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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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
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Expectations, experiences, and psychological outcomes of childbirth: a prospective study of 825 women.
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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
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Waldenström, U. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00043-4 · Cited by 274

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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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Recency of migration, region of origin and women's experience of maternity care in England: Evidence from a large cross-sectional survey
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“[23]”
Disparities in Mistreatment During Childbirth
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“Women will report negative birth experiences when their expectations and their actual experiences do not match.(5) We believe that this mismatch was not experienced by women in this study due to their initial low expectations.”
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“…risks of bias include a lack of advanced data analysis, inadequate statistical power, and assessment of the birth experience 1–2 days after the birth when mothers may be unable to separate the joy and relief of a healthy baby with feelings about the actual experience (Britton 2012; Hodnett 2002).”
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“Non-pharmacological methods can ease sensations of pain in a number of ways, by promoting women’s wellbeing, comfort, and sense of control in labour [4]; and the birth ball is one of the methods to help mothers cope with the labouring process and childbirth.”
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Hybrid simulation for obstetrics training: A systematic review
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“The childbirth experience is complex, with many related concepts; however, experiencing a sense of control seems to be an important contribution to a positive experience [6, 7].”
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“Many studies have tried to identify the determinants of a mother’s childbirth experience (Hodnett, 2002 ).”
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“Regarding satisfaction with the childbirth experience, despite its complexity (Hodnett, 2002; Bryanton et al., 2008; Sawyer et al., 2013), studies have found that prior familiarity with midwifery, personal emotional support, perceived personal control, self-efficacy, and expectations about childbirth improve birth exp…”
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“For other revealing reports on the variety of experiences of childbirth pain see Fox and Worts (1999: 336–338), Gaskin (2003: 150–166) and Hodnett (2002).”
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Experiences of women receiving childbirth care from public health facilities in Kumasi, Ghana
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Women's perception of intrapartal care in relation to WHO recommendations.
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“Midwives in our study were aware that the ability to work with labour pain is more important, in terms of a woman’s satisfaction with her childbirth experience, than actual avoidance of labour pain [33] or receiving pain medication or epidural analgesia [34].”
Background
Context and process of informed consent for pharmacologic strategies in labor pain care
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“Given the link between satisfaction with intrapartal care and satisfaction with childbirth experience, these concepts are not necessarily separated in many studies [8,12,15,16].”
Background
Pain and epidural use in normal childbirth
Walsh, D. J. (2009) · Cited by 28
Post‐partum duration of satisfaction with childbirth
Turkmen, S., Tjernström, M., Dahmoun, M., & Bolin, M. (2018) · The journal of obstetrics and gynaecology research · doi:10.1111/jog.13775 · Cited by 28
Processing the first birth: journeying into 'motherland'.
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Background
Normal childbirth and evidence based practice.
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Assessing Dutch women’s experiences of labour and birth: adaptations and psychometric evaluations of the measures Mothers on Autonomy in Decision Making Scale, Mothers on Respect Index, and Childbirth Experience Questionnaire 2.0
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“evidence supporting these decisions [42].”
Effectiveness of breathing exercise on the duration of labour: A systematic review and meta-analysis
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Meta‐analysis of the effect of acupressure on duration of labor and mode of delivery
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“The risk of maternal death is five times higher after a cesarean delivery than after a normal vaginal birth [11].”
Background
Labour pain management practices among obstetric care providers in Hawassa city, Ethiopia
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Factors that Promote a Positive Childbearing Experience: A Qualitative Study
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Background
Maternal Satisfaction as an Outcome Criterion in Research on Labor Analgesia
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The perception of primiparous mothers of comfortable resources in labor pain (a qualitative study)
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“Hodnett showed that ongoing support of pregnant women will decrease the rate of cesarean, reduce the requirement of means of delivery, and lessen the requirement of anesthesia drugs, and the overall satisfaction increased with the presence of supporters.[20,21] Leeman said that despite being approved by numerous studi…”
A R asch‐based dimension of delivery experience: spontaneous vs. medically assisted conception
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Skilled health attendants’ knowledge and practice of pain management during labour in health care facilities in Ibadan, Nigeria
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Translation and validation of the Dutch version of the Birth Satisfaction Scale-Revised (BSS-R)
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“Birth satisfaction has long been recognised as a key indicator of the quality of maternity care (Hodnett, 2002).”
