The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.
A Negative Birth Experience: Prevalence and Risk Factors in a National Sample
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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“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”
From Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction (2018) · cites this paper as [32]
In the citing paper
“Spontaneous childbirth, compared to childbirth involving instrumentation or Caesarean section, is positively associated with satisfaction, which is consistent with previous reports. 32,34”
From Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction (2018) · cites this paper as [32]
In the citing paper
“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”
From Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction (2018) · cites this paper as [32]
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Women’s Emotion Work in the Context of Current Maternity Services
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MethodPlace, K., Kruit, H., & Rahkonen, L. (2022) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14433 · Cited by 22
Psychometric Evaluation of the Persian Version of the Childbirth Experience Questionnaire (CEQ)
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“The total score of the childbirth experience and its domains’ scores were therefore compared among the study samples, which differed by type of birth, labor duration [12, 22], and oxytocin augmentation [23].”
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Psychometric properties of the hospital birth satisfaction scale: Birth in Brazil survey.
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“This pattern is not the same, but it fits in with the study by Waldenström et al. [69].”
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Brand, R. J., & Gartland, C. A. (2023) · Birth · doi:10.1111/birt.12795 · Cited by 13
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Awareness among Pregnant Women about Epidural Analgesia: A Cross-Sectional Study
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“required to make quick and significant intrapartum decisions, thus resulting in a negative birth experience [4].”
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“This is important for differential analyses regarding birth-related characteristics, because parity has been identified as a significant covariate in some studies, for example on birth experience (146, 147).”
BackgroundVulnerability in Birth; A negative capability.
MacLellan, J. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15205 · Cited by 13
Donate-Manzanares, M., Rodríguez-Cano, T., Gómez-Salgado, J., Rodríguez-Almagro, J., Hernández-Martínez, A., Barrilero-Fernández, E., & Beato-Fernandez, L. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8040434 · Cited by 13
Ängeby, K., Sandin-Bojö, A.-K., Persenius, M., & Wilde-Larsson, B. (2018) · Midwifery · doi:10.1016/j.midw.2018.06.008 · Cited by 13
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“birth experiences (Ayers, 2004; Waldenstrom et al., 2004) combined with the known adverse outcomes associated with fetal macrosomia (Mocanu et al.”
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Self-citationFirst-Time Mothers’ Experiences of a Planned Cesarean Birth
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“The percentages of women with traumatic childbirth perceptions range from 5% to 68.6% (Waldenstr€om et al. 2004; Dahlen et al. 2010; T€urkmen et al. 2020; Bay and Sayiner 2021).”
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“According to the findings of these studies, factors such as instrumental childbirth [17], fear of childbirth [18], complications during pregnancy [19], previous negative birth experience [16, 17], perceived poor support and control [20, 21], neonatal complications [14] are well known risk factors of a negative birth e…”
BackgroundThe dynamics of epidural and opioid analgesia during labour
Zondag, D., Gross, M., Grylka-Baeschlin, S., Poat, A., & Petersen, A. (2016) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-016-4110-1 · Cited by 12
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‘Gezellig’: a concept for managing pain during labour and childbirth
McNeil, A. G., & Jomeen, J. (2010) · British Journal of Midwifery · doi:10.12968/bjom.2010.18.8.49317 · Cited by 12
Postpartum Posttraumatic Stress Disorder: A Review
Анатольевна, Я. В., Anikeeva, M. A., & Suarez, A. (2023) · Clinical Psychology and Special Education · doi:10.17759/cpse.2023120204 · Cited by 13
Women's experiences with hypnobirth - A qualitative study.
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“High pain intensity has been associated with a loss of control, which can potentially lead to childbirth trauma [23,24].”
Esan, D. T., Sokan-adeaga, A., & Rasaq, N. O. (2022) · Journal of Public Health Research · doi:10.1177/22799036221127572 · Cited by 11
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Personality traits, childbirth expectations, and childbirth experiences: a prospective study
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“For instance, lack of partner support (Waldenström et al., 2004; Zamani et al., 2019) and marital status (Hildingsson & Rubertsson, 2020) have been found to relate to negative birth experiences, which may have been greatly underrepresented in the current sample.”
