Predictors of traumatic birth experience among a group of Iranian primipara women: a cross sectional study

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Background

Traumatic birth experience has undesirable effects on the life of the mother, child, family, and society. The identification of predictive factors can be useful in improving birth experiences among women. This study aimed to assess the prevalence of a traumatic birth experience and identify its predictors among a group primiparous women.

Methods

A cross-sectional study was conducted among 64 health centres in Tabriz, the second largest city in Iran. Cluster sampling was used to recruit 800 eligible women at one to 4 months postpartum. The Persian version of the Childbirth Experience Questionnaire was used to measure the womens’ birth experiences. Data were collected through face to face interviews and analysed mainly by multivariable logistic regression.

Results

The prevalence of traumatic birth experience was 37% in the study group. The independent predictors of the traumatic birth experience were related to antenatal and intrapartum factors. The antenatal predictor was the lack of exercise during pregnancy (OR = 2.81, CI 1.40–5.63, P = .003) and the intrapartum predictors were the absence of pain relief during labour and birth (OR = 4.24, CI 2.12–8.50, P < .001), and the fear of childbirth (OR = 3.47, CI 1.68–7.19, P < .001).

Conclusions

The findings revealed the high rate of traumatic birth experience among the primimarous women and identified the importance of a woman-centered care where a woman can actively make decision about the care she receives receive during labour and birth.

Electronic supplementary material

The online version of this article (10.1186/s12884-019-2333-4) contains supplementary material, which is available to authorized users.

Related collections

Most cited references 33

Record: found
Abstract: found
Article: found

Is Open Access

Using targeted vouchers and health equity funds to improve access to skilled birth attendants for poor women: a case study in three rural health districts in Cambodia

Por Ir, Dirk Horemans, Narin Souk … (2010)

Background In many developing countries, the maternal mortality ratio remains high with huge poor-rich inequalities. Programmes aimed at improving maternal health and preventing maternal mortality often fail to reach poor women. Vouchers in health and Health Equity Funds (HEFs) constitute a financial mechanism to improve access to priority health services for the poor. We assess their effectiveness in improving access to skilled birth attendants for poor women in three rural health districts in Cambodia and draw lessons for further improvement and scaling-up. Methods Data on utilisation of voucher and HEF schemes and on deliveries in public health facilities between 2006 and 2008 were extracted from the available database, reports and the routine health information system. Qualitative data were collected through focus group discussions and key informant interviews. We examined the trend of facility deliveries between 2006 and 2008 in the three health districts and compared this with the situation in other rural districts without voucher and HEF schemes. An operational analysis of the voucher scheme was carried out to assess its effectiveness at different stages of operation. Results Facility deliveries increased sharply from 16.3% of the expected number of births in 2006 to 44.9% in 2008 after the introduction of voucher and HEF schemes, not only for voucher and HEF beneficiaries, but also for self-paid deliveries. The increase was much more substantial than in comparable districts lacking voucher and HEF schemes. In 2008, voucher and HEF beneficiaries accounted for 40.6% of the expected number of births among the poor. We also outline several limitations of the voucher scheme. Conclusions Vouchers plus HEFs, if carefully designed and implemented, have a strong potential for reducing financial barriers and hence improving access to skilled birth attendants for poor women. To achieve their full potential, vouchers and HEFs require other interventions to ensure the supply of sufficient quality maternity services and to address other non-financial barriers to demand. If these conditions are met, voucher and HEF schemes can be further scaled up under close monitoring and evaluation.

0 comments Cited 147 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework.

S Ayers, R R Bond, S Bertullies … (2016)

There is evidence that 3.17% of women report post-traumatic stress disorder (PTSD) after childbirth. This meta-analysis synthesizes research on vulnerability and risk factors for birth-related PTSD and refines a diathesis-stress model of its aetiology. Systematic searches were carried out on PsycINFO, PubMed, Scopus and Web of Science using PTSD terms crossed with childbirth terms. Studies were included if they reported primary research that examined factors associated with birth-related PTSD measured at least 1 month after birth. In all, 50 studies (n = 21 429) from 15 countries fulfilled inclusion criteria. Pre-birth vulnerability factors most strongly associated with PTSD were depression in pregnancy (r = 0.51), fear of childbirth (r = 0.41), poor health or complications in pregnancy (r = 0.38), and a history of PTSD (r = 0.39) and counselling for pregnancy or birth (r = 0.32). Risk factors in birth most strongly associated with PTSD were negative subjective birth experiences (r = 0.59), having an operative birth (assisted vaginal or caesarean, r = 0.48), lack of support (r = -0.38) and dissociation (r = 0.32). After birth, PTSD was associated with poor coping and stress (r = 0.30), and was highly co-morbid with depression (r = 0.60). Moderator analyses showed that the effect of poor health or complications in pregnancy was more apparent in high-risk samples. The results of this meta-analysis are used to update a diathesis-stress model of the aetiology of postpartum PTSD and can be used to inform screening, prevention and intervention in maternity care.

0 comments Cited 146 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Prevalence and predictors of women's experience of psychological trauma during childbirth.