Background
Patient-reported outcome and experience measures for quality improvement in pregnancy and childbirth care: a retrospective cohort study
Klootwijk, A., Bakx, P., Franx, A., Bijma, H. H., Ernst‐Smelt, H. E., Ruiter, M. L.-D., Posthumus, A. G., & van Rijn, B. B. (2023) · BMJ Open Quality · doi:10.1136/bmjoq-2022-001922 · Cited by 24
Consent and refusal of procedures during labour and birth: a survey among 11 418 women in the Netherlands
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“50 In addition to consenting to or declining procedures proposed by care providers, it is also possible that women may have wished or requested that a certain procedure would be performed, but that these wishes were ignored.”
A longitudinal study exploring the role of adult attachment in relation to perceptions of pain in labour, childbirth memory and acute traumatic stress responses
Quinn, K., Spiby, H., & Slade, P. (2015) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2015.1030733 · Cited by 26
“In addition, Hodnett (2002) reviewed evidence suggesting that the development of memories of childbirth are influenced by relationships with caregivers during the birth.”
Background
Hospital Policies and Practices Concerning Normal Childbirth in Jordan
Sweidan, M., Mahfoud, Z. R., & DeJong, J. (2008) · Studies in Family Planning · doi:10.1111/j.1728-4465.2008.00151.x · Cited by 24
A Prospective Investigation of Prenatal Mood and Childbirth Perceptions in an Ethnically Diverse, Low‐Income Sample
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“Perceived poor provider-patient communication, a key component of birth experience (10), leads to higher rates of malpractice suit intention after perceived adverse events (11).”
Influential
Birth place preferences and women’s expectations and experiences regarding duration and pain of labor
Haken, T. M. V. H.-T., Hendrix, M. J. C., Nieuwenhuijze, M. J., Vries, R. G. D., & Nijhuis, J. G. (2017) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2017.1285900 · Cited by 24
“Hodnett [8] claims that the most powerful influen-”
Background
Intermittent Auscultation for Intrapartum Fetal Heart Rate Surveillance. ACNM Clinical Bulletin Number 11, March 2010 (Replaces Number 9, March 2007)
(2010) · Journal of Midwifery & Women s Health · doi:10.1016/j.jmwh.2010.05.007 · Cited by 24
The Definition and Assessment of Pain
King, T. L., & McCool, W. F. (2004) · Journal of Midwifery & Women s Health · doi:10.1016/j.jmwh.2004.09.010 · Cited by 24
Trait mindfulness during pregnancy and perception of childbirth
Hulsbosch, L. P., Boekhorst, M. G. B. M., Potharst, E. S., Pop, V. J. M., & Nyklíček, I. (2021) · Archives of Women s Mental Health · doi:10.1007/s00737-020-01062-8 · Cited by 23
“…primiparity, inaccurate expectations, lack of midwife and partner support, and anxiety and fear for labor during pregnancy as well as pain and lack of control during labor have been related to a more negative perception of childbirth (Hodnett 2002; Waldenstrom 1999; Waldenstrom et al. 2004).”
Background
Sobre as dores e temores do parto: dimensões de uma escuta
Rodrigues, A. V., & de Siqueira, A. A. F. (2008) · Revista Brasileira de Saúde Materno Infantil · doi:10.1590/s1519-38292008000200005 · Cited by 23
Social support as a determinant of life satisfaction in pregnant women and women after surgical delivery.
Gebuza, G., Kaźmierczak, M., Mieczkowska, E., & Gierszewska, M. (2017) · Psychiatria Polska · doi:10.12740/pp/onlinefirst/64194 · Cited by 17
“However, some women may find pregnancy and delivery to be among the most traumatic life experiences [7], and memories of childbirth may be recalled for many years to come or even for the whole life [8].”
