Cited by 967Maternal and Perinatal Health InterventionsAnesthesia and Pain ManagementPregnancy-related medical research

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Pain and women's satisfaction with the experience of childbirth: A systematic review

Hodnett, Ellen D.·2002·American Journal of Obstetrics and Gynecology

DOI 10.1016/s0002-9378(02)70189-0

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2 retracted

Caregiver support for women during childbirth
HODNETT, E. D. (2002) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000199 · Cited by 141
Self-citation
Retracted
Types of intra-muscular opioids for maternal pain relief in labour
Elbourne, D. R., & Ra, W. (1998) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001237 · Cited by 36
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The short-form McGill pain questionnaire
Melzack, R. (1987) · Pain · doi:10.1016/0304-3959(87)91074-8 · Cited by 4,368
Bias in analytic research
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Meta-analysis of satisfaction with medical care: Description of research domain and analysis of overall satisfaction levels
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Expectations, experiences, and psychological outcomes of childbirth: a prospective study of 825 women.
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Surveys of patients satisfaction: I--Important general considerations.
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Just Another Day in a Woman's Life? Women's Long‐Term Perceptions of Their First Birth Experience. Part I
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Just Another Day in a Woman's Life? Part 11: Nature and Consistency of Women's Long‐Term Memories of Their First Birth Experiences
Simkin, P. (1992) · Birth · doi:10.1111/j.1523-536x.1992.tb00382.x · Cited by 357
Experience of labor and birth in 1111 women
Waldenström, U. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00043-4 · Cited by 274

Show all 88 references

Research works printed but not linked: 2

Hodnett E. Pain and women's satisfaction with the experience of childbirth: a systematic review. Available at http://www.maternitywise.org/prof/pain/
Knapp, 1996, Childbirth satisfaction: the effects of internality and perceived control, J Perinat Educ, 5, 7

