod. doi:10.1016/j.srhc.2016.03.003
Authors’ contribution
AA: Project Conceptualization, administration, and supervision. ACE: Data validation, Visualization; writing reviewing, and editing the manuscript. ESO: Data cleaning, formal analysis, and contributing to the methodology. OA: Conceptualizing and supervising the study; and revision of the manuscript. HG: Contributed to conceptualizing of the study and regularly supervised its progress. NK: Contributed to systematic data collection in the study. AA: Performed the antenatal training and applied the postpartum questionnaires.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical approval
All procedures performed were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Conflict of interest
All of the authors of this study declare that they have no potential or explicit conflicts of interest with any third party related to this study.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Akca, A., Corbacioglu Esmer, A., Ozyurek, E.S. et al. The influence of the systematic birth preparation program on childbirth satisfaction. Arch Gynecol Obstet 295, 1127–1133 (2017). https://doi.org/10.1007/s00404-017-4345-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-017-4345-5