Background
The influence of migration on women’s satisfaction during pregnancy and birth: results of a comparative prospective study with the Migrant Friendly Maternity Care Questionnaire (MFMCQ)
Gürbüz, B., Großkreutz, C., Vortel, M., Borde, T., Rancourt, R., Stepan, H., Sauzet, O., Henrich, W., David, M., & Seidel, V. (2019) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-019-05227-4 · Cited by 20
Use of the peanut ball during labour: A systematic review and meta‐analysis
Ahmadpour, P., Mohammad‐Alizadeh‐Charandabi, S., Doosti, R., & Mirghafourvand‬‬‬‬‬‬‬‬‬‬‬‬‬‬, M. (2021) · Nursing Open · doi:10.1002/nop2.844 · Cited by 24
“In this regard, personal experience, the expectation of family support and relationship with caregivers also affect women's perception of labour pain (Hodnett, 2002).”
Background
Non-pharmacological interventions of pain management used during labour; an exploratory descriptive qualitative study of puerperal women in Adidome Government Hospital of the Volta Region, Ghana
Konlan, K. D., Afaya, A., Mensah, E., Suuk, A. N., & Kombat, D. I. (2021) · Reproductive Health · doi:10.1186/s12978-021-01141-8 · Cited by 42
Comparison of different delivery modalities of epidural analgesia and intravenous analgesia in labour: a systematic review and network meta-analysis
Wydall, S., Žolger, D., Owolabi, A. A., Nzekwu, B., Onwochei, D. N., & Desai, N. (2023) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-022-02389-9 · Cited by 25
“Maternal satisfaction is complex and not only dependent on pain relief,(106) but also on other factors such as personal expectations, involvement in decision-making, and support from clinical staff.(107,108) PCEA is an attractive method of delivering epidural solution as it facilitates the autonomy of the parturient t…”
Background
Perception toward Non-Pharmacological Strategies in Relieving Labor Pain: An Analytical Descriptive Study
Almushait, M. A., & Ghani, R. A. (2013) · Journals & Books Hosting (International Knowledge Sharing Platform) · doi:10.13140/rg.2.2.10859.64805 · Cited by 23
Policies and practices for maternal support options during childbirth and breastfeeding initiation after cesarean in southeastern hospitals.
Spear, H. J. (2006) · Journal of Obstetric, Gynecologic and Neonatal Nursing · doi:10.1111/j.1552-6909.2006.00078.x · Cited by 24
Perinatal women's perceptions about midwifery led model of care in secondary care hospitals in Karachi, Pakistan
Anwar, S., Jan, R., Qureshi, R. N., & Rattani, S. A. (2013) · Midwifery · doi:10.1016/j.midw.2013.10.020 · Cited by 23
“Similarly, Hodnett (2002), Proctor (1998), Waldenstrom (1998), and Brown and Lumley (1998) have reported that the attitude and behaviour of the care provider is very important for providing comfort to the women, and it plays a crucial role during the birthing process.”
BackgroundResultInfluential
Patient‐controlled oral analgesia versus nurse‐controlled parenteral analgesia after caesarean section: a randomised controlled trial
Bonnal, A., Dehon, A., Nagot, N., Macioce, V., Nogué, E., & Morau, E. (2016) · Anaesthesia · doi:10.1111/anae.13406 · Cited by 23
“Self-management of pain and early withdrawal of intravenous infusion could facilitate autonomy and contact with the newborn, which are recognised criteria of satisfaction among women after delivery [29].”
Background
Italian women’s childbirth: a prospective longitudinal study of delivery predictors and subjective experience
Fenaroli, V., Saita, E., Molgora, S., & Accordini, M. (2016) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2016.1167864 · Cited by 24
“…women experience childbirth. research has shown that women who received more intrapartum support, especially from their partner, had shorter labours and a more positive birthing experience (Collins, Dunkel-Schetter, lobel, & Scrimshaw, 1993; Hodnett, 2002; Hodnett, Gates, Hofmeyr, & Sakala, 2011).”