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Britton, J. R. (2012) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/0167482x.2012.658464 · Cited by 60
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“Global satisfaction ratings often lack variation and are skewed to the positive end of the spectrum [38].”
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Neel, K., Goldman, R. E., Marte, D., Bello, G., & Nothnagle, M. B. (2019) · Birth · doi:10.1111/birt.12420 · Cited by 47
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“A systematic review of women’s childbirth pain experience found strong correlations between personal control and satisfaction with pain relief.(8) The perception of pain has also been identified as a strong predictor of overall childbirth experience.”
Background
The role and outcomes of music listening for women in childbirth: An integrative review
McCaffrey, T., Cheung, P. S., Barry, M., Punch, P., & Dore, L. (2020) · Midwifery · doi:10.1016/j.midw.2020.102627 · Cited by 45
“This is unsurprising given that pain and pain relief are much considered aspects of the childbirth experience, particularly among primiparous women (Hodnett, 2002).”
Background
Remifentanil patient-controlled analgesia should be routinely available for use in labour
Hill, D. (2008) · International Journal of Obstetric Anesthesia · doi:10.1016/j.ijoa.2008.03.005 · Cited by 44
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Skills-based childbirth preparation increases childbirth self-efficacy for first time mothers
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“These areas of dissatisfaction align with many other Australian, European, and North American studies (Brown & Lumley, 1994; Christiaens & Bracke, 2007; Hodnett, 2002; Sandin-Bojö et al., 2011; Sauls, 2002; Wilde-Larsson et al., 2011).”
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“for the birth experience since maximum pain relief may not always be of utmost importance [1].”
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Jones, L., Whitburn, L., Davey, M.-A., & Small, R. (2015) · Midwifery · doi:10.1016/j.midw.2015.03.012 · Cited by 35
“In some settings, pain is measured using simple self-rating scales either at specific time intervals or at particular degrees of cervical dilation (Hodnett, 2002; Capogna et al., 2010).”
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Non-pharmacological strategies on pain relief during labor: pre-testing of an instrument
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“Studies have shown that when women are offered analgesia during labour, they report greater satisfaction with their overall birth experience [7, 8].”
Background
Childbirth experiences in Australia of women born in Turkey, Vietnam, and Australia.
McLachlan, H., & Waldenström, U. (2005) · Birth · doi:10.1111/j.0730-7659.2005.00370.x · Cited by 48
Jordanian mother's report of their childbirth experience: findings from a questionnaire survey.
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Expectations, Perceptions, and Management of Labor in Nulliparas Prior to Hospitalization
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Utilização de técnicas de respiração e relaxamento para alívio de dor e ansiedade no processo de parturição
Almeida, N. A. M., de Sousa, J. T., Bachion, M. M., & Silveira, N. D. A. (2005) · Revista Latino-Americana de Enfermagem · doi:10.1590/s0104-11692005000100009 · Cited by 41
“Como a interpretação dolorosa envolve aspectos sensitivos, cognitivos, comportamentais e culturais, torna-se necessária avaliação sistematizada((7-8)).”
Background
In the Nepalese context, can a husband’s attendance during childbirth help his wife feel more in control of labour?
Sapkota, S., Kobayashi, T., Kakehashi, M., Baral, G., & Yoshida, I. (2012) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-12-49 · Cited by 41
“Hodnett ED, Lowe NK, Hannah ME, Willan AR, Stevens B, Weston JA, Ohlsson A, Gafni A, Muir HA, Myhr TL, Stremler R: Effectiveness of nurses as providers of birth labor support in North American hospitals.”
BackgroundInfluential
The Effect of Perinatal Education on Iranian Mothers’ Stress and Labor Pain
Firouzbakht, M., Nikpour, M., Salmalian, H., Ledari, F. M., & Khafri, S. (2013) · Global Journal of Health Science · doi:10.5539/gjhs.v6n1p61 · Cited by 41
“Hosseini, Taghavi (2010), Ip et al. (2009) in their study showed that perinatal education can lessen the level of stress and labor pain, which is in line with our findings.”
Result
The Factors Predicting Students' Satisfaction with Universities' Healthcare Clinics' Services : A Case-Study from the Jordanian Higher Education Sector
Alshurideh, M. T. (2014) · Dirasat: Administrative Sciences · doi:10.12816/0007482 · Cited by 41
“…(1) Study model has been adapted from many previous scholars works whom are: Ware et al., 1983; Thompson et al., 1996; O'Hara, 1997; Bratton, & Short, 2001; Piette, 2001; Hodnett, 2002; Leibowitz et al., 2003; Baker, 2003; Vahey, 2004; Zineldin, 2006; Tung & Chang, 2009; and Reid et al., 2010.”
Method
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Top-cited articles in the Journal: a bibliometric analysis
Yadava, S., Patrick, H. S., Ananth, C. V., Rosen, T., & Brandt, J. S. (2018) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2018.11.1091 · Cited by 42
