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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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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“In this sense, Hodnett identifies the personal expectations of pregnant women, women’s participation in decision-making, and the support and quality of the relationship with health professionals [11] as key elements for experience satisfaction.”
Background
The impacts of the COVID-19 pandemic on birth satisfaction and birth experiences in Russian women
Suarez, A., & Yakupova, V. (2022) · Frontiers in Global Women's Health · doi:10.3389/fgwh.2022.1040879 · Cited by 2
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MacMillan, D. (2011) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2011.01243_24.x · Cited by 3
“Hodnett (2002) stated that satisfaction is a positive affective response to an experience and a cognitive evaluation of the emotional response.”
Background
Becoming Redundant: Australian Women’s Experiences of Pregnancy After Being Unexpectedly Scheduled for a Medically Necessary Term Elective Cesarean Section
Bayes, S., Fenwick, J., & Hauck, Y. (2012) · International journal of childbirth · doi:10.1891/2156-5287.2.2.73 · Cited by 3
“These include the attitudes and behaviors of caregivers, length of labor, level of distress, the occurrence and extent of complications, and involvement in decision making (Adewuya, Ologun, & Ibigami, 2006; Domingues, Santos, & Leal, 2004; Goodman et al., 2004; Harriott, Williams, & Peterson, 2005; Hodnett, 2002; Howe…”
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Negative childbirth experiences and future reproductive decisions: a systematic review protocol.
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Umbilical cord clamping time and maternal satisfaction
Orenga, B. J. O., Roig, P. G., Real-Fernández, A., Colomer, F. D., & Thevenet, P. S. (2022) · Midwifery · doi:10.1016/j.midw.2022.103487 · Cited by 4
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King, T. L. (2002) · Journal of Midwifery & Women s Health · doi:10.1016/s1526-9523(02)00220-9 · Cited by 3
Response to Madhivanan et al.
Mehta, S. D. (2013) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e318295daea · Cited by 3
The Moral Dimensions of Contemporary Childbirth
Bayly, M. K. (2017) · University Library - University of Saskatchewan (University of Saskatchewan) · Cited by 3
Midwifery one-to-one support in labour : ethnographic study of midwife-led birth environments
Sosa, G. A. (2016) · UEA Digital Repository (University of East Anglia) · Cited by 3
The relationships among perceived stress, birth satisfaction, and breastfeeding self-efficacy in early postpartum women
Hinic, K. (2015) · Seton Hall University eRepository (Seton Hall University) · Cited by 3
Childbirth and Stress
AYERS, S., & Ford, E. (2007) · Elsevier eBooks · doi:10.1016/b978-012373947-6.00438-4 · Cited by 3
Consistency of Delivery Mode Increases Chinese Mothers’ Maternal Satisfaction: The Effect of Perception of Support from Medical Staff and Mothers’ Self-Efficacy
Zhang, N., & An, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214904 · Cited by 2
“, medical analgesia intervention, midwifery services, and nursing quality) [4,18] to bio-psychological-social medicine [19], the focus on women’s needs during delivery has changed from mother and child safety to subjective and humanized delivery.”
Background
Pharmacological pain relief and women´s birth experience: a systematic review
Edfeldt, M. U., Gustavsson, H., Hildén, K., Cao, Y., & Backman, H. (2025) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-025-07602-3 · Cited by 2
“None of the factors of pain relief [13, 37, 38], pain itself [39], mode of delivery [10, 40], medical-ized level of care [11, 40, 41], or obstetric interventions [42, 43] offers a simple solution to improve birth experience, as the results are contradictory [30, 35, 43, 44].”
Turkish Validity and Reliability Study of the Short Version of the Questionnaire for Assessing the Childbirth Experience (QACE)
Emir, C., & Öztürk, C. (2025) · Healthcare · doi:10.3390/healthcare13141743 · Cited by 2
“Identifying the multidimensional factors influencing childbirth is critical for concept analysis and developing effective care strategies [17–20].”
Current Perspectives on Remifentanil-PCA for Labor Analgesia: A Narrative Review
Racman, P. V., Lučovnik, M., & Pintarič, T. S. (2025) · Medicina · doi:10.3390/medicina61091550 · Cited by 2
“Furthermore, pain intensity and relief do not necessarily play principal roles in overall satisfaction unless expectations for either are unmet [43].”
