Cited by 657Maternal and Perinatal Health InterventionsMaternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal Healthcare

A Negative Birth Experience: Prevalence and Risk Factors in a National Sample

Waldenström, Ulla, Hildingsson, Ingegerd, Rubertsson, Christine, Rådestad, Ingela·2004·Birth

Abstract

Background A woman's dissatisfaction with the experience of labor and birth may affect her emotional well-being and willingness to have another baby. The aim of this study was to investigate the prevalence and risk factors of a negative birth experience in a national sample. Methods A longitudinal cohort study of 2541 women recruited from all antenatal clinics in Sweden during 3 weeks spread over 1 year was conducted. Data were collected by three questionnaires, which measured women's global experience of labor and birth 1 year after the birth, and obtained information on possible risk factors during pregnancy and 2 months after the birth. Results Seven percent of the women had a negative birth experience. The following risk factors were found: (1) factors related to unexpected medical problems, such as emergency operative delivery, induction, augmentation of labor, and infant transfer to neonatal care; (2) factors related to the woman's social life, such as unwanted pregnancy and lack of support from partner; (3) factors related to the woman's feelings during labor, such as pain and lack of control; and (4) factors that may be easier to influence by the caregivers, such as insufficient time allocated to the woman's own questions at antenatal checkups, lack of support during labor, and administration of obstetric analgesia. Conclusions Many risk factors were related to unexpected medical problems and participants' social background. Of the established methods to improve women…

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Crossref · 10.1111/j.0730-7659.2004.0270.x

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  • Age is associated with greater satisfaction in young women compared to older women during childbirth.

    “Age is associated with greater satisfaction in young women compared to older women during childbirth, which is consistent with previous Canadian results, 34 but con fl icting results have been reported in the past. 8,32,33”
  • Spontaneous childbirth, compared to childbirth involving instrumentation or Caesarean section, is positively associated with satisfaction.

    “Spontaneous childbirth, compared to childbirth involving instrumentation or Caesarean section, is positively associated with satisfaction, which is consistent with previous reports. 32,34”
  • Other variables, such as analgesic use, induction, perineal injuries and neonatal variables, were not identified as being associated with satisfaction.

    “Other variables, such as analgesic use, induction, perineal injuries and neonatal variables, were not identi fi ed as being associated with satisfaction, contrary to previously published results. 32”

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Authors
Waldenström, U., Hildingsson, I., Rubertsson, C., & Rådestad, I.
Affiliations
  • Karolinska Institutet (SE)
  • Mälardalen University (SE)
Venue
Birth
Publisher
Wiley
Published
2004-03
Volume
31
Issue
1
Pages
17-27
ISSN
  • 0730-7659 (ISSN-L)
  • 1523-536X
OpenAlex
W2065036734
Cited by
657
References
0
Citations by year
2026: 16 · 2025: 32 · 2024: 27 · 2023: 37 · 2022: 54 · 2021: 34 · 2020: 50 · 2019: 36 · 2018: 44 · 2017: 26 · 2016: 32 · 2015: 30 · 2014: 24 · 2013: 35 · 2012: 23
FWCI
18.70
Type
journal article
Language
en
Open access
closed
Locations
  • Birth (publishedVersion)
  • PubMed (publishedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
negative birth experience, childbirth satisfaction, risk factors, labor induction, labor augmentation, neonatal transport, unwanted pregnancy, partner support, labor pain, prenatal care, obstetric analgesia, childbirth education, maternal emotional well-being
MeSH terms
Adult, Female, Humans, Infant, Newborn, Labor, Obstetric, Longitudinal Studies, Maternal Health Services, Maternal Welfare, Mothers, Pain, Personal Satisfaction, Pregnancy, Surveys and Questionnaires, Regression Analysis, Risk Factors, Sweden, Time Factors, Cohort Studies, Prevalence, Delivery, Obstetric

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