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An exploration of reasons why some women may leave the birth experience with emotional distress
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“Some have found that the experience of childbirth and pain is highly correlated [14], also at 2 months after birth [15], while others have found that the care and support received during labour and birth is more important than pain for the birth experience [11].”
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BackgroundSpiritual Awakening Through the Motherhood Journey
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“In addition, the use of pain medication and companionship during labour were also examined as studies show that there were differences in childbirth experiences between groups [20, 21].”
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“It also recognises that for a woman labour is not just ‘normal’ but has the potential to be extraordinary: as a ‘good’ or ‘bad’ experience it has great implications for her psychological well-being (Simkin, 1991; Waldenstrom et al., 2004).”
BackgroundPolicies for labour management--existence and content.
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Chapter 6: Reproductive health
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“In a survey of child-bearers in Sweden in 1999, 7% reported a negative experience of delivery when asked one year later [ 28 ].”
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“Evidence suggests women experiencing childbirth complications or operative births are often at greater risk of having negative childbirth experiences (Karlström et al., 2011; Waldenström et al., 2004).”
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Self-citationThe effects of flavonoid supplementation on the mental health of postpartum parents
Colombage, R. L., Holden, S., Lamport, D. J., & Barfoot, K. L. (2024) · Frontiers in Global Women s Health · doi:10.3389/fgwh.2024.1345353 · Cited by 9
“%) was also higher than previously recorded prevalence, ranging from 7 to 21% [(69); Henriksen et al., (70)].”
ResultAdaptation of Birth Satisfaction Scale-Revised to Turkish Society
Gökmen, Ö. Ö., Erbil, N., & Demirbağ, B. (2022) · MIDDLE BLACK SEA JOURNAL OF HEALTH SCIENCE · doi:10.19127/mbsjohs.1080337 · Cited by 9
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Women's decision-making about mode of birth after a previous caesarean section
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Women's satisfaction with maternity care during preterm birth.
Blazquez, R. A., Ferrándiz, E. F., Caballero, V. G., Corchón, S., & Júarez-Vela, R. (2019) · Birth · doi:10.1111/birt.12453 · Cited by 9
Erenoğlu, R., & Başer, M. (2019) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2019.01.002 · Cited by 9
Effect of Painless Labor on Postpartum Depression
Pourfathi, H., & Farzin, H. (2018) · Journal of Obstetrics Gynecology and Cancer Research · doi:10.30699/jogcr.3.3.93 · Cited by 9
The childbearing experience of women with spinal cord injury in Iran: a phenomenological study
Khazaeipour, Z., Nasrabadi, A. N., Mohammadi, N., Nejad, A. S., & Shabany, M. (2018) · Spinal Cord · doi:10.1038/s41393-018-0162-3 · Cited by 9
Remifentanil for labour pain relief.
Sołek-Pastuszka, J., Zagrodnik-Ułan, E., Bohatyrewicz, R., & Celewicz, Z. (2015) · Anaesthesiology Intensive Therapy · doi:10.5603/ait.2015.0008 · Cited by 9
Providing information to pregnant women: how, what and where?
Watkins, L., & Weeks, A. (2009) · BJOG: an International Journal of Obstetrics and Gynaecology · doi:10.1111/j.1471-0528.2009.02176.x · Cited by 9
Intrapartal care in a Swedish maternity unit after a quality-improvement programme
Sandin‐Bojö, A., Hall‐Lord, M., Axelssön, O., & Wilde‐Larsson, B. (2006) · Midwifery · doi:10.1016/j.midw.2006.03.012 · Cited by 10
Subjektive Erwartungen von Schwangeren an die heutige Geburtsbegleitung
David, M., & Kentenich, H. (2007) · Der Gynäkologe · doi:10.1007/s00129-007-2088-2 · Cited by 9
“[18]: zu geringe Einbeziehung in die Entscheidungsfindung bei medizinischen Maßnahmen, zu wenig Zeit für Fragen und fehlende Unterstützung durch die Geburtshelfer während der Geburt.”
BackgroundInfluentialPrenatal depression level prediction using ensemble based deep learning model
Goapalakrishnan, A., Zhou, X., Venkataraman, R., Gururajan, R., Chan, K. C., Zhu, G., & Higgins, N. (2025) · International Journal of Cognitive Computing in Engineering · doi:10.1016/j.ijcce.2024.12.002 · Cited by 8
Childbirth experience questionnaire 2 - Icelandic translation and validation.
