•This study found that acupressure and massage were both effective in reducing labor pain compared to the control group.•However, massage was more effective than acupressure.•The study also found ...that massage can be effective in reducing labor pain, providing a positive birth experience, increasing birth satisfaction, and not negatively affecting the well-being of the fetus.•According to the results of the birth satisfaction scale, pregnant women who received massage had higher satisfaction scores than those who received acupressure.
This randomized controlled trial was conducted to determine the effect of acupressure and massage used for the management of labor pain in the latent, active, and transition phases of the first stage of labor on labor pain and birth satisfaction.
The study was conducted with 66 pregnant women who met the sampling criteria and participated voluntarily at a public hospital in Nicosia. The participants were randomly assigned to one of three groups: a massage group, an acupressure group, or a control group. Participants in the massage group received 10 min of sacral massage during contraction and 10 min of endorphin massage during rest, for a total of 30 min of massage per phase. Participants in the acupressure group received 3 min of acupressure to the LI 4 point at the same dilation intervals, when the contraction was most intense. The control group received no intervention. Pain perceived by the pregnant woman was evaluated with the Visual Comparison Scale (VAS) at the beginning and end of each phase. Postpartum, the Birth Satisfaction Scale was applied.
Massage application was found to be more effective in reducing labor pain than acupressure or the control group. Massage and acupressure did not negatively affect APGAR scores. The lowest oxytocin use was found in the massage group. The group with the highest birth satisfaction scores was also the massage group.
Massage application is more effective than acupressure application in reducing labor pain and increasing birth satisfaction.
Objective: To explore descriptions of negative childbirth experience in relation to mode of birth and events during labour.
Design: A descriptive study using a convergent mixed methods design. ...Written responses to open-ended online questions regarding negative childbirth experience were explored using qualitative content analysis. Generated sub-themes were quantified, and stratified on mode of birth and events during labour.
Participants and setting: 112 women with low ratings of overall childbirth experience, participating in a randomised controlled trial evaluating internet-based cognitive behavioural therapy in Sweden. Qualitative data were collected before randomisation, three months postpartum.
Results: Four sub-themes emerged from the qualitative analysis: Experiencing fear-based emotions , Experiencing physical distress , Being affected by caregivers’ and partner’s behaviour and Being affected by bad facilities and poor organisation . Only small differences were found when stratifying sub-themes on mode of birth and events during labour. Regardless of mode of birth and events during labour, the childbirth experience was dominated by fear-based emotions.
Key conclusions and implications for practice: Mixed-methods analyses demonstrate the challenges in understanding negative childbirth experience in relation to mode of birth and specific events during labour, with results clearly showing the multifaceted nature of this concept. The central role of fear in relation to negative childbirth experience should be considered when designing support during and after labour, to prevent adverse effects of the childbirth experience.
maternal postnatal depression confers strong risk for impaired child development. Little is known about the association between women's postnatal birth experience and postnatal depression.
to ...systematically identify and review studies examining the association between the birth experience and postnatal depression.
a systematic search strategy was employed using the Matrix Method (Garrard, 2014) and guided by the PRISMA reporting process.Criteria included broad search terms, English language, and publication years 2000–2015. The search revealed 1536 abstracts narrowed to full-text review of 112 studies.
eleven of the 15 studies meeting search criteria demonstrated a significant association between women's postnatal birth experience and postnatal depression. Results show heterogeneity in birth experience instruments. Strength of evidence and potential for bias are discussed.
in spite of methodological limitations, the weight of evidence suggests that a negative birth experience may contribute to postnatal depression. Further research is warranted.
to promote a positive birth experience healthcare providers should provide supportive, nurturing care that promotes women's confidence, trust, respect, privacy, shared decision making, and feeling of safety. Healthcare policy that promotes quality caregiving may reduce risk of postnatal depression.
•The birth experience may relate to postnatal depression.•Further research is needed on a gold standard measure of women's birth experience.•The quality of provider caregiving support strongly impacts women's birth experience.•Women giving birth need respect, support, nurturing, and shared decision-making.