Colleen DiIorio, A Brack, J Soet (2003)

The increased acceptance of the prevalence of trauma in human experience as well as its psychological consequences has led to revisions of diagnostic criteria for the disorder. The three purposes of this study were to examine the rates at which women experienced psychological trauma in childbirth, to explore possible causal factors, and to examine possible factors in the development of the disorder. One hundred and three women from childbirth education classes in the Atlanta metropolitan area completed a survey in late pregnancy and a follow-up interview approximately 4 weeks after the birth. The childbirth experience was reported as traumatic by 34 percent of participants. Two women (1.9%) developed all the symptoms needed to diagnose posttraumatic stress disorder, and 31 women (30.1%) were partially symptomatic. Regression analysis showed that antecedent factors (e.g., history of sexual trauma and social support) and event characteristics (e.g., pain in first stage of labor, feelings of powerlessness, expectations, medical intervention, and interaction with medical personnel) were significant predictors of perceptions of the childbirth as traumatic. The pain experienced during the birth, levels of social support, self-efficacy, internal locus of control, trait anxiety, and coping were significant predictors of the development of posttraumatic stress disorder symptoms after the birth. These findings suggest several intervention points for health care practitioners, including careful prenatal screening of past trauma history, social support, and expectations about the birth; improved communication and pain management during the birth; and opportunities to discuss the birth postpartum.

0 comments Cited 142 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Solmaz Ghanbari-Homayi: ghanbaris@tbzmed.ac.ir

Zahra Fardiazar: fardyazar@yahoo.com

Shahla Meedya: smeedya@uow.edu.au

Sakineh Mohammad-Alizadeh-Charandabi: mhammadalizadehs@gmail.com

Mohammad Asghari-Jafarabadi: m.asghari862@gmail.com

Eesa Mohammadi: mohamade@modares.ac.ir

Mojgan Mirghafourvand: mirghafourvandm@gmail.com

Journal

Journal ID (nlm-ta): BMC Pregnancy Childbirth

Journal ID (iso-abbrev): BMC Pregnancy Childbirth

Title: BMC Pregnancy and Childbirth

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2393

Publication date (Electronic): 22 May 2019

Publication date PMC-release: 22 May 2019

Publication date Collection: 2019

Volume: 19

Electronic Location Identifier: 182

Affiliations

[1 ]ISNI 0000 0001 2174 8913, GRID grid.412888.f, Students’ Research Committee, , Tabriz University of Medical sciences, ; Tabriz, Iran

[2 ]ISNI 0000 0001 2174 8913, GRID grid.412888.f, Women Reproductive Health Research Center, , Tabriz University of Medical Sciences, ; Tabriz, Iran

[3 ]ISNI 0000 0004 0486 528X, GRID grid.1007.6, Member of South Asia Infant Feeding Research Network (SAIFRN), School of Nursing, Faculty of Science, Medicine and Health, , University of Wollongong, ; Wollongong, Australia

[4 ]ISNI 0000 0001 2174 8913, GRID grid.412888.f, Social determinants of Health Research Center, , Tabriz University of Medical sciences, ; Tabriz, Iran

[5 ]ISNI 0000 0001 2174 8913, GRID grid.412888.f, Department of Statistics and Epidemiology, , Tabriz University of Medical Sciences, ; Tabriz, Iran

[6 ]ISNI 0000 0001 1781 3962, GRID grid.412266.5, Department of Nursing, School of Medicine, , Tarbiat Modares University, ; Tehran, Iran

Article

Publisher ID: 2333

DOI: 10.1186/s12884-019-2333-4

PMC ID: 6532129

PubMed ID: 31117987

SO-VID: d5971463-93df-49f4-9f70-b609f5a2328d

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 19 March 2019

Date accepted : 6 May 2019

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100004366, Tabriz University of Medical Sciences;

Award ID: IR.TBZMED.REC.1396.786

Award Recipient : Mojgan Mirghafourvand

Custom metadata

ScienceOpen disciplines: Obstetrics & Gynecology

Keywords: traumatic birth,traumatic birth experience,prevalence,risk factors,cross-sectional study

Data availability:

ScienceOpen disciplines: Obstetrics & Gynecology

Keywords: traumatic birth, traumatic birth experience, prevalence, risk factors, cross-sectional study

Predictors of traumatic birth experience among a group of Iranian primipara women: a cross sectional study

Read this article at

Abstract

Background

Methods

Results

Conclusions

Electronic supplementary material

Related collections

Bacterial vaginosis and biofilm

Most cited references 33

Using targeted vouchers and health equity funds to improve access to skilled birth attendants for poor women: a case study in three rural health districts in Cambodia

The aetiology of post-traumatic stress following childbirth: a meta-analysis and theoretical framework.

Prevalence and predictors of women's experience of psychological trauma during childbirth.

Author and article information

Contributors

Journal

Affiliations

Article

History

Funding

Categories

Custom metadata

Comments

Comment on this article

Similar content 197

Cited by 27

Most referenced authors 508