The experience of giving birth: a prospective cohort in a French perinatal network
Abstract Background To assess women's positive and negative perceptions after giving birth. The secondary objectives were to identify the women who had a negative perception of their delivery, define the risk factors, and propose actions that maternity units can take to improve their management...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-04727-7 |
| _version_ | 1811258820264984576 |
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| author | Chloé Arthuis Juliette LeGoff Marion Olivier Anne-Sophie Coutin Nathalie Banaskiewicz Philippe Gillard Guillaume Legendre Norbert Winer |
| author_facet | Chloé Arthuis Juliette LeGoff Marion Olivier Anne-Sophie Coutin Nathalie Banaskiewicz Philippe Gillard Guillaume Legendre Norbert Winer |
| author_sort | Chloé Arthuis |
| collection | DOAJ |
| description | Abstract Background To assess women's positive and negative perceptions after giving birth. The secondary objectives were to identify the women who had a negative perception of their delivery, define the risk factors, and propose actions that maternity units can take to improve their management. Methods/design This study was a multicenter, prospective cohort, conducted in 23 French maternity units constituting one perinatal network, in 2019. All adult women who understood French and gave birth between February 1 and September 27, 2019, were eligible. The exclusion criterion was the woman's objection to participation. Validated self-administered questionnaire (QACE) was sent by email 6 weeks after the child's birth. The main outcome was the experience of childbirth, assessed on a scale of 0 to 10. A good experience was defined by a score ≥ 8/10, and a poor experience by a score < 5. A multinomial logistic regression model, expressed by cumulative proportional odds ratios, were used to determine the factors that might have affected women's experiences during childbirth. Results Two thousand one hundred and thirty-fifth women completed the questionnaire, for a participation rate of 49.6%. Overall, 70.7% (n = 1501/2121) of the women reported a good experience, including 38% (n = 807/2121) who graded their experience with the maximum score of 10. On the other hand, 7.3% (n = 156) of the women reported a poor experience. Vaginal delivery (aOR 3.93, 95%CI, 3.04–5.08) and satisfactory management (aOR 11.35 (7.69–16.75)) were the principal determining factors of a positive experience. Epidural analgesia increased the feeling of failure (aOR 5.64, 95%CI, 2.75–13.66). Receiving information and being asked for and agreeing to consent improved the global experience (P = 0.03). Conclusion The Identikit picture of the woman associated with a poor experience of childbirth shows a nullipara who had a complication during her pregnancy, gave birth after induction of labor, or by cesarean or operative vaginal delivery, with the newborn transferred for pediatric care, and medical management considered unsatisfactory. |
| first_indexed | 2024-04-12T18:21:18Z |
| format | Article |
| id | doaj.art-0aa7a1c3288642f5a8ba99e4168583da |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-12T18:21:18Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-0aa7a1c3288642f5a8ba99e4168583da2022-12-22T03:21:26ZengBMCBMC Pregnancy and Childbirth1471-23932022-05-0122111210.1186/s12884-022-04727-7The experience of giving birth: a prospective cohort in a French perinatal networkChloé Arthuis0Juliette LeGoff1Marion Olivier2Anne-Sophie Coutin3Nathalie Banaskiewicz4Philippe Gillard5Guillaume Legendre6Norbert Winer7Service de Gynécologie Obstétrique, UMR 1280, Centre Hospitalier Universitaire de Nantes, CIC Et Hôpital Mère-Enfant-Adolescent, NUN, INRAEService de Gynécologie Obstétrique, UMR 1280, Centre Hospitalier Universitaire de Nantes, CIC Et Hôpital Mère-Enfant-Adolescent, NUN, INRAERéseau Sécurité Naissance - Naître Ensemble, Réseau de Santé Périnatale Des Pays de La LoireRéseau Sécurité Naissance - Naître Ensemble, Réseau de Santé Périnatale Des Pays de La LoireRéseau Sécurité Naissance - Naître Ensemble, Réseau de Santé Périnatale Des Pays de La LoireRéseau Sécurité Naissance - Naître Ensemble, Réseau de Santé Périnatale Des Pays de La LoireService de Gynécologie Obstétrique, Centre Hospitalier Universitaire d’AngersService de Gynécologie Obstétrique, UMR 1280, Centre Hospitalier Universitaire de Nantes, CIC Et Hôpital Mère-Enfant-Adolescent, NUN, INRAEAbstract Background To assess women's positive and negative perceptions after giving birth. The secondary objectives were to identify the women who had a negative perception of their delivery, define the risk factors, and propose actions that maternity units can take to improve their management. Methods/design This study was a multicenter, prospective cohort, conducted in 23 French maternity units constituting one perinatal network, in 2019. All adult women who understood French and gave birth between February 1 and September 27, 2019, were eligible. The exclusion criterion was the woman's objection to participation. Validated self-administered questionnaire (QACE) was sent by email 6 weeks after the child's birth. The main outcome was the experience of childbirth, assessed on a scale of 0 to 10. A good experience was defined by a score ≥ 8/10, and a poor experience by a score < 5. A multinomial logistic regression model, expressed by cumulative proportional odds ratios, were used to determine the factors that might have affected women's experiences during childbirth. Results Two thousand one hundred and thirty-fifth women completed the questionnaire, for a participation rate of 49.6%. Overall, 70.7% (n = 1501/2121) of the women reported a good experience, including 38% (n = 807/2121) who graded their experience with the maximum score of 10. On the other hand, 7.3% (n = 156) of the women reported a poor experience. Vaginal delivery (aOR 3.93, 95%CI, 3.04–5.08) and satisfactory management (aOR 11.35 (7.69–16.75)) were the principal determining factors of a positive experience. Epidural analgesia increased the feeling of failure (aOR 5.64, 95%CI, 2.75–13.66). Receiving information and being asked for and agreeing to consent improved the global experience (P = 0.03). Conclusion The Identikit picture of the woman associated with a poor experience of childbirth shows a nullipara who had a complication during her pregnancy, gave birth after induction of labor, or by cesarean or operative vaginal delivery, with the newborn transferred for pediatric care, and medical management considered unsatisfactory.https://doi.org/10.1186/s12884-022-04727-7Childbirth experiencePregnancyObstetric violenceObstetric consent |
| spellingShingle | Chloé Arthuis Juliette LeGoff Marion Olivier Anne-Sophie Coutin Nathalie Banaskiewicz Philippe Gillard Guillaume Legendre Norbert Winer The experience of giving birth: a prospective cohort in a French perinatal network BMC Pregnancy and Childbirth Childbirth experience Pregnancy Obstetric violence Obstetric consent |
| title | The experience of giving birth: a prospective cohort in a French perinatal network |
| title_full | The experience of giving birth: a prospective cohort in a French perinatal network |
| title_fullStr | The experience of giving birth: a prospective cohort in a French perinatal network |
| title_full_unstemmed | The experience of giving birth: a prospective cohort in a French perinatal network |
| title_short | The experience of giving birth: a prospective cohort in a French perinatal network |
| title_sort | experience of giving birth a prospective cohort in a french perinatal network |
| topic | Childbirth experience Pregnancy Obstetric violence Obstetric consent |
| url | https://doi.org/10.1186/s12884-022-04727-7 |
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