To validate the Italian-language version of the Birth Satisfaction Scale-Revised (BSS-R) and report key measurement properties of the tool. To evaluate the impact of antenatal class attendance on ...BSS-R assessed birth satisfaction.
Maternal satisfaction is one of the standards of care defined by the World Health Organisation (WHO) to improve the quality of services. The BSS-R is a multi-dimensional self-report measure of the experience of labour and birth.
Cross-sectional instrument evaluation design examining factor structure and key aspects of validity and reliability. Embedded between-subjects design to examine known-group discriminant validity and the impact of antenatal class attendance on BSS-R sub-scale and total scores as dependent variables. After giving birth, 297 women provided data for analysis.
The Italian version of the BSS-R (I-BSS-R) was the key study measure. The established three-factor and bi-factor models of the BSS-R were found to offer an excellent fit to the data. Comparison of the tri-dimensional measurement model and the bi-factor model of the BSS-R found no significant differences between models. Women who attended antenatal classes had significantly lower stress experienced during childbearing sub-scale scores (I-BSS-R SE), compared to those who did not. Good convergent, divergent validity and known-groups discriminant validity were established for the I-BSS-R. Internal consistency observations were found to be sub-optimal in this population.
On all key psychometric indices, with the exception of internal consistency that requires further investigation, the I-BSS-R was found to be a valid translation of the original BSS-R. The impact of antenatal classes on birth satisfaction warrants further research.
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BFBNIB, DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
Optimizing women's childbirth experience is essential for development of quality mother infant relationships. The Birth Satisfaction Scale-Revised (BSS-R) can be used to measure birth satisfaction.
...The current investigation sought to translate and validate a Swedish version of the BSS-R.
Following translation, a comprehensive psychometric validation of the Swedish-BSS-R (SW-BSS-R) was carried out using a multi-model, cross-sectional, between- and within-subjects design.
A total of 619 Swedish-speaking women participated, from which 591 completed SW-BSS-R and were eligible for analysis.
Discriminant, convergent, divergent and predictive validity, internal consistency, test-retest reliability, and factor structure were evaluated.
The SW-BSS-R was found to have excellent psychometric properties and hence is a valid translation of the original UK(English)-BSS-R. Important insights into relationships between mode of birth, post-traumatic stress disorder (PTSD), and postnatal depression (PND) were observed.
The SW-BSS-R is a psychometrically valid translation of the original BSS-R and is suitable for use in a Swedish-speaking population of women. The study has also highlighted important dynamics between birth satisfaction and areas of significant clinical concern (i.e., mode of birth, PTSD and PND) in Sweden.
Objective(s): Adolescent pregnancy is one of the important challenges of reproductive health. Factors such as family conflict, poor social support, and low self-esteem among adolescent mothers can ...expose them to postpartum depression. Therefore, the present study was performed to determine the prevalence of postpartum depression and its relationship with birth experience among adolescent mothers. Methods: The present study was a cross-sectional study that was conducted on 202 adolescent mothers referred to urban and suburban health centers in Tabriz, Iran. Sampling method was census and done in the period of 1 to 3 months after birth in 2022. After checking the eligibility criteria, childbirth experience questionnaire version 2.0 (CEQ 2.0) and Edinburgh Postnatal Depression Scale (EPDS) were completed through interview. Data analysis was done using SPSS software and logistic regression test. Results: The mean (SD) of postpartum depression score was 7.5 (5.6) ranging from 0 to 30. The prevalence of postpartum depression and negative birth experience were approximately 23.8% and 11.4%, respectively. After adjusting the effect of possible confounding variables, there was no statistically significant relationship between the negative experience of birth and postpartum depression (p= 0.310). In mothers with unwanted pregnancy compared to mothers with wanted pregnancy, the probability of postpartum depression was 2.22 times higher Odds Ratio (95% Confidence Interval) = 2.22 (4.71 to 1.05); p= 0.037. Conclusion: Although in this study, approximately one-fifth of adolescent mothers were exposed to postpartum depression; there was no significant relationship between the negative birth experience and postpartum depression. The results of this study can be used to identify high-risk mothers, especially mothers with unwanted pregnancies, referring them for counseling, and prevent postpartum depression.
