Skip to main content
Log in

The influence of the systematic birth preparation program on childbirth satisfaction

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Goodman P, Mackey MC, Tavakoli AS (2004) Factors related to childbirth. J Adv Nurs 46(2):212–219

    Article  PubMed  Google Scholar 

  2. Hodnett ED (2002) Pain and women’s satisfaction with the experience of childbirth: a systematic review. Am J Obstet Gynecol 186:S160–S172

    PubMed  Google Scholar 

  3. 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

    Article  Google Scholar 

  4. 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

    Article  PubMed  Google Scholar 

  5. 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

    Article  CAS  PubMed  Google Scholar 

  6. 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

    Article  Google Scholar 

  7. Serçekuş P, Başkale H (2016) Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery 34:166–172

    Article  PubMed  Google Scholar 

  8. Kızılırmak A, Başer M (2016) The effect of education given to primigravida women on fear of childbirth. Appl Nurs Res 29:19–24

    Article  PubMed  Google Scholar 

  9. 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

    Article  Google Scholar 

  10. Slade P, MacPherson SA, Hume A, Maresh M (1993) Expectations, experiences and satisfaction with labour. Br J Clin Psychol 32(Pt4):469–483

    Article  PubMed  Google Scholar 

  11. Gagnon AJ, Sandall J (2007) Individual or group antenatal education for childbirth or parenthood, or both. Cochrane Database Syst Rev 18(3):CD002869

    Google Scholar 

  12. McCormack HM, Horne DJ, Shetaher S (1988) Clinical applications of visual analogue scales: a critical review. Psychol Med 18(4):1007–1019

    Article  CAS  PubMed  Google Scholar 

  13. 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

    Article  CAS  PubMed  Google Scholar 

  14. 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

    Article  PubMed  Google Scholar 

  15. 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

    Article  CAS  PubMed  Google Scholar 

  16. Dannenbring D, Stevens MJ, House AE (1997) Predictors of childbirth pain and maternal satisfaction. J Behav Med 20(2):127–142

    Article  CAS  PubMed  Google Scholar 

  17. Waldenström U (1999) Experience of labor and birth in 1111 women. J Psychosom Res 47(5):471–482

    Article  PubMed  Google Scholar 

  18. Brownbridge P. The nature and consequences of childbirth pain. Eur J Obstet Gynecol Reprod Biol. 1995(59 Suppl)S9–S15

  19. Kangas-Saarela T, Kangas-Karki K (1994) Pain and pain relief in labour: parturients’ experience. Int J Obstet Anesth 3(2):67–74

    Article  CAS  PubMed  Google Scholar 

  20. Waldenström U, Bergman V, Vasell G (1996) The complexity of labour pain: experiences of 278 women. J Psychosom Obstet Gynaecol 17(4):215–218

    Article  PubMed  Google Scholar 

  21. 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

    Article  PubMed  Google Scholar 

  22. 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

    Google Scholar 

  23. 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

    Google Scholar 

Download references

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

Authors

Corresponding author

Correspondence to Eser Sefik Ozyurek.

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

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-017-4345-5

Keywords

Navigation