Comparison of childbirth experiences and postpartum depression among primiparous women based on their attendance in childbirth preparation classes

Journal article

Hassanzadeh, Robab, Abbas-Alizadeh, Fatemeh, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan. (2022). Comparison of childbirth experiences and postpartum depression among primiparous women based on their attendance in childbirth preparation classes. The Journal of Maternal-Fetal and Neonatal Medicine. 35(18), pp. 3612-3619. https://doi.org/10.1080/14767058.2020.1834531
AuthorsHassanzadeh, Robab, Abbas-Alizadeh, Fatemeh, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan
Abstract

Background
Assessment of women’s childbirth experience is an important indicator in maternity services. Positive childbirth experiences improve mothers’ health, whereas negative childbirth experiences can cause psychological stresses and, in extreme cases, may lead to postpartum depression.

Methods
In this cohort study, 204 women at 35–37 weeks of gestation were selected using cluster sampling from the health centers of Tabriz, Iran. Women were divided into three groups (68 women in each group) based on their attendance in childbirth preparation classes: (a) non-attenders (did not attend any sessions), (b) irregular attenders (attended 1–3 sessions), and (c) regular attendants (attended 4–8 sessions). Interviews were conducted at one month postpartum to complete the Childbirth Experience Questionnaire (CEQ) and Edinburgh Postnatal Depression Scale (EPDS). The general linear model (GLM) was used to identify associations between women’s attendance to the classes and either their childbirth experience or postpartum depression scores.

Results
Based on the GLM, the mean score of childbirth experience among the regular attenders was significantly higher than women who were irregular attenders (p = .032) or non-attenders (p < .001). In addition, the mean score of postpartum depression scale was significantly lower among regular attenders compared with non-attenders (p < .001). However, there was no significant difference in postpartum depression score among regular and irregular attenders (p = .257).

Conclusions
Attending prenatal classes was associated with positive childbirth experience and low postpartum depression score.

Keywordschildbirth experience; postpartum depression; childbirth preparation classes; primiparous women; cohort study
Year2022
JournalThe Journal of Maternal-Fetal and Neonatal Medicine
Journal citation35 (18), pp. 3612-3619
PublisherTaylor & Francis
ISSN1476-7058
Digital Object Identifier (DOI)https://doi.org/10.1080/14767058.2020.1834531
PubMed ID33076724
Scopus EID2-s2.0-85092936014
Page range3612-3619
FunderTabriz University of Medical Sciences
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online19 Oct 2020
Publication process dates
Accepted06 Oct 2020
Deposited15 Apr 2025
Additional information

© 2020 Informa UK Limited, trading as Taylor & Francis Group.

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Brett, Lindsey, Stapley, Paul, Meedya, Shahla and Traynor, Victoria. (2018). Sufficient exercise for Australians living with dementia in residential aged care facilities is lacking : An exploration of policy incoherence [Commentary] John Wiley & Sons, Inc.. https://doi.org/10.1111/1753-6405.12800
Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period
Bagherinia, Marzieh, Meedya, Shahla and Mirghafourvand, Mojgan. (2018). Association between maternal sense of competence and self-efficacy in primiparouswomen during postpartum period. Shiraz E-Medical Journal. 19(3), p. Article e59286. https://doi.org/10.5812/semj.59286
Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions on long-term breastfeeding rates in primiparous women : A systematic review and meta-analysis. JBI Evidence Synthesis. 15(9), pp. 2307-2332. https://doi.org/10.11124/JBISRIR-2016-002955
Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol
Meedya, Shahla, Fernandez, Ritin and Fahy, Kathleen. (2017). Effect of educational and support interventions to increase long-term breastfeeding rates in primiparous women : