Cent Eur J Nurs Midw 2021, 12(4):537-544 | DOI: 10.15452/cejnm.2021.12.0031

Satisfaction of women with childbirth

Erika Maskálová, Lucia Mazúchová, Simona Kelčíková, Júlia Samselyová, Lucia Kukučiarová
Department of Midwifery, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Slovakia

Aim:  The study aimed to determine childbirth experience and the overall satisfaction of women with childbirth and its related socio-demographic and obstetric factors. Design: A cross-sectional study. Methods: We used the Childbirth Experience Questionnaire (CEQ) on a sample of 161 primiparous women. Results: Total mean CEQ score was 49.78 (SD = 6.02). The best-rated domain was the Perceived safety domain at 2.66 (± 1.90). The worst-rated domain was the Professional support domain at 1.66 (± 1.30). Regarding childbirth satisfaction, the mode of delivery proved to be a related factor, with the highest level of childbirth satisfaction in women after surgical delivery. Conclusion: Providing quality care and creating a positive experience that can contribute to overall birth satisfaction should be a common target of healthcare professionals in caring for parturient women. In order to create a positive childbirth experience, it is necessary to pay increased attention to the management of labor pain relief, to improving the professional support provided by midwives (i.e., through a more sensitive approach to mothers), to promoting the active participation of the mother during childbirth, and to supporting spontaneous vaginal delivery.

Keywords: childbirth, Childbirth Experience Questionnaire, experience, satisfaction

Received: February 10, 2021; Revised: September 22, 2021; Accepted: October 3, 2021; Prepublished online: November 21, 2021; Published: December 7, 2021  Show citation

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Maskálová E, Mazúchová L, Kelčíková S, Samselyová J, Kukučiarová L. Satisfaction of women with childbirth. Central European Journal of Nursing and Midwifery. 2021;12(4):537-544. doi: 10.15452/cejnm.2021.12.0031.
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References

  1. Aston, M., Saulnier, C., & Robb, K. (2010). Not just another delivery: women's maternity care experiences of provider client relationships. Women's Health and Urban Life, 9(1), 32-49.
  2. Bell, A. F., & Andersson, E. (2016). The birth experience and women's postnatal depression: a systematic review. Midwifery, 39, 112-123. https://doi.org/10.1016/j.midw.2016.04.014 Go to original source... Go to PubMed...
  3. Bertucci, V., Boffo, M., Mannarini, S., Serena, A., Saccardi, C., Cosmi, E., Andrisani, A., & Ambrosini, G. (2012). Assessing the perception of the childbirth experience in Italian women: a contribution to the adaptation of the Childbirth Perception Questionnaire. Midwifery, 28(2), 265-274. https://www.ncbi.nlm.nih.gov/pubmed/21489665 Go to original source... Go to PubMed...
  4. Boie, S., Lauridsen, H. H., Glavind, J., Smed, M. K., Uldbjerg, N., & Bor, P. (2020) The Childbirth Experience Questionnaire (CEQ) - validation of its use in a Danish-speaking population of new mothers stimulated with oxytocin during labour. PLOS ONE, 15(5), e0233122. https://doi.org/10.1371/journal.pone.0233122 Go to original source... Go to PubMed...
  5. Coll, R. P, Casañas, R., Palomares, C. A., Aubián, M. G., Muñoz, D. F., Trespalacios, E. X., Martínez, R. A., & Peiro, E. R. (2021). Women's childbirth satisfaction and obstetric outcomes comparison between two birth hospitals in Barcelona with different level of assistance and complexity. Central European Journal of Nursing and Midwifery, 12(1), 235-244. https://cejnm.osu.cz/pdfs/cjn/2021/01/09.pdf Go to original source...
  6. Conesa Ferrer, M. B., Canteras Jordana, M., Ballesteros Meseguer, C., Garcia, C. C., & Martínez Roche, M. E. (2016). Comparative study analysing women's childbirth satisfaction and obstetric outcomes across two different models of maternity care. BMJ Open, 6, e011362. https://bmjopen.bmj.com/content/6/8/e011362.long Go to original source... Go to PubMed...
  7. Crookall, L., Fowler, G., Wood, C., & Slade, P. (2018). A systematic mixed studies review of women's experiences of perineal trauma sustained during childbirth. Journal of Advanced Nursing, 74(9), 2038-2052. https://doi.org/10.1111/jan.13724 Go to original source... Go to PubMed...
  8. Dencker, A., Taft, C., Bergqvist, L., Lilja, H., & Berg, M. (2010). Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument. BMC Pregnancy and Childbirth, 10, 81. https://doi.org/10.1186/1471-2393-10-81 Go to original source... Go to PubMed...
  9. Fenaroli, V., Molgora, S., Dodaro, S., Svelato, A., Gesi, L., Molidoro, G., Saita, E., & Ragusa, A. (2019). The childbirth experience: obstetric and psychological predictors in Italian primiparous women. BMC Pregnancy Childbirth, 19, 419. https://doi.org/10.1186/s12884-019-2561-7 Go to original source... Go to PubMed...
  10. Fleming, S. E., Donovan-Batson, C., Burduli, E., Barbosa-Leiker, C., Hollins Martin, C. J., & Martin Colin, R. (2016). Birth Satisfaction Scale / Birth Satisfaction Scale-Revised (BSS / BSS-R): a large scale United States planned home birth and birth centre survey. Midwifery, 41, 9. https://doi.org/10.1016/j.midw.2016.07.008 Go to original source... Go to PubMed...
  11. Frohlich, J., & Kettle, C. (2015). Perineal care. BMJ Clinical Evidence, 10, 1401.
  12. Hadjigeorgiou, E., Kouta, C., Papastavrou, E., Papadopoulos, I., & Mårtensson, L.B. (2012). Womenʼs perceptions of their right to choose the place of childbirth: an integrative review. Midwifery, 28(3), 380-390. https://doi.org/10.1016/j.midw.2011.05.006 Go to original source... Go to PubMed...
  13. Hildingsson, I., Johansson, M., Karlström, A. & Fenwick, J. (2013). Factors associated with a positive birth experience: an exploration of Swedish women's experiences. International Journal of Childbirth, 3(3), 153-164. Go to original source...
  14. Hollins, M., Caroline J., & Martin Colin, R. (2015). A survey of women's birth experiences in Scotland using the Birth Satisfaction Scale (BSS). European Journal for Person Centered Healthcare, 3(4), 478-486. http://dx.doi.org/10.5750/ejpch.v3i4.1019 Go to original source... Go to PubMed...
  15. Iravani, M., Zarean, E., Janghorbani, M., & Bahrami, M. (2015). Women's needs and expectations during normal labor and delivery. Journal of Education and Health Promotion, 4, 6.
  16. Jafari, E., Mohebbi, P., & Mazloomzadeh, S. (2017). Factors related to women's childbirth satisfaction in physiologic and routine childbirth groups. Iranian Journal of Nursing and Midwifery Research, 22(3), 219-224. Go to PubMed...
  17. Kabo, J. W., Holroyd, E., Edwards, G. & Sarki, A. M. (2019). Sociodemographic factors associated with mothers' experiences of psychosocial care and communication by midwives during childbirth in Nairobi, Kenya. International Journal of Africa Nursing Sciences, 11, 100164. https://doi.org/10.1016/j.ijans.2019.100164 Go to original source...
  18. Karlström, A., Nystedt, A., & Hildingsson, I. (2015). The meaning of a very positive birth experience: focus groups discussions with women. BMC Pregnancy and Childbirth, 15, 251. https://doi.org/10.1186/s12884-015-0683-0 Go to original source... Go to PubMed...
  19. Kempe, P., & Vikström-Bolin, M. (2020). Women's satisfaction with the birthing experience in relation to duration of labour, obstetric interventions and mode of birth. European Journal of Obstetrics & Gynecology and Reproductive Biology, 24, 156-159. https://doi.org/10.1016/j.ejogrb.2020.01.041 Go to original source... Go to PubMed...
  20. Kodyššová, E. (2013). Vliv sociálně psychologických faktorů porodního zážitku na ranou rodičovskou self-efficacy prvorodiček [Social - psychological aspects of childbirth experience and their impact on early parental self-efficacy of first - time mothers]. Psychosom, 11(3), 28-32.
  21. Kongnyuy, E. J., Mlava, G., van den Broek, N. (2008). Criteria-based audit to improve a district referral system in Malawi: a pilot study. BMC Health Services Research, 8, 190. https://doi.org/10.1186/1472-6963-8-190 Go to original source... Go to PubMed...
  22. Larkin, P., Begley, C. M., & Devane, D. (2009). Women's experiences of labour and birth: an evolutionary concepts analysis. Midwifery, 25(2), e49-59. https://doi.org/10.1016/j.midw.2007.07.010 Go to original source... Go to PubMed...
  23. Lawrence, A., Lewis, L., Hofmeyr, G. J., & Styles, C. (2009). Maternal positions and mobility during first stage labour. Cochrane Database of Systematic Reviews, 2, CD003934. https://doi.org/10.1002/14651858.CD003934.pub2 Go to original source... Go to PubMed...
  24. Maskálová, E., Samselyová, J., & Urbanová, E. (2020). Skúsenosti žien s pôrodom - profesionálna podpora pôrodnej asistentky počas pôrodu [Childbirth experience of women - professional support of a midwife during labor]. Florence, 1, 1-7.
  25. Mazúchová, L., Kelčíková, S., Štofaníková, L., Kopincová, J., Malinovská, N., & Grendár, M. (2020). Satisfaction of Slovak women with psychosocial aspects of care during childbirth. Midwifery, 86, 102711. https://doi.org/10.1016/j.midw.2020.102711 Go to original source... Go to PubMed...
  26. Mohammad, K. I., Alafi, K. K., Mohammad, A. I., Gamble, J., & Creedy, D. (2014). Jordanian women's dissatisfaction with childbirth care. International Nursing Review, 61(2), 278-284. https://pubmed.ncbi.nlm.nih.gov/24762171/ Go to original source... Go to PubMed...
  27. Nieuwenhuijze, M. J., Korstjens, I., de Jonge, A., de Vries, R., & Lagro-Janssen, A. (2014). On speaking terms: a Delphi study on shared decision-making in maternity care. BMC Pregnancy Childbirth, 14, 223. https://doi.org/10.1186/1471-2393-14-223 Go to original source... Go to PubMed...
  28. Nilsson, L., Thorsell, T., Hertfelt Wahn, E., & Ekström, A. (2013). Factors influencing positive birth experiences of first-time mothers. Nursing Research and Practice, 2013, 1-6. https://doi.org/10.1155/2013/349124 Go to original source... Go to PubMed...
  29. Nilsson, L., Thorsell, T., Hertfelt Wahn, E., & Ekström, A. (2013). Factors influencing positive birth experiences of first-time mothers. Nursing Research and Practice, 2013, 349124, 1-6. https://doi.org/10.1111/j.1552-6909.2010.01139.x Go to original source... Go to PubMed...
  30. Ondeck, M. (2014). Healthy birth practice #2: walk, move around, and change positions throughout labor. The Journal of Perinatal Education, 23(4), 188-193. https://doi.org/10.1891/1058-1243.23.4.188 Go to original source... Go to PubMed...
  31. Rijnders, M., Baston, H., Schönbeck, Y., Van Der Pal, K., Prins, M., Green, J. & Buitendijk, S. (2008). Perinatal factors related to negative or positive recall of birth experience in women 3 years postpartum in the Netherlands. Birth, 35(2), 107-116. https://doi.org/10.1111/j.1523-536X.2008.00223.x Go to original source... Go to PubMed...
  32. Schytt, E., Green, M. J., Helen A. Baston, A. H., & Waldenström, U. (2008). A comparison of Swedish and English primiparae's experiences of birth. Journal of Reproductive and Infant Psychology, 26(4), 277-294, https://doi.org/10.1080/02646830802408381 Go to original source...
  33. Shilling, T. (2007). Care Practice #2: freedom of movement throughout labor. The Journal of Perinatal Education, 16(3), 21-24. Go to original source... Go to PubMed...
  34. Soriano-Vidal, F. J., Oliver-Roig, A., Cabrero-García, J., Congost-Maestre, N., Dencker, A., & Richart-Martínez, M. (2016). The Spanish version of the Childbirth Experience Questionnaire (CEQ-E): reliability and validity assessment. BMC Pregnancy and Childbirth, 16, 372. https://doi.org/10.1186/s12884-016-1100-z Go to original source... Go to PubMed...
  35. Srivastava, A., Avan, B. I., Rajbangshi, P. & Bhattacharyya, S. (2015). Determinants of women's satisfaction with maternal health care: a review of literature from developing countries. BMC Pregnancy Childbirth, 15, 97. https://doi.org/10.1186/s12884-015-0525-0 Go to original source... Go to PubMed...
  36. Škodová, Z. (2018). Psychológia v pôrodnej asistencii [Psychology in Midwifery]. Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine.
  37. Takács, L., & Seidlerová, J. (2013). Psychosociální klima porodnice očima rodiček: I. výsledky celorepublikového průzkumu spokojenosti s perinatální péčí v ČR u reprezentativního souboru 1195 rodiček. [Psychosocial climate in maternity hospitals from the perspective of parturients I. Results from a national survey on perinatal care satisfactionusing a representative sample of 1195 Czech parturients]. Česká gynekologie, 78(2), 157-168. Go to PubMed...
  38. Tocchioni, V., Seghieri, C., De Santis, G., & Nuti, S. (2018). Socio-demographic determinants of women's satisfaction with prenatal and delivery care services in Italy. Internal Journal of Quality for Health Care, 30(8), 594-601. https://doi.org/10.1093/intqhc/mzy078 Go to original source... Go to PubMed...
  39. Uherková, K. (2016). Důvěra a bezpečí jsou na prvním místě, neboť jsou součástí porodních mechanismů [Trust and safety come first, as they are part of the birth mechanisms]. Retrieved March 17, 2021, from https://jak-jinak.webnode.cz/news/duvera-a-bezpeci-jsou-na-prvnim-miste-nebot-jsou-soucasti-porodnich-mechanismu/
  40. Waldenström, U., Rudman, A., & Hildingsson, I. (2006). Intrapartum and postpartum care in Sweden: women's opinions and risk factors for not being satisfied. Acta Obstetricia et Gynecologica, 85(5), 551-560. https://doi.org/10.1080/00016340500345378 Go to original source... Go to PubMed...
  41. World Health Organization (2018). WHO recommendations: intrapartum care for a positive childbirth experience. World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215eng.pdf;jsessionid=0809886AF869BD7C7C07C1DCC862DDFE?sequence=1
  42. Walker, K. F., Wilson, P., Bugg, G. J., Dencker, A., & Thorton, J. B. (2015). Childbirth experience questionnaire: validating its use in the United Kingdom. BMC Pregnancy Childbirth, 15, 86. https://doi.org/10.1186/s12884-015-0513-4 Go to original source... Go to PubMed...

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