childbirth experience
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2022 ◽  
Vol 226 (1) ◽  
pp. S227-S228
Author(s):  
Samia Saeb ◽  
Jeanette McCulloch ◽  
Naomi Greene ◽  
Lisa M. Korst ◽  
Moshe Fridman ◽  
...  

2021 ◽  
Vol 5 (4) ◽  
pp. 50-65
Author(s):  
Dmitry V. Poletaev

The research note contains an analysis of data on health, pregnancy, and childbirth experience among female labour migrants arriving in Russia from Central Asia. Empirically, the study bases on the data of three surveys conducted in 2015, 2017, and 2020. In total, the surveys contain information on 2,028 migrants from Tajikistan, Kyrgyzstan, and Uzbekistan living in Russia. The analysis proves that with gradual feminization of labour migration from Central Asia, pregnancy and childbirth in a significant part of labour migrants take place in risky living conditions; the existing system of maternal health protection for migrants in Russia needs modernization. Compared to earlier studies on this topic, the survey data showed a higher proportion of female migrants who had got pregnant and gave birth in Russia along with a lower proportion of migrants who terminated pregnancy. These differences may indicate a change in the reproductive behaviour of women who come to work in Russia from the countries of Central Asia. The presented note shows the need for in-depth studies of the reproductive behaviour of labour migrants in Russia, as well as the development of national migration statistics, which should become gender sensitive.


2021 ◽  
Author(s):  
Sara Carlhäll ◽  
Marie Nelson ◽  
Maria Svenvik ◽  
Daniel Axelsson ◽  
Marie Blomberg

Abstract A negative childbirth experience may have long term negative effects on maternal health. New international guidelines allow a slower progress of labor in the early active phase, however a longer time in labor may influence the childbirth experience. In this population-based cohort study including 26,429 women, who gave birth between Jan 2016 to March 2020, the association between duration of the different phases of active labor and childbirth experience was studied. The women assessed their childbirth experience by visual analogue scale (VAS) score. Data including VAS score and labor time estimates were obtained from electronic medical records and adjusted odds ratios (aOR) were calculated.The prevalence of negative childbirth experience (VAS 1-3) was 4,9%. A significant association between longer duration of all phases of active labor and a negative childbirth experience (VAS 1-3) was found for primi- and multipara. The aOR for negative childbirth experience and longer time in active labor in primipara was 1.88, 95% CI (1.59-2.22) and for multipara aOR 1.90, 95% CI (1.59-2.28).It is of great importance to identify and optimize the clinical care of women with prolonged labor to reduce the risk of negative childbirth experience and associated adverse long-term effects.


2021 ◽  
Vol 5 (2) ◽  
pp. 49-53
Author(s):  
Apri Sulistianingsih ◽  
Dzul Istiqomah Hasyim

Pemberdayaan Praktik Mandiri Bidan Dalam Meningkatkan Pengalaman Persalinan Yang Positif melalui Sosialisasi Rekomendasi World Health Organization (WHO) Intrapartum Care For Positive Childbirth Experience. Asuhan persalinan selalu berkembang dari waktu ke waktu. banyaknya asuhan persalinan tertuang dalam bukti evidence based. Namun demikian tidak semua hasil penelitian di rekomendasikan untuk dilaksanakan. World Health Organization (WHO) telah menerbitkan katalog yang merekomendasikan asuhan persalinan untuk meningkatkan pengalaman persalinan yang positif yang telah di review sehingga menjadi pedoman pelaksanaan asuhan untuk seluruh dunia. Sayangnya katalog masih berbahasa Inggris dan belum banyak di ketahui terutama di Praktik Mandiri Bidan Kabupaten Pringsewu. Kabupaten Pringsewu merupakan salah satu Kabupaten di Lampung dengan kondisi kultur yang masih pedesaan. Bidan sebagian besar adalah lulusan D III yang belum mempelajari asuhan kebidanan berbasis bukti sehingga belum terpapar Rekomendasi World Health Organization (WHO) Intrapartum Care For Positive Childbirth Experience. Bentuk kegiatan berupa sosialisasi rekomendasi apasaja dalam persalinan dan apa saja yang tidak direkomendasikan dalam persalinan. Pengabdian Masyarakat dilakukan dengan menggunakan daring karena adanya pandemi covid 19 di Indonesia dan seluruh dunia. Proses pelaksanaannya menggunakan zoominar. Hasil Pengabdian didapatkan pengetahuan tentang WHO intrapartum Care For Positive Experience sebelum kegiatan adalah 60,71 (2,53), dan setelah penelitian adalah 85,3 (1,68). Hasil uji statistik menunjukkan p value = 0,000 yang berarti bahwa ada Pemberdayaan Praktik Mandiri Bidan Dalam Meningkatkan Pengalaman Persalinan Yang Positif melalui Sosialisasi Rekomendasi World Health Organization (WHO) Intrapartum Care For Positive Childbirth Experience Di Kabupaten Pringsewu