Women's experiences of waterbirth compared with conventional uncomplicated births
Ulfsdottir, H., Saltvedt, S., & Georgsson, S. (2019) · Midwifery · doi:10.1016/j.midw.2019.102547 · Cited by 40
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Fumagalli, S., Colciago, E., Antolini, L., Riva, A., Nespoli, A., & Locatelli, A. (2020) · Women and Birth · doi:10.1016/j.wombi.2020.01.012 · Cited by 40
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Matsubara, C., Green, J., Astorga, L. T., Daya, E. L., Jervoso, H. C., Gonzaga, E. M., & Jimba, M. (2013) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-13-235 · Cited by 40
“In one review, patients’ demographics were found to be the most important determinants of general satisfaction with healthcare, while satisfaction with childbirth experiences had little or no relationship with demographics [20].”
Background
The influences on women who choose publicly-funded home birth in Australia
Catling, C., Dahlen, H. G., & Homer, C. (2014) · Midwifery · doi:10.1016/j.midw.2014.03.003 · Cited by 39
How Neuroscience and Behavioral Genetics Improve Psychiatric Assessment: Report on a Violent Murder Case
Rigoni, D., Pellegrini, S., Mariotti, V., Cozza, A., Mechelli, A., Ferrara, S. D., Pietrini, P., & Sartori, G. (2010) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2010.00160 · Cited by 43
Analysis of the Construct Validity and Internal Consistency of the State-Trait Anxiety Inventory (STAI) State-Anxiety (S-Anxiety) Scale for Pregnant Women during Labor
Delgado, A., Freire, A. M., Wanderley, E. L. S., & Lemos, A. (2016) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1055/s-0036-1593894 · Cited by 39
Patient Perception of Acute Pain Management: Data from Three Tertiary Care Hospitals
Ramia, E., Nasser, S. C., Salameh, P., & Saad, A. H. (2017) · Pain Research and Management · doi:10.1155/2017/7459360 · Cited by 39
Humanisation in pregnancy and childbirth: A concept analysis
Curtin, M. E., Savage, E., & Leahy‐Warren, P. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.15152 · Cited by 46
Satisfaction with maternity care among recent migrants: an interview questionnaire-based study
Bains, S., Sundby, J., Lindskog, B. V., Vangen, S., Diep, L. M., Owe, K. M., & Sørbye, I. K. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-048077 · Cited by 39
Nitrous Oxide for Pain in Labor‐‐Why Not in the United States?
Rooks, J. P. (2007) · Birth · doi:10.1111/j.1523-536x.2006.00150.x · Cited by 39
Examining the association between subjective childbirth experience and maternal mental health at six months postpartum
Coo, S., García, M. I., & Mira, A. (2021) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2021.1990233 · Cited by 43
“…the factors determining the positive or negative experience of delivery highlights the role of personal expectations, the amount of support from caregivers, the quality of the caregiver-patient relationship, and involvement in decision making, as the most important factors (Hodnett, 2002).”
Background
Primiparous and Multiparous Women’s Mode of Birth and Negative Emotions
Green, G., Tesler, R., & Marques, A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095189 · Cited by 38
‘Lending the space’: Midwives perceptions of birth space and clinical risk management
Seibold, C., Licqurish, S., Rolls, C., & Hopkins, F. (2010) · Midwifery · doi:10.1016/j.midw.2010.06.011 · Cited by 38
A Prospective Observational Study Evaluating the Ability of Prelabor Psychological Tests to Predict Labor Pain, Epidural Analgesic Consumption, and Maternal Satisfaction
Carvalho, B., Zheng, M., & Tagaloa, L. A.-L. (2014) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000000357 · Cited by 38
“In addition to the validated questionnaires outlined above, 3 simple-scaled rating questions with the potential to predict the labor pain experience were also obtained on a separate written questionnaire: (1) How anxious are you about experiencing labor and labor pain? (0 = no anxiety, 100 = extreme anxiety); (2) How…”
Method
What do midwives need to know about approaches of women towards labour pain management? A qualitative interview study into expectations of management of labour pain for pregnant women receiving midwife-led care in the Netherlands
Klomp, T., Manniën, J., de Jonge, A., Hutton, E. K., & Lagro-Janssen, A. L. M. (2013) · Midwifery · doi:10.1016/j.midw.2013.04.013 · Cited by 38
Evaluation of Mackey Childbirth Satisfaction Rating Scale in Iran: What Are the Psychometric Properties?
Moudi, Z., & Tavousi, M. (2016) · Nursing and Midwifery Studies · doi:10.17795/nmsjournal29952 · Cited by 40
“Hodnett (2002), in a systemic review, suggested that mothers with healthy newborns might be dissatisfied with their childbirth experiences and vice versa (12).”
BackgroundMethodInfluential
Perceptions and Practice of Labor Pain-Relief Methods among Health Professionals Conducting Delivery in Minia Maternity Units in Egypt
Mousa, O., Abdelhafez, A. A., Abdelraheim, A. R., Yousef, A. M., Ghaney, A. A., & Gelany, S. E. (2018) · Obstetrics and Gynecology International · doi:10.1155/2018/3060953 · Cited by 38
“Its use is also affected by many factors, mainly including the relationship between the women and their HPs and the women’s involvement [9].”
