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Cited by 120Maternal and Perinatal Health InterventionsMaternal Mental Health During Pregnancy and PostpartumPregnancy-related medical research

The DOI matches its Crossref record; 45 of the 46 references it cites were found in a registry or an index.

The influence of women’s preferences and actual mode of delivery on post-traumatic stress symptoms following childbirth: a population-based, longitudinal study

Open access
Garthus-Niegel, Susan, von Soest, Tilmann, Knoph, Cecilie, Simonsen, Tone Breines, Torgersen, Leila, Eberhard-Gran, Malin·2014·BMC Pregnancy and Childbirth
DOI 10.1186/1471-2393-14-191PMC PMC4053555
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Abstract

BACKGROUND: This study aimed to examine whether a mismatch between a woman's preferred and actual mode of delivery increases the risk of post-traumatic stress symptoms after childbirth. METHODS: The study sample consisted of 1,700 women scheduled to give birth between 2009 and 2010 at Akershus University Hospital, Norway. Questionnaire data from pregnancy weeks 17 and 32 and from 8 weeks postpartum were used along with data obtained from hospital birth records. Post-traumatic stress symptoms were measured with the Impact of Event Scale. Based on the women's preferred and actual mode of delivery, four groups were established: Match 1 (no preference for cesarean section, no elective cesarean section, N = 1,493); Match 2 (preference for cesarean section, elective cesarean section, N = 53); Mismatch 1 (no preference for cesarean section, elective cesarean section, N = 42); and Mismatch 2 (preference for cesarean section, no elective cesarean section, N = 112). Analysis of variance (ANOVA) and analysis of covariance (ANCOVA) were conducted to examine whether the level of post-traumatic stress symptoms differed significantly among these four groups. RESULTS: Examining differences for all four groups, ANOVA yielded significant overall group differences (F = 11.96, p < 0.001). However, Bonferroni post-hoc tests found significantly higher levels of post-traumatic stress symptoms only in Mismatch 2 compared to Match 1. This difference could be partly explained by a number of risk factors, particularly psychological risk factors such as fear of childbirth, depression, and anxiety. CONCLUSIONS: The results suggest increased post-traumatic stress symptoms in women who preferred delivery by cesarean section but delivered vaginally compared to women who both preferred vaginal delivery and delivered vaginally. In psychologically vulnerable women, such mismatch may threaten their physical integrity and, in turn, result in post-traumatic stress symptoms. These women, who often fear childbirth, may prefer a cesarean section even though vaginal delivery is usually the best option in the absence of medical indications. To avoid potential trauma, fear of childbirth and maternal requests for a cesarean section should be taken seriously and responded to adequately.

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Cites

Research works printed but not linked: 4

  1. Lazarus RS: Stress and Emotion. 1999, New York: Springer Publishing Company
  2. Norwegian Institute of Public Health: Medical Birth Registry of Norway. 2013, Oslo, Norway: Norwegian Institute of Public Health
  3. En gledelig begivenhet: Om en sammenhengende svangerskaps-, fødsels- og barselomsorg. 2009, Oslo: Ministry of Health and Care Services, White paper no. 12 2008/2009
  4. National Institute for Health and Clinical Excellence: Caesarean section. NICE clinical guideline 132. 2011

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Metadata

Authors
Garthus-Niegel, S., von Soest, T., Knoph, C., Simonsen, T. B., Torgersen, L., & Eberhard-Gran, M.
Affiliations
  • Akershus University Hospital (NO)
  • Norwegian Institute of Public Health (NO)
ORCID
Venue
BMC Pregnancy and Childbirth
Publisher
Springer Science and Business Media LLC
Published
2014-06-05
Volume
14
Issue
1
Pages
191-191
ISSN
1471-2393 (ISSN-L)
DOI
10.1186/1471-2393-14-191
PMC
PMC4053555
OpenAlex
W1999842561
Cited by
120
References
46
Citations by year
2026: 5 · 2025: 9 · 2024: 10 · 2023: 8 · 2022: 12 · 2021: 26 · 2020: 12 · 2019: 10 · 2018: 9 · 2017: 11 · 2016: 6 · 2015: 2
FWCI
6.74
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • BIBSYS Brage (BIBSYS (Norway)) (submittedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
Funders
Norges Forskningsråd (191098)
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 › Obstetrics and Gynecology › Pregnancy-related medical research
Keywords
posttraumatic stress symptoms, childbirth, mode of delivery, cesarean section, vaginal delivery, maternal preferences, fear of childbirth, depression, anxiety, psychological risk factors, postpartum period
MeSH terms
Neuroticism, Adolescent, Adult, Analysis of Variance, Anxiety, Anxiety Disorders, Cesarean Section, Depression, Fear, Female, Humans, Longitudinal Studies, Middle Aged, Norway, Pregnancy, Prospective Studies, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Stress Disorders, Post-Traumatic, Elective Surgical Procedures, Parturition, Young Adult, Patient Preference

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