2021 ◽  
pp. 152483802110608
Author(s):  
Shefaly Shorey ◽  
Soo Downe ◽  
Joelle Yan Xin Chua ◽  
Sofia O. Byrne ◽  
Maaike Fobelets ◽  
...  

Considering the adverse impact that traumatic childbirth experiences can have on parental mental well-being, studies that have investigated the potential of providing postnatal psychological support for this group of parents require evaluation. This systematic review aimed to examine the effectiveness of psychological interventions at improving the mental well-being of parents who have experienced traumatic childbirth in terms of anxiety, depression, fear of childbirth, and post-traumatic stress disorder (PTSD) symptoms. Seven electronic databases were searched from their respective inception dates up to January 2021. Only quantitative studies that reported the effects of psychological interventions on anxiety, depression, fear of childbirth, and/or PTSD symptoms in selective (at risk of traumatic childbirth experience) or indicated (self-defined childbirth experience as traumatic for any reason) populations of parents (mothers and/or fathers) were included. Eight studies were included and meta-analyses were conducted using a random-effect model. All studies were conducted on mothers only, and one study had minimal father involvement. Results showed that psychological interventions were more effective in reducing fear of childbirth and improving PTSD symptoms compared to anxiety and depression. Greater improvement in depression was reported at 3–8 weeks’ follow-up than at immediate post-intervention. Subgroup analyses showed that technology-based interventions were feasible, and indicated interventions were more effective than selective interventions. Conducting future interventions in more geographical regions, engaging and including fathers more actively, incorporating both personalized professional therapy and informal peer support, striving for flexibility and convenience, as well as addressing topics on self-doubt and coping skills can improve current interventions.


2021 ◽  
Author(s):  
Andrea Silveira de Queiroz Campos ◽  
Daphne Rattner ◽  
Carmen Simone Grilo Diniz

Abstract Background The increasing rates of cesarean sections (CS) in places with adequate access to health care are a global concern because they are related to higher rates of maternal and neonatal complications and do not provide a positive childbirth experience for women. The objective is to highlight the possibility of achieving CS rates acceptable by WHO standards, such as Nordic countries, following evidence-based protocols in Brazil. Methods A cross-sectional study evaluated CS rates by Robson Groups for women who sought vaginal delivery in a private health practice in Brazil, comparing the rates with Swedish data. A collaborative practice with midwives and obstetricians adopting evidence-based guidelines was offered. The overall CS rate, CS rate by Robson group, contribution of each Robson group to the overall CS rate, clinical and nonclinical interventions and vaginal birth, pre-labour CS and intrapartum CS proportions were estimated. The expected CS rate for the population was calculated by the WHO c-model tool. The analysis used Microsoft EXCEL and the software "R Studio" (version 1.2.1335. 2009-2019). Results The overall CS rate was 15.1% (as expected by the WHO c-model tool) in a population composed of 43.7% women in Robson Group 1, 11.4% in Group 2 and 14.9% in Group 5, the greatest responsible for higher rates of CS, who altogether contributed to 75.4% of all cesarean sections. Conclusions Multidisciplinary care following evidence-based protocols, associated with a high motivation of both women and professionals of childbirth care for a vaginal route for delivery, may lead to a significant and safe reduction of CS rates, obtaining better results even in contexts such as Brazil, where there is high medicalization of obstetric care and excess of CS.