Background
Epidural Analgesia During Childbirth and Postpartum Depressive Symptoms: A Population-Based Longitudinal Cohort Study
Eckerdal, P., Kollia, N., Karlsson, L., Skoog-Svanberg, A., Wikström, A.-K., Högberg, U., & Skalkidou, A. (2020) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000004292 · Cited by 37
Adolescents' Experiences of Childbirth: Contrasts With Adults1, 2
Low, L. K., Martin, K. A., Sampselle, C. M., Guthrie, B. J., & Oakley, D. (2003) · Journal of Midwifery & Women s Health · doi:10.1016/s1526-9523(03)00091-6 · Cited by 38
Knowledge of and attitude towards pain relief during labour of women attending the antenatal clinic of Cecilia Makiwane Hospital, South Africa
Mugambe, J., Nel, M., Hiemstra, L., & Steinberg, W. J. (2007) · South African Family Practice · doi:10.1080/20786204.2007.10873535 · Cited by 38
Women and healthcare providers’ perceptions of a midwife-led unit in a Swiss university hospital: a qualitative study
Maillefer, F., de Labrusse, C., Cardia-Vonèche, L., Hohlfeld, P., & Stoll, B. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0477-4 · Cited by 38
Psychoprophylaxis during labor: associations with labor‐related outcomes and experience of childbirth
Bergström, M., Kieler, H., & Waldenström, U. (2010) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.3109/00016341003694978 · Cited by 41
“The lack of association between use of psychoprophylaxis and experience of childbirth or memory of labor pain was unexpected, since psychoprophylaxis is assumed to increase a woman’s feeling of control during labor, a feeling previously reported to be associated with a positive childbirth experience (19,23).”
Background
Experiences of termination of pregnancy for a fetal anomaly: A qualitative study of virtual community messages
Carlsson, T., Bergman, G., Karlsson, A.-M., Wadensten, B., & Mattsson, E. (2016) · Midwifery · doi:10.1016/j.midw.2016.08.001 · Cited by 37
“It has been concluded that support from caregivers has a major influence on satisfaction with experience of childbirth (Hodnett, 2002) and similar findings can be hypothesized in this context.”
Result
Parenteral opioids for maternal pain relief in labour
Ullman, R., Dowswell, T., & Mori, R. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007396 · Cited by 37
The relationship between birth satisfaction, posttraumatic stress disorder and postnatal depression symptoms in Croatian women
Radoš, S. N., Martinić, L., Matijaš, M., Brekalo, M., & Martin, C. R. (2021) · Stress and Health · doi:10.1002/smi.3112 · Cited by 36
Perceived environmental stressors and pain perception during labor among primiparous and multiparous women.
Manizheh, P., & Pirdel, L. (2009) · Europe PMC (PubMed Central) · Cited by 36
The Bırth Satısfactıon Scale: Turkısh Adaptatıon, Valıdatıon And Relıabılıty Study
Çetin, F. C. (2015) · Northern Clinics of Istanbul · doi:10.14744/nci.2015.40412 · Cited by 36
“inability to perceive the difference between satisfied, and very dissatisfied women) [2, 3, 6, 16].”
Background
Good practices according to WHO’s recommendation for normal labor and birth and women’s assessment of the care received: the “birth in Brazil” national research study, 2011/2012
Baldisserotto, M. L., Filha, M. T. T., & da Gama, S. G. N. (2016) · Reproductive Health · doi:10.1186/s12978-016-0233-x · Cited by 35
“In one systematic review, Hodnett [17] found four factors associated with satisfaction during childbirth: the Table 1 Proportion of assessment of the care received, sociodemographic and obstetric characteristics of postpartum women”
Influential
A qualitative analysis of parturients’ experiences using nitrous oxide for labor analgesia: It is not just about pain relief
Richardson, M. G., Raymond, B. L., Baysinger, C. L., Kook, B. T., & Chestnut, D. H. (2018) · Birth · doi:10.1111/birt.12374 · Cited by 36
Pre- and during-labour predictors of low birth satisfaction among Iranian women: a prospective analytical study
Nahaee, J., Mohammad‐Alizadeh‐Charandabi, S., Abbasalizadeh, F., Martin, C. R., Martin, C. J. H., Mirghafourvand‬‬‬‬‬‬‬‬‬‬‬‬‬‬, M., & Hassankhani, H. (2020) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-03105-5 · Cited by 41
“Childbirth satisfaction and childbirth experience are highly correlated [57].”
Background
The Reduction of Anxiety and Improved Maternal Attachment to Fetuses and Neonates by Relaxation Training in Primigravida Women
Toosi, M., Akbarzadeh, M., Sharif, F., & Zare, N. (2014) · Women’s Health Bulletin · doi:10.17795/whb-18968 · Cited by 36
“However, relaxation trainings and midwife’s support can decrease labor pain and delivery time and have a positive effect on maternal fetal attachment (28).”
Background
Pharmacologic and non-pharmacologic labor pain management techniques in a resource-limited setting: A systematic review
Beyable, A. A., Bayable, S. D., & Guadie, Y. (2022) · Annals of Medicine and Surgery · doi:10.1016/j.amsu.2022.103312 · Cited by 35
“Labor analgesia prevents adverse events associated with stress responses to pain, including postpartum depression [24].”
Background
Women's expectations of maternity services: a community-based survey.
Gamble, J., Creedy, D., & Teakle, B. (2007) · Women and Birth · doi:10.1016/j.wombi.2007.05.003 · Cited by 33
Women's Lived Experience of Their Unexpected Birthing Process
