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
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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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“…including: fear (Elvander et al., 2013; Henriksen et al., 2017), self-efficacy (Al Ahmar & Tarraf, 2014; Christiaens & Bracke, 2007), participation (Hodnett, 2002; Waldenström, 1999; Waldenström et al., 1996, 2004), control (Al Ahmar & Tarraf, 2014; Bryanton et al., 2008; Christiaens & Bracke,…”
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“While dissatisfaction is associated with poorer postnatal psychological adjustment, a higher rate of abortions, preference for a caesarean section, more negative feelings towards the infant, and breast‐feeding problems [14,18,19].”
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Determinants of respectful care in midwifery
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“It is also important to acknowledge the birth of a healthy child potentially overriding some of the negative impacts of pain, pain relief, and medical interventions.(32) In conclusion, we found that remifentanil TCI may facilitate patient cooperation during vaginal delivery in some high-risk parturients, when CNB is c…”
BackgroundResult
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“Drawing on the review findings, Hodnett [11] contends: ‘The influences of pain, pain relief, and intrapartum medical interventions on subsequent satisfaction are neither as obvious, as direct, nor as powerful as the influences of the attitudes and behaviours of the caregivers.’”
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“Therefore, efficacy of pain relief is not necessarily associated with maternal satisfaction [6, 7].”
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Background
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Background
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Background
The gap between expectations and realities of pain and fatigue in women receiving epidural anesthesia versus no anesthesia
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Background
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“The women thought that without the support of 148 Doula Support During Childbearing Brisco and Small greater satisfaction with their childbirth experiences (Hodnett, 2002).”
Background
Advanced Preparation and Positive Labor Support Create an Optimal Experience for Normal Birth
Stark, M. A., & Jones, M. E. (2006) · The Journal of Perinatal Education · doi:10.1624/105812406x107753 · Cited by 5
“The evidence supports the importance of continuous labor support (Hodnett, Gates, Hofmeyr, & Sakala, 2003; Kardong-Edgren, 2001), trusting relationships with caregivers (Hodnett, 2002), and the value of being prepared for birth (Zwelling, 1996).”
Background
Vajinal doğum ve sezeryan öncesi ve sonrasında hastaların ağrı algılarına etki eden faktörlerin değerlendirilmesi
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Terres, M. T., Souza, M. V. D. C., Costa, L. M. O., Novaes, L. C. G., de Avila, M. F., Barros, S. G., Provinciatto, H. G., & Piovezan, A. P. (2025) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-024-07930-3 · Cited by 4
“Studies show that fear of labor pain can lead to a higher demand for cesarean sections, and persistent severe pain may impact women’s decisions about delivery methods in future pregnancies [40, 41].”
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Guðmundsdóttir, E. Ý., Nieuwenhuijze, M. J., Rúdólfsdóttir, A. G., & Gottfreðsdóttir, H. (2025) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2025.101087 · Cited by 5
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Amir, H. E., Elzewawi, N. M., & Jaroudi, D. H. A. (2017) · Journal of Women s Health Care · doi:10.4172/2167-0420.1000403 · Cited by 4
Quality of analgesic care in labor: A cross‐sectional study of the first national register‐based benchmarking system
Padrón, L. T., Emrich, N., Strizek, B., Schleußner, E., Dreiling, J., Komann, M., Schuster, M., Werdehausen, R., Meißner, W., & Cruz, J. J. (2024) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.15489 · Cited by 4
“22,23 –26 The data regarding the effectiveness of the different analgesic methods presented in this manuscript are congruent with the existing literature.”
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Pawlicka, P., Wróbel, W. K., Baranowska, B. M., Macewicz, D., Olech, M., Martin, C. J. H., & Martin, C. R. (2024) · Health Psychology Report · doi:10.5114/hpr/186231 · Cited by 4
“An established contributor to this is the quality of the clinical care and support received from maternity services (Hodnett, 2002; Hollins Martin & Martin, 2014).”
Background
Prevalence and risk factors of maternal dissatisfaction after vaginal delivery: A multicenter prospective study
Tartaglia, M., Froeliger, A., Delva, F., Madar, H., Bouchghoul, H., Deneux‐Tharaux, C., Sentilhes, L., & the TRanexamic Acid for Preventing postpartum hemorrhage after vaginal delivery (TRAAP) study group (2024) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.16091 · Cited by 4
“9,10 Studies to date have focused mainly on analgesia 11 and place of delivery, 12–14 and then on determinants such as type of delivery 15 and social 16,17 and clinical 9 characteristics.”
Response expectancy versus response hope in predicting birth‐related emotional distress and pain
Anton, R., & David, D. (2012) · International Journal of Psychology · doi:10.1080/00207594.2012.720376 · Cited by 4
“One possible factor in influencing the onset and the development of psychological problems in pregnancy might be that women do not know exactly what to expect in child labor (Hodnett, 2002).”
Background
Remifentanil as Analgesia for Labor
Soares, E. C. D. S., Lucena, M. R., Ribeiro, R. C., Rocha, L. L., & Boas, W. W. V. (2010) · Brazilian Journal of Anesthesiology · doi:10.1016/s0034-7094(10)70042-8 · Cited by 4
Medically induced labor: Epidural analgesia and women’s perceptions of pain in early labor
Jacobsen, L., Haslund, H., Brock, C., & Laursen, B. S. (2018) · European Journal of Midwifery · doi:10.18332/ejm/99545 · Cited by 4
Stop, think, reflect, realize—first‐time mothers’ views on taking part in longitudinal maternal health research
Daly, D., Carroll, M., Barros, M. N. D. S., & Begley, C. (2019) · Health Expectations · doi:10.1111/hex.12861 · Cited by 4
Validity and reliability of the Iranian preterm birth experiences and satisfaction scale: A methodological and cross-sectional study
Najjarzadeh, M., Mohammad‐Alizadeh‐Charandabi, S., Abbasalizadeh, S., Jafarabadi, M. A., Mirghafourvand‬‬‬‬‬‬‬‬‬‬‬‬‬‬, M., Tagipour-Amidi, N., Sawyer, A., & Ayers, S. (2021) · Health Promotion Perspectives · doi:10.34172/hpp.2021.13 · Cited by 4
Peripartum management for women with opioid dependence
Shah, J., Ramseyer, A. M., & Coker, J. L. (2021) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0000000000000996 · Cited by 4
Pain Relief During Childbirth in the Context of 50 Years of Social and Technological Change
Gibson, M. E. (2021) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2021.04.004 · Cited by 4
The effects of COVID-19 restrictions and other perinatal factors on women’s sense of control during childbirth: a prospective cohort study
Chaibekava, K., Scheenen, A. J. C., Lettink, A., Smits, L. J. M., Langenveld, J., van de Laar, R., Peeters, B., Joosten, S., Verstappen, M.-L., Nieuwenhuijze, M. J., et al. (2022) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/0167482x.2022.2052846 · Cited by 4
Pain Intensity, coping and maternal satisfaction in Low-Risk labouring Women: A prospective descriptive correlational study
Borrelli, S., Lecis, A., Antolini, L., Miglietta, M., Zanini, A., Nespoli, A., & Fumagalli, S. (2023) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2023.100848 · Cited by 4
Antenatal Clinical Hypnosis and Birth Ball Exercise as Adjunct Therapy For Management of Labor and Delivery Pain: a Summary of Its Empirical Findings
Aswitami, N. G. A. P., & Septiani, N. G. A. P. (2020) · JURNAL MIDPRO · doi:10.30736/md.v12i2.229 · Cited by 4
Patient-Centred Care in Maternity Services
de Labrusse, C., Ramelet, A., Humphrey, T., & MacLennan, S. J. (2017) · InTech eBooks · doi:10.5772/67381 · Cited by 4
The effects of ice pack application on pain intensity in the active phase of labor and on birth satisfaction among primiparous women
Rahimikian, F., Shahbazi, S., Mohammadi, S., & Haghani, S. (2018) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 4
Perceptions of Women toward Non-Pharmacological Methods for Pain Relief during Labor
Geltore, T. E., & Angelo, A. T. (2020) · IntechOpen eBooks · doi:10.5772/intechopen.93271 · Cited by 4
Sophisticated Mediators: New Zealand-Born Samoan First-Time Mothers and Strategies for Their Health and Wellbeing
Churchward, M. (2011) · doi:10.26686/wgtn.16984792 · Cited by 4
“Several studies have found that continuity of care by midwives is associated with high levels of maternal satisfaction (Hodnett, 2002).”