BackgroundResultInfluential
A multicentre, randomised controlled trial of position during the late stages of labour in nulliparous women with an epidural: clinical effectiveness and an economic evaluation (BUMPES)
Bick, D., Briley, A. L., Brocklehurst, P., Hardy, P., Juszczak, E., Lynch, L., MacArthur, C., Moore, P., Nolan, M., Rivero‐Arias, O., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21650 · Cited by 23
“In a systematic review of factors influencing women’s satisfaction with birth, with a focus on the role of pain and pain relief, four factors (caregiver support, participation in decision-making, personal expectations and caregiver–patient relationship) were identified as important influences.(28) As position in the s…”
Background
Understanding hypermobile Ehlers-Danlos syndrome and Hypermobility Spectrum Disorders in the context of childbearing: An international qualitative study
Pezaro, S., Pearce, G., & Reinhold, E. J. (2020) · Midwifery · doi:10.1016/j.midw.2020.102749 · Cited by 22
“…making along with the amount of respect and support given by caregivers and the quality of the caregiver-patient relationship appear to be as important in childbearing for this group as they are for the general birthing population (Bell and Andersson, 2016; Cook and Loomis, 2012; Hodnett, 2002).”
Background
Supporting Women in Labor: Analysis of Different Types of Caregivers
ROSEN, P. (2004) · Journal of Midwifery & Women s Health · doi:10.1111/j.1542-2011.2004.tb04404.x · Cited by 23
Text messaging reduces analgesic requirements during surgery
Guillory, J. E., Hancock, J. T., Woodruff, C., & Keilman, J. (2015) · Pain Medicine · doi:10.1111/pme.12610 · Cited by 22
Key dimensions of women’s and their partners’ experiences of childbirth: A systematic review of reviews of qualitative studies
Benyamini, Y., Delicate, A., Ayers, S., Dikmen‐Yildiz, P., Gouni, O., Jónsdóttir, S. S., Karlsdóttir, S. I., Akik, B. K., Leinweber, J., Tighe, S. M., et al. (2024) · PLoS ONE · doi:10.1371/journal.pone.0299151 · Cited by 24
“…on the ’gist’ of the birth experience as positive or negative [e.g., 14] whereas others focus on specific aspects, such as perceived control and satisfaction with support and care during birth [e.g., 15], reported levels of pain [16] and fear during birth [17], and fulfillment of expectations [18].”
Background
Virtual reality is beneficial in decreasing pain in labouring women: A preliminary study
Massov, L., ROBINSON, B. J., Ramírez, E. R. R., & Maude, R. (2022) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13591 · Cited by 22
Patient satisfaction with obstetricians and gynecologists compared with other specialties: analysis of US self-reported survey data
Patel, I., Chang, J., Srivastava, J., Feldman, S. R., Levender, & Balkrishnan, R. (2011) · Patient Related Outcome Measures · doi:10.2147/prom.s15747 · Cited by 22
Childbirth expectations and correlates at the final stage of pregnancy in Chinese expectant parents
Zhang, X., & Lu, H. S. (2014) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2014.05.019 · Cited by 22
The Pain of Childbirth and Its Effect on the Mother and the Fetus
Pan, P. H., & Eisenach, J. C. (2009) · Elsevier eBooks · doi:10.1016/b978-0-323-05541-3.00020-x · Cited by 22
PERCEPTION OF EPIDURAL ANALGESIA FOR LABOUR AMONG PREGNANT WOMEN IN A NIGERIAN TERTIARY HOSPITAL SETTING.