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Carreguí-Vilar, S., Avivar-Cáceres, S., Artuñedo, E. M. M., Tudela, D. M., & Chalmeta, R. (2026) · Midwifery · doi:10.1016/j.midw.2026.104784 · Cited by 2
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Tveit, T. O. (2013) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.12160 · Cited by 2
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de Jonge, A., Rijnders, M., van Diem, M. V., Scheepers, P., & Lagro-Janssen, A. (2011) · International journal of childbirth · doi:10.1891/2156-5287.1.4.242 · Cited by 3
“…between negative experiences with the midwife and lower birth satisfaction confirms findings in other studies that the midwife’s attitude is crucial to women’s birth experiences ( Dickinson et al., 2003; Green et al., 1990; Hodnett, 2002; Waldenström et al., 2004; Waldenström et al., 2006).”
BackgroundResultInfluential
Women Health Right and Empowerment during Childbirth
Alshehri, N., Sabr, Y., AlAlshaikh, A., Alshehri, K. S., Alqahtani, S., Alzamil, Y., & Ghabban, M. (2021) · Journal of Current Medical Research and Opinion · doi:10.15520/jcmro.v4i02.394 · Cited by 2
“factor contributing to women’s experiences of delivery.(27) Similarly, midwifes led care during childbirth among our surveys had a favorable experience.”
Background
S3-Leitlinie „Vaginale Geburt am Termin“ aus anästhesiologischer Sicht
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“[16] Lally et al .”
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The long-term effects of birthing interventions on childhood empathy.
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“First, the significant findings were limited to the use of the epidural and, as previously mentioned, the epidural is not generally associated with a negative birth experience (Hodnett, 2002).”
Background
Comparison of maternal satisfaction following epidulral and general anaesthesia for repeat caesarean section
Fyneface-Ogan, S., Mato, C., & Ogunbiyi, O. (2010) · East African Medical Journal · doi:10.4314/eamj.v86i12.62509 · Cited by 2
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Background
Non-neuraxial analgesia in labour
O’Sullivan, G. (2008) · Southern African Journal of Anaesthesia and Analgesia · doi:10.1080/22201173.2008.10872534 · Cited by 2
“Women’s views and experiences of pain and pain relief in childbirth In a systematic review, Hodnett specifically addressed the issue of women’s views on the experience of childbirth in relation to their intrapartum analgesia.(1) Women in labour, with no medical or obstetric complications, were studied.”
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“were: expectations of the labouring women, type and quality of support received from care givers, interpersonal relationship of care giver to the labouring women and involvement of the women in decisionmaking regarding their own care.(12) These findings are in line with the current study findings, where participants”
Result
[Epidural analgesia in the first stage of labor--is there an alternative?].
Эдуардович, А. Э., Николаевич, У. Д., Nedashkovskiĭ, E. V., & Кушев, И. П. (2014) · PubMed · Cited by 2
SATISFACTION OUTCOMESAFTER SPINAL ANESTHESIA FOR CAESAREAN SECTION IN KAUH IN JEDDAH AND IN MCH IN MAKKAH.
Saifuddin, A., Salem, A., Alhasan, A. H., Sugati, F., Namnqani, R., & Al-Hasani., S. (2016) · International Journal of Advanced Research · doi:10.21474/ijar01/1329 · Cited by 2
“Furthermore, it showed no detrimental effect on the neonatal outcome [27].”
Background
Patient and Family Education
(2008) · Elsevier eBooks · doi:10.1016/b978-032304306-9.50009-4 · Cited by 2
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Tan, C. W., Sultana, R., Kee, M. Z. L., Meaney, M. J., & Sng, B. L. (2021) · Obstetric Anesthesia Digest · doi:10.1097/01.aoa.0000744048.74735.74 · Cited by 2
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Deras, P., Bonnal, A., Barbier, M., Morau, E., & Colson, P. H. (2013) · Annales Françaises d Anesthésie et de Réanimation · doi:10.1016/j.annfar.2013.04.006 · Cited by 2
Relationship Among Stress of Labor, Support, and Childbirth Experience in Postpartum Mothers
Srisuthisak, S. (2009) · VCU Scholars Compass (Virginia Commonwealth University) · doi:10.25772/7tdz-9114 · Cited by 3
Maternal Expectations, Information, and Satisfaction with Labor Analgesia
Stirparo, S. (2015) · Springer eBooks · doi:10.1007/978-3-319-13890-9_6 · Cited by 1
“Obviously, satisfaction with the aspects of care is strongly influenced and shaped by socio-demographic characteristics of women (level of education, age, marital status, and economic status), personal factors (values, attitudes, threshold of pain, health literacy, and personal support), as well as the sense of securi…”
Background
Humanization of Childbirth and Epidural Analgesia
Capogna, G. (2015) · Springer eBooks · doi:10.1007/978-3-319-13890-9_24 · Cited by 2
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Parajian, T., Angle, P., Landy, C. K., & Djordjevic, J. (2016) · International Journal of Anesthesiology & Research · doi:10.19070/2332-2780-1600047 · Cited by 2
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Anggraheny, H. D., & Sudiro, S. (2017) · Jurnal Kesehatan Masyarakat · doi:10.15294/kemas.v12i2.7351 · Cited by 2
“According to Hodnett (2002), who wrote several studies related to pain management and labor satisfaction that relieve the pain with satisfaction of pain management was a different thing.”