Goldbort, J. (2009) · MCN, The American Journal of Maternal Child Nursing · doi:10.1097/01.nmc.0000343867.95108.b3 · Cited by 39
“These findings mirrorred the findings from Beck (2004) and Hodnett (2002) and can serve as a wakeup call to perinatal nurses about what women who have had difficult and unexpected birthing experiences are thinking and feeling.”
BackgroundMethodResult
Women's acceptance of a double-balloon device as an additional method for inducing labour
Kehl, S., Welzel, G., Ehard, A., Berlit, S., Spaich, S., Siemer, J., & Sütterlin, M. (2013) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2012.12.018 · Cited by 35
Maternal characteristics and satisfaction associated with intrapartum epidural analgesia use in Canadian women
Koteles, J., de Vrijer, B., Penava, D., & Xie, B. (2012) · International Journal of Obstetric Anesthesia · doi:10.1016/j.ijoa.2012.06.006 · Cited by 35
A Cross-Sectional Survey of Labor Pain Control and Women’s Satisfaction
Pietrzak, J., Mędrzycka-Dąbrowska, W. A., Tomaszek, L., & Grzybowska, M. E. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031741 · Cited by 34
“Hodnett, on the other hand, found in a systematic review of women’s pain and childbirth satisfaction that the effects of pain, pain relief, and medical interventions during childbirth on subsequent satisfaction are not as obvious, direct, or as strong as the effects of caregivers’ attitudes and behavior [28].”
Background
Duration of the active phase of labor in spontaneous and induced labors
Østborg, T. B., Romundstad, P., & Eggebø, T. M. (2016) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.13039 · Cited by 38
Predictors of Women’s Satisfaction with Hospital-Based Intrapartum Care in Asmara Public Hospitals, Eritrea
Kifle, M. M., Ghirmai, F. A., Amanuel, S., Tesfay, W. S., Weldegebriel, Y. T., & Gebrehiwet, Z. T. (2017) · Obstetrics and Gynecology International · doi:10.1155/2017/3717408 · Cited by 34
“Worldwide, available 9ndings regarding the association between demographic variables and satisfaction with intrapartum care are mixed, with some studies reporting that age, parity, and marital status were associated with satisfaction with intrapartum care [20, 24, 25].”
Background
Cultural perceptions and preferences of Iranian women regarding cesarean delivery.
Roudsari, R. L., Zakerihamidi, M., Khoei, E. M., & Kazemnejad, A. (2014) · Europe PMC (PubMed Central) · Cited by 34
A meta‐ethnographic synthesis of qualitative research on women's experience of midwifery care
Aannestad, M., Herstad, M., & Severinsson, E. (2020) · Nursing and Health Sciences · doi:10.1111/nhs.12714 · Cited by 34
Comparison of labour and birth outcomes between nulliparous women who used epidural analgesia in labour and those who did not: A prospective cohort study.
Newnham, E., Moran, P., Begley, C., Carroll, M., & Daly, D. (2020) · Women and Birth · doi:10.1016/j.wombi.2020.09.001 · Cited by 26
Non-pharmacological pain relief in labour.
Habanananda, T. (2004) · PubMed · Cited by 34
Intermittent Auscultation for Intrapartum Fetal Heart Rate Surveillance: American College of Nurse‐Midwives
(2015) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.12372 · Cited by 33
Nitrous Oxide for Labor Pain
King, T. L., & Wong, C. A. (2013) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000000017 · Cited by 34
Women’s Experiences of Childbirth in Serbian Public Healthcare Institutions: a Qualitative Study
Stanković, B. (2017) · International Journal of Behavioral Medicine · doi:10.1007/s12529-017-9672-1 · Cited by 26
“16 Expectations and the discrepancy between the expectations and real experience are shown to be important determinants of childbirth experience and satisfaction [5, 19, 52].”
Background
Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study
Logtenberg, S. L. M., Verhoeven, C. J. M., Rengerink, K. O., Sluijs, A., Freeman, L. M., Schellevis, F., & Mol, B. W. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-1986-8 · Cited by 33
“social support, dissatisfaction with partnership and insufficient support of the caregiver [16, 21].”
Background
The impact of patient-physician alliance on trust following an adverse event
Shoemaker, K. J., & Smith, C. P. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.02.015 · Cited by 33

Authors: Hodnett, E. D.
Affiliations: University of Toronto (CA)
Corresponding author: Hodnett, Ellen D.
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 2002-05
Volume: 186
Issue: 5
Pages: S160-S172
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/s0002-9378(02)70189-0
OpenAlex: W1982325404
Cited by: 967
References: 88
Citations by year: 2026: 23 · 2025: 25 · 2024: 41 · 2023: 36 · 2022: 49 · 2021: 46 · 2020: 55 · 2019: 41 · 2018: 53 · 2017: 50 · 2016: 69 · 2015: 45 · 2014: 57 · 2013: 54 · 2012: 40
FWCI: 5.25
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: American Journal of Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
Keywords: childbirth satisfaction, labor pain, analgesia, intrapartum interventions, caregiver support, caregiver-patient relationship, shared decision-making, self-expectations, childbirth experience
MeSH terms: Female, Humans, Labor, Obstetric, Pain, Pregnancy, Patient Satisfaction

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