Sigurðardóttir, V. L., Mangindin, E. L., Stoll, K., & Swift, E. M. (2023) · Sexual & Reproductive HealthCare · doi:10.1016/j.srhc.2023.100882 · Cited by 8
The Association of Perceived Labor Agentry and Depression and/or Anxiety
Whelan, A., Recabo, O., Ayala, N., Clark, M., & Lewkowitz, A. (2022) · American Journal of Perinatology · doi:10.1055/a-2051-2433 · Cited by 8
First-time fathers' experience of childbirth: a cross-sectional study.
Franzén, J., Cornet, I., Vendittelli, F., & Guittier, M. (2021) · Midwifery · doi:10.1016/j.midw.2021.103153 · Cited by 8
Chabbert, M., Devouche, E., Rozenberg, P., & Wendland, J. (2020) · L'Encephale · doi:10.1016/j.encep.2020.06.016 · Cited by 8
Selin, L., Berg, M., Wennerholm, U., & Dencker, A. (2020) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.14042 · Cited by 8
Improving the Experience of Care
Stapleton, S. R., Wright, J., & Jolles, D. R. (2020) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/jpn.0000000000000454 · Cited by 21
Psychometric testing of the support and control in birth scale
Liu, S., Lu, Y.-Y., Gau, M., & Liu, C.-Y. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-02888-x · Cited by 8
Family-Centred Perinatal Care: Improving Pregnancy, Birth and Postpartum Care
Chalmers, B. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316809662 · Cited by 8
Vollert, B., Schurig, N., Zieß, V., Weise, V., Seefeld, L., Göbel, A., Birdir, C., Wimberger, P., & Garthus‐Niegel, S. (2025) · Geburtshilfe und Frauenheilkunde · doi:10.1055/a-2551-3705 · Cited by 8
Leijerzapf, D. R., van der Pijl, M. S. G., Hollander, M., Kingma, E., de Jonge, A., & Verhoeven, C. J. M. (2024) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-024-06360-y · Cited by 9
“Studies in high income countries such as Sweden and Canada found that respectively 6.8% and 9.3% of women experienced childbirth as negative [5, 6].”
BackgroundResultInfluentialTraumatische Geburt und traumasensible Geburtsbegleitung
Weidner, K., Bartmann, C., & Leinweber, J. (2023) · Der Nervenarzt · doi:10.1007/s00115-023-01510-7 · Cited by 9
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“Conversely, the perception of intense pain, especially during labor induction, instrumental vaginal delivery, emergency cesarean section, and prolonged labor, were associated with a negative experience 26 .”
BackgroundBjelke, M., Thurn, L., & Oscarsson, M. (2023) · PLoS ONE · doi:10.1371/journal.pone.0281183 · Cited by 7
Time-out in prolonged labour: development of a care model to prevent secondary fear of childbirth
Ringqvist, A.-K., Bergqvist, L., Brezicka, T., & Lundgren, I. (2022) · BMJ Open Quality · doi:10.1136/bmjoq-2022-001853 · Cited by 7
The voice of memory in hospital birth: A phenomenological study.
Pereda-Goikoetxea, B., Marín-Fernández, B., Huitzi-Egilegor, J. X., & Elorza-Puyadena, M. I. (2022) · Midwifery · doi:10.1016/j.midw.2022.103531 · Cited by 7
Factors affecting birth satisfaction of women in Turkey: A cross-sectional study.
Öter, E. G., Bozkurt, Ö., Hadimli, A., Yorulmaz, A., & Dasti, D. (2022) · Midwifery · doi:10.1016/j.midw.2022.103495 · Cited by 7
Barut, S., & Uçar, T. (2022) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646838.2022.2102601 · Cited by 7
Tefera, M., Assefa, N., Roba, K. T., Gedefa, L., Brewis, A., & Schuster, R. C. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-055250 · Cited by 11
Davidsen, A. S., Birkmose, A. R., Kragstrup, J., Siersma, V., & Ertmann, R. K. (2022) · Midwifery · doi:10.1016/j.midw.2022.103406 · Cited by 7
Metadata
- 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 › Medicine › Pediatrics, Perinatology and Child Health › 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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