Background
Womens evaluations of intrapartum and postpartum care
Rudman, A. (2007) · Figshare · Cited by 4
Sacred joy at birth: a hermeneutic phenomenology study
Crowther, S. (2013) · Tuwhera (Auckland University of Technology) · Cited by 4
Third stage of labour - studies on management, blood loss and pain in Angola and Sweden
Jangsten, E. (2010) · Borås Academic Digital Archive (University of Borås) · Cited by 4
Factors that influence patients' satisfaction with peri-partum care in Germiston Hospital maternity unit.
Khumalo, N. P. (2014) · University of the Witwatersrand, Johannesburg Institutional Repository on DSpace (University of the Witwatersrand, Johannesburg) · Cited by 4
Perceived Control and Maternal Satisfaction with the Childbirth Experience
Stevens, N. R. (2011) · KU ScholarWorks (The University of Kansas) · Cited by 4
Persian version of the support and control in birth questionnaire among Iranian women
Ghanbari-Homaie, S., Mohammad-Alizadeh-Charandabi, S., Asghari-Jafarabadi, M., Meedya, S., Mohammadi, E., & Mirghafourvand, M. (2023) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_322_22 · Cited by 3
“[13] The childbirth experience is a mental concept and can be influenced by fulfillment of expectations, engagement in decision‐making, and perceived support and control during labor and childbirth.[14,15] The lack of maternal control can result in stress, anxiety, depression, and traumatic childbirth experience by in…”
Background
Associations between sociodemographic and obstetric factors, and childbirth experience
Rozsa, D., Sande, R. K., Bernitz, S., Dalen, I., Braut, G. S., Øian, P., Eggebø, T., & Dalbye, R. (2025) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.15076 · Cited by 3
Clinical comparison of vaginal misoprostol combined with a foley balloon versus vaginal misoprostol alone for inducing labor: a prospective cohort study
Zheng, R., Du, L., Zhu, X., Zhang, X., Han, W., & Yang, Z. (2025) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-025-07375-9 · Cited by 3
“The active engagement of pregnant women in the decision-making process of IOL was shown to be conducive to increasing maternal satisfaction [12, 13], which is an underestimated factor influencing IOL [14, 15].”
The effect of mechanical massage on labor pain, duration and maternal satisfaction: a randomized controlled trial
Sade, G., & Özkan, H. (2025) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-025-07977-3 · Cited by 7
Parturients' Perspectives on Labor Pain and Epidural Analgesia: An Explorative Qualitative Study
Højstrup, L., Bohart, S., Thellesen, L., & Wildgaard, K. (2026) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.70195 · Cited by 3
Systematic Review of Reviews: the public health role of the midwife
McNeill, J., Alderdice, F. A., & Lynn, F. A. (2010) · Cited by 3
Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study
van der Voorden, M., Franx, A., & Ahaus, K. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-11154-1 · Cited by 3
“In this regard, the expectations that patients have can influence patient satisfaction, under-scoring the importance of professionals managing patient expectations [60].”
Background
Impolite Birth: Provider Perspectives on Vocalization During Childbirth
Roosevelt, L. K., Danford, K., & Zielinski, R. (2025) · Birth · doi:10.1111/birt.12907 · Cited by 3
“However, the influences of pain, pain relief, and interventions on subsequent satisfaction are neither as obvious, as direct, nor as powerful as the attitudes and behaviors of the caregivers [13].”
Frequency and risk factors for acute pain during vaginal birth with epidural analgesia: a nationwide population-based study from the 2021 French National Perinatal Survey
Rollet, C., Bonnet, M., Viaud, M., Lelong, N., Ray, C. L., Chantry, A. A., & On behalf of the ENP2021 Study Group (2025) · Pain · doi:10.1097/j.pain.0000000000003710 · Cited by 3
Primiparous women's experiences of labour in Harare, Zimbabwe
Murira, N., Ashford, R., & Sparrow, J. (2010) · African Journal of Midwifery and Women s Health · doi:10.12968/ajmw.2010.4.2.47616 · Cited by 3
GENDER, MATERNAL HEALTH AND THE PERINATAL PARADOX
Diniz, S. G. (2010) · Tempus Actas de Saúde Coletiva · doi:10.18569/tempus.v4i4.833 · Cited by 3
Effect of Physiologic Labor on Pain Intensity during Active Phase of Labor
Shakeri, M. (2014) · Cited by 3

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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