Cited by 166Maternal and Perinatal Health InterventionsMaternal and Neonatal HealthcareReproductive Health and Contraception

The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index.

Predictors of a negative labour and birth experience based on a national survey of Canadian women

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Smarandache, Andrei, Kim, Theresa H. M., Bohr, Yvonne, Tamim, Hala·2016·BMC Pregnancy and Childbirth

Abstract

BACKGROUND: A negative birth experience has been shown to have a significant impact on the well-being and future choices of mothers. The objective of this study was to assess the prevalence of, and identify the risk factors associated with a negative birth experience for women in Canada. METHODS: The study was based on secondary data analysis of the Maternity Experiences Survey (MES), a Canadian population database administered to 6,421 Canadian women in 2006. The examined outcome - negative birth experience - was derived from mothers' self-report of overall labour and birth experience. Independent variables were maternal demographics, health characteristics, pregnancy-related characteristics, and birth characteristics. Multivariable logistic regression analysis was performed to determine the significant predictors of negative birth experience. Adjusted Odds Ratios (AOR) and 95 % Confidence Intervals (CI) are reported. RESULTS: Negative birth experience was reported among 9.3 % of women. The main significant predictors of a negative birth experience included older age (AOR 2.29, 95 % CI, 1.03-5.07), violence experienced in the past two years (AOR, 1.62, 95 % CI, 1.21-2.18), poor self-perceived health (adjusted OR, 1.95, 95 % CI, 1.36-2.80), prenatal classes attended (adjusted OR, 1.36, 95 % CI, 1.06-1.76), unintended pregnancy (adjusted OR, 1.30, 95 % CI, 1.03-1.63), caesarean birth (AOR, 1.65, 95 % CI, 1.32-2.06), and neonate admission to intensive care (AOR, 1.40, 95 % CI, 1.08-1.82). CONCLUSION: Significant predictors of a negative labour and birth experience were identified through this study, a first in the Canadian context. These findings suggest future research directions and provide a basis for the design and evaluation of maternal health policy and prevention programs.

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Fig. 1 Distribution of women’s ratings of negative labour and birth experience by province/territory, Canada, 2006–2007 (%). * Estimate not shown due to cell count less than 5
Fig. 1 Distribution of women’s ratings of negative labour and birth experience by province/territory, Canada, 2006–2007 (%). * Estimate not shown due to cell count less than 5CC BY · PubMed Central

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Metadata

Authors
Smarandache, A., Kim, T. H. M., Bohr, Y., & Tamim, H.
Affiliations
York University (CA)
Corresponding author
Kim, Theresa H. M.
Venue
BMC Pregnancy and Childbirth
Published
2016-05-18
Volume
16
Issue
1
Pages
114-114
ISSN
1471-2393 (ISSN-L)
OpenAlex
W2394938726
Cited by
166
References
58
Citations by year
2026: 6 · 2025: 19 · 2024: 27 · 2023: 17 · 2022: 27 · 2021: 22 · 2020: 20 · 2019: 13 · 2018: 7 · 2017: 7
FWCI
11.63
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • Public Health Agency of Canada
  • Public Health Agency
  • Canadian Institutes of Health Research
  • Social Sciences and Humanities Research Council of Canada
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Keywords
negative birth experience, risk factors, maternal violence, health perception, prenatal classes, unintended pregnancy, caesarean birth, neonatal intensive care, maternal health policy, Canadian women
MeSH terms
Adolescent, Adult, Canada, Cesarean Section, Cross-Sectional Studies, Female, Humans, Labor, Obstetric, Obstetric Labor Complications, Maternal Age, Mothers, Pregnancy, Prenatal Care, Surveys and Questionnaires, Risk Factors, Violence, Odds Ratio, Parturition, Pregnancy, Unplanned, Young Adult

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