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Preventing traumatic childbirth experiences: 2192 women’s perceptions and views
Open accessAbstract
The purpose of this study is to explore and quantify perceptions and experiences of women with a traumatic childbirth experience in order to identify areas for prevention and to help midwives and obstetricians improve woman-centered care. A retrospective survey was conducted online among 2192 women with a self-reported traumatic childbirth experience. Women were recruited in March 2016 through social media, including specific parent support groups. They filled out a 35-item questionnaire of which the most important items were (1) self-reported attributions of the trauma and how they believe the traumatic experience could have been prevented (2) by the caregivers or (3) by themselves. The responses most frequently given were (1) Lack and/or loss of control (54.6%), Fear for baby's health/life (49.9%), and High intensity of pain/physical discomfort (47.4%); (2) Communicate/explain (39.1%), Listen to me (more) (36.9%), and Support me (more/better) emotionally/practically (29.8%); and (3) Nothing (37.0%), Ask for (26.9%), or Refuse (16.5%) certain interventions. Primiparous participants chose High intensity of pain/physical discomfort, Long duration of delivery, and Discrepancy between expectations and reality more often and Fear for own health/life, A bad outcome, and Delivery went too fast less often than multiparous participants. Women attribute their traumatic childbirth experience primarily to lack and/or loss of control, issues of communication, and practical/emotional support. They believe that in many cases, their trauma could have been reduced or prevented by better communication and support by their caregiver or if they themselves had asked for or refused interventions.
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“Untreated FOC is a risk factor for traumatic childbirth, 18 , 21”
From Fear of childbirth, nonurgent obstetric interventions, and newborn outcomes: A randomized controlled trial comparing mindfulness‐based childbirth and parenting with enhanced care as usual. (2022) · cites this paper as [21]
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“Lacking control, feelings of being unsupported, and the experience of labour complications are recognised as contributors to the perception of birth as traumatic [7].”
From The birth trauma earthquake: A qualitative investigation of first-time mothers who perceived their birth as traumatic (2026) · cites this paper as [7]
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Metadata
- Authors
- Hollander, M. H., van Hastenberg, E., van Dillen, J., van Pampus, M. G., de Miranda, E., & Stramrood, C. A. I.
- Affiliations
- Radboud University Medical Center (NL)
- University Medical Center Utrecht (NL)
- Corresponding author
- Hollander, M. H.
- Venue
- Archives of Women's Mental Health
- Published
- 2017-05-29
- Volume
- 20
- Issue
- 4
- Pages
- 515-523
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- PMC
- PMC5509770
- OpenAlex
- W2617617703
- Cited by
- 245
- References
- 19
- Citations by year
- 2026: 23 · 2025: 27 · 2024: 36 · 2023: 36 · 2022: 42 · 2021: 26 · 2020: 24 · 2019: 16 · 2018: 14 · 2017: 1
- FWCI
- 17.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Archives of Women s Mental Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Funders
- Radboud University Medical Center
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
- Keywords
- traumatic birth, childbirth experience, women's perceptions, loss of control, labor pain, caregiver communication, emotional support, primiparous women, multiparous women, woman-centred care, childbirth interventions
- MeSH terms
- Adult, Fear, Female, Humans, Mothers, Netherlands, Perception, Pregnancy, Pregnancy Outcome, Surveys and Questionnaires, Retrospective Studies, Parturition, Delivery, Obstetric, Labor Pain, Postpartum Period
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