Whether the method of birth affects the factors that contribute to the birth satisfaction of women is controversial. But, the importance of positive birth experience perception in perinatal care is ...increasing. This study aimed to examine women's birth satisfaction and the affecting factors in a university hospital.
This descriptive and cross-sectional study was conducted with 404 women in the gynecology and obstetrics clinic of a university hospital between January and April 2017. Data were collected using a Personal Information Form and the Scale for Measuring Maternal Satisfaction in Birth. Two versions of the scale were used for women who had cesarean birth and who had vaginal birth. The data were analyzed using the Independent Groups t-test, ANOVA, and the Bonferroni test which was performed to determine the group causing a difference.
There was no overall statistical difference between normal birth and cesarean birth groups in terms of total satisfaction level (p>0.05). The level of satisfaction from the healthcare team and respect for privacy was higher in women who had normal birth whereas the level of satisfaction from comforting and hospital room was higher in those who had cesarean birth. The findings of this study demonstrated that the factors affecting birth satisfaction were the desire for pregnancy, induction application, planned birth method, and type of anesthesia.
Determining the parameters that affect the birth satisfaction of women is of great importance in terms of increasing the quality of maternal care. Health professionals should raise awareness about the effects of normal and cesarean delivery practices and decisions regarding pregnancy request and delivery type on birth satisfaction.
Purpose: This study aimed to investigate the effect of showering in labor on the birth satisfaction and maternal postnatal comfort of the mother. Materials and Methods: Randomized controlled study ...model was used in the study. Pregnant women in the active phase of labor were randomly divided into 1:1 experimental and control groups (50+50). The data were collected twice, before and after birth, using the questionnaire form. Prenatal data was collected using the Prenatal Data Collection Form. Data after birth was collected with the Postnatal Data Collection Form, Postnatal Comfort Scale, and Birth Satisfaction Scale. The pregnant women in the experimental group were showered in 37°C water for at least 20 minutes. Student t, Mann Whitney U, and chi-square tests were used to evaluate the data. Results: There was no significant difference between the birth satisfaction and postpartum comfort scale scores of the groups (p>0.05). There was a strong relationship between birth satisfaction and postpartum comfort in the experimental group (r=0.68). In the experimental group, postpartum comfort and satisfaction scores were significantly higher in women who did not undergo episiotomy and breastfeed in the first half-hour (p<0.05). There was no difference between postpartum comfort and satisfaction levels of the groups according to the presence of episiotomy and the time of first breastfeeding (p>0.05). Conclusion: Although showering in labor did not have a direct effect on birth satisfaction and postpartum comfort, it was found that it can positively affect birth results.
The current study sought to develop a short birth satisfaction indicator utilising items from the Birth Satisfaction Scale-Revised (BSS-R) for use as a brief measure of birth satisfaction and as a ...possible key performance indicator for perinatal service delivery evaluation. Building on the recently developed BSS-R, the study aimed to develop a simplified version of the instrument to assess birth satisfaction easily that could work as a short evaluative measure of clinical service delivery for labour and birth that is consistent with policy documents, placing women at the centre of the birth experience.
The six item Birth Satisfaction Scale-Revised Indicator (BSS-RI) was embedded within the 2014 National Maternity Survey for England. A random selection of mothers who had given birth in a two week period in England were surveyed three months after the birth. Using a two-stage design and split-half dataset, exploratory factor analysis, confirmatory factor analysis, internal consistency, convergent, divergent and known-groups discriminant validity evaluation were conducted in a secondary analysis of the survey data.
Using this large population based survey of recent mothers the short revised measure was found to comprise two distinct domains of birth satisfaction, 'stress and emotional response to labour and birth' and 'quality of care'. The psychometric qualities of the tool were robust as were the indices of validity and reliability evaluated.
The BSS-RI represents a short easily administered and scored measure of women's satisfaction with care and the experience of labour and birth. The instrument is potentially useful for researchers, service evaluation and policy makers.
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