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

Journal article


Ghanbari-Homayi, Solmaz, Fardiazar, Zahra, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh, Asghari Jafarabadi, Mohammad, Mohammadi, Eesa and Mirghafourvand, Mojgan. (2019). Predictors of traumatic birth experience among a group of Iranian primipara women : a cross sectional study. BMC Pregnancy and Childbirth. 19(1), pp. 1-9. https://doi.org/10.1186/s12884-019-2333-4
AuthorsGhanbari-Homayi, Solmaz, Fardiazar, Zahra, Meedya, Shahla, Mohammad-Alizadeh-charandabi, Sakineh, Asghari Jafarabadi, Mohammad, Mohammadi, Eesa and Mirghafourvand, Mojgan
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.

KeywordsCross-sectional study; Prevalence; Risk factors; Traumatic birth; Traumatic birth experience
Year01 Jan 2019
JournalBMC Pregnancy and Childbirth
Journal citation19 (1), pp. 1-9
PublisherBioMed Central Ltd.
ISSN1471-2393
Digital Object Identifier (DOI)https://doi.org/10.1186/s12884-019-2333-4
PubMed ID31117987
PubMed Central IDPMC6532129
Web address (URL)https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2333-4
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-9
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online22 Feb 2019
Publication process dates
Accepted05 May 2019
Deposited10 Jan 2023
Additional information

© The Author(s). 2019 Open Access This 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.

Place of publicationUnited Kingdom
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