Okojie, N., & Isah, E. (2014) · PubMed Central · Cited by 22
Non-Neuraxial Labor Analgesia: Options
Markley, J. C., & Rollins, M. D. (2017) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000277 · Cited by 22
“In addition, and perhaps more importantly, individual expectations, presence and support of a caregiver, a sense of control and ability to be part of the decision making process all influence the overall birth experience to a greater extent than control of labor pain.(1) Although neuraxial labor analgesia is the most…”
Background
‘Normal’, ‘natural’, ‘good’ or ‘good‐enough’ birth: examining the concepts
Darra, S. (2009) · Nursing Inquiry · doi:10.1111/j.1440-1800.2009.00467.x · Cited by 22
Experiences of non-progressive and augmented labour among nulliparous women: a qualitative interview study in a Grounded Theory approach
Kjærgaard, H. W., Foldgast, A. M., & Dykes, A. (2007) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-7-15 · Cited by 26
Patient‐controlled epidural analgesia in labor does not always improve maternal satisfaction
Nikkola, E., LÄÄRÄ, A., Hinkka‐Yli‐Salomäki, S., Ekblad, U., Kero, P., & Salonen, M. (2006) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1080/00016340500409935 · Cited by 22
“Personal expectations, the amount of support from caregivers, the quality of the caregiver /patient relationship, and involvement in decision making (as an aspect of personal control) appear to be the most important factors when women evaluate their childbirth experiences and satisfaction (11).”
BackgroundMethod
A Qualitative Analysis of Women's Short Accounts of Labour and Birth in a Western Australian Public Tertiary Hospital
Bayes, S. J., Fenwick, J., & Hauck, Y. L. (2008) · Journal of Midwifery & Women s Health · doi:10.1016/j.jmwh.2007.07.021 · Cited by 22
Women's labour experiences and quality of care in relation to a prolonged latent phase of labour.
Ängeby, K., Sandin-Bojö, A.-K., Persenius, M., & Wilde-Larsson, B. (2019) · Midwifery · doi:10.1016/j.midw.2019.07.006 · Cited by 18
Development of the Labor Pain Relief Attitude Questionnaire for pregnant women (LPRAQ-p)
Hulsbosch, L. P., Nyklı́ček, I., Potharst, E. S., Boekhorst, M. G. B. M., & Pop, V. J. M. (2020) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-03415-8 · Cited by 21
“Instead, birth preparedness and continuous support were described to be important strategies to improve the experience of childbirth [72, 73].”
Background
Understanding the perspectives and values of midwives, obstetricians and obstetric registrars regarding episiotomy: qualitative interview study
Seijmonsbergen‐Schermers, A. E., Thompson, S., Jong, E. F., Smit, M. D., Prins, M., van den Akker, T., & de Jonge, A. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-037536 · Cited by 21
“Understanding perspectives and values of care providers in various setting will provide knowledge that is required to stimulate a worldwide evaluation of episiotomy practices.”
Background
Beyond the epidural: Alternatives to neuraxial labor analgesia
Sharpe, E. E., & Rollins, M. D. (2022) · Best practice & research. Clinical anaesthesiology · doi:10.1016/j.bpa.2022.04.005 · Cited by 21
Mothers' experiences of a stay in an ICU after a complicated childbirth
Engström, Å. H., & Lindberg, I. (2011) · Nursing in Critical Care · doi:10.1111/j.1478-5153.2011.00474.x · Cited by 21
“Hodnett (2002) states in a systematic review four factors appear to be so important for satisfaction with the experience of childbirth that they override all other aspects; these factors are personal expectations, the extent of support from caregivers, the quality of the caregiver–patient…”
BackgroundInfluential
Intrapartum pain management at the Royal Hospital for Women
Henry, A., & Nand, S. L. (2004) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/j.1479-828x.2004.00231.x · Cited by 21
A comprehensive representation of the birth-experience: identification and prioritization of birth-specific domains based on a mixed-method design
Gärtner, F. R., Freeman, L. M., Rijnders, M. E. B., Middeldorp, J. M., Bloemenkamp, K. W. M., Stiggelbout, A. M., & Marle, M. E. V. D. A. (2014) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-14-147 · Cited by 21
“Hodnett and colleagues concluded that in their review, the results of the experience of childbirth are consistent regardless of the country [12].”
BackgroundResult

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

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