Background
Comparison of Continuous Epidural Infusion of Bupivacaine and Fentanyl Versus Patient Controlled Analgesia Techniques for Labor Analgesia: A Randomized Controlled Trial (RCT).
Khaneshi, R., Rasooli, S., Moslemi, F., & Fakour, S. (2020) · PubMed Central · Cited by 2
Alternatives to neuraxial analgesia for labor and delivery
Bui, E., Merchant, K. A., & Seligman, K. M. (2021) · International Anesthesiology Clinics · doi:10.1097/aia.0000000000000328 · Cited by 2
“This can be a frustrating outcome because maternal satisfaction in labor encompasses more than achieving reduction in pain.(6) Opioids are associated with common side effects of nausea and vomiting, pruritis, constipation, drowsiness, and respiratory depression.”
Background
The Swedish birth seat trial
Thies‐Lagergren, L. (2013) · Figshare · Cited by 2
Acupuncture for Labour Pain
Vixner, L. (2015) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 2
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Earl, D. J. (2004) · Tuwhera (Auckland University of Technology) · Cited by 2
Labour and birth experiences and awareness of pain relief among Kurdish women
Mahmood, K. I. (2016) · Cited by 2
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“28 reported that midwifery support for women in continuity of care increases maternal satisfact ion [34, 42, 43].”
Background
Giving Birth on a Beach Women's Experiences of Using Virtual Reality in Labour A Pragmatic Mixed Methods Approach
Massov, L. (2021) · Open Access Victoria University of Wellington | Te Herenga Waka (Figshare) · doi:10.26686/wgtn.17125649 · Cited by 3
Childbirth self-efficacy inventory in Tanzania : a pilot study
Björk, E., & Thorildsson, M. (2007) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 2
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“22 23 Psychological and emotional factors constitute another dimension of this decision-making process.”
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Daellenbach, S., Dixon, L., Anderson, J., Nisa-Waller, A., Lockwood, S., & Neely, E. (2024) · New Zealand College of Midwives · doi:10.12784/nzcomjnl.246001 · Cited by 1
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(2024) · Journal of Anesthesia & Pain Medicine · doi:10.33140/japm.09.01.03 · Cited by 1
“…a total of 346 respondents were in - terviewed, 89.5%,92.2%, and 91.15% of the respondents were satisfied with the level of pain control, their involvement in decision-making during spinal anesthesia for C\S delivery and explanation for SA given to them by the anesthesia provider respectively [21].”
BackgroundInfluential
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“Hodnett’s study on women’s satisfaction with childbirth identified the intrapartum attitudes and behaviours of caregivers as the most significant determinants of women’s satisfaction [15].”
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Power, C. (2025) · Springer eBooks · doi:10.1007/978-3-032-05845-4_4 · Cited by 1
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Effects of LI4 acupressure on delivery satisfaction
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Women's expectations and experiences of childbirth in an Egyptian public hospital
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The impact of Mothers' Group Education on Labor process
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Remifentanil for labour analgesia
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Sezaryen Olan Kadınların Bakım Odaklı Hemşire Hasta Etkileşim Düzeyleri ve Etkileyen Faktörlerin Belirlenmesi
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“Although patient satisfaction has been well recognized as a complicated, multi-dimensional concept (Bramadat & Driedger, 1993; Hodnett, 2002) to measure satisfaction with health services in general and maternity and child birth services, in particular, this has emerged as a universal costeffective…”
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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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