2021 ◽  
Author(s):  
Valerie Avignon ◽  
Baud David ◽  
Gaucher Laurent ◽  
Dupont Corinne ◽  
Horsch Antje

Abstract Antenatal classes have evolved considerably and include now a discussion of the parents' birth plan. Respecting this plan normally results in a better childbirth experience, an important protective factor of post-traumatic stress disorder following childbirth (PTSD-FC). Antenatal class attendance may thus be associated with lower PTSD-FC rates.This cross-sectional study took place at a Swiss University hospital. All primiparous women who gave birth to singleton from 2018-2020 were invited to answer self-reported questionnaires. Data for childbirth experience, symptoms of PTSD-FC, neonatal, and obstetrical outcomes were compared between women who attended (AC) or not (NAC) antenatal classes.A total of 794/2876 (27.6%) women completed the online questionnaire. Antenatal class attendance was associated with a poorer childbirth experience (p=0.03). When taking into account other significant predictors of childbirth experience, only induction of labor, use of forceps, emergency caesarean, and civil status remained in the final model of regression. Intrusion symptoms were more frequent in NAC group (M=1.63 versus M=1.11, p=0.02). Antenatal class attendance, forceps, emergency caesarean, and hospitalisation in NICU remained significant predictors of intrusions for PTSD-FC. Use of epidural, obstetrical, and neonatal outcomes were similar for AC and NAC.


2021 ◽  
Author(s):  
parvaneh sharifipour ◽  
Masoomeh Kheirkhah ◽  
Mojgan Rajati ◽  
hamid haghani

Abstract Background Childbirth is a unique experience that affects women’s life. Therefore, this study was performed to determine the effect of delivery ball and warm shower on the childbirth experience of primiparous women. Methods This study is a clinical trial that was carried out on primiparous pregnant women referred to Motazedi Hospital in Kermanshah, Iran. Sampling was done by continuous method and pregnant women were divided into three groups of delivery ball-warm shower (n = 33), delivery ball (n = 33) and control (n = 33). Exercise with ball at the dilation of 4 cm was similar in the two groups of delivery ball-warm shower and delivery ball, but the first group also used warm shower at the dilatation of 7 cm. The control group only received the routine delivery care. Demographic information form consisting of pregnancy history and information about the mother and infant were completed and the childbirth experience questionnaire (CEQ) were completed by the women two hours after the childbirth. Results There was a statistically significant difference in the mean score of childbirth experience after the intervention between the two groups of delivery ball-warm shower and control (P = 0.001), and also between the delivery ball and control groups (P = 0.001). There was a statistically significant difference in the mean scores of professional support between the two groups of delivery ball-warm shower and control (P = 0.02) and also between the delivery ball and control groups (p = 0.02). There was a statistically significant difference in the mean scores of participation between the two groups of delivery ball-warm shower and control (P = 0.003) and also between the delivery ball and control groups (P = 0.01). There was also a statistically significant difference in the mean scores of sense of security between the two groups of delivery ball-warm shower and control (P = 0.01). Conclusion Delivery ball and warm shower were effective interventions to create a positive childbirth experience. This method was more effective than using delivery ball alone in childbirth experience. To achieve a positive experience of childbirth in mothers, the use of both intervention (delivery ball and warm shower) is recommended.


2021 ◽  
Author(s):  
Andrea Silveira de Queiroz Campos

Abstract Background The increasing rates of cesarean sections (CS) in places with adequate access to health care is a global concern because they are related to higher rates of maternal and neonatal complications and do not provide a positive childbirth experience for women. The objective is to highlight the possibility of achieving CS rates acceptable by WHO standards, like Nordic countries, following evidence-based protocols in Brazil. Methods A cross-sectional study evaluated CS rates by Robson Groups for women who sought vaginal delivery in a private health practice in Brazil, comparing the rates with Swedish data. A collaborative practice with midwives and obstetrician, adopting evidence-based guidelines, was offered. The overall CS rate, CS rate by Robson group, contribution of each Robson group to the overall CS rate, clinical and non-clinical interventions and vaginal birth, pre-labor CS and intrapartum CS proportions were estimated. The expected CS rate for the population by the WHO c-model tool was calculated. The analysis used Microsoft EXCEL and the software "R Studio" (version 1.2.1335. 2009-2019). Results The overall CS rate was 15.1% (within the expected by the WHO c-model tool) in a population composed of 43.7% of women in Robson Group 1, 11.4% in Group 2 and 14.9% in Group 5, the greatest responsible for higher rates of CS, who altogether contributed to 75.4% of all cesarean sections. Conclusions Multidisciplinary care following evidence-based protocols, associated to a high motivation of both women and professionals of childbirth care for a vaginal route for delivery may lead to a significant and safe reduction of CS rates, obtaining better results even in contexts such as Brazil, where there is high medicalization of obstetric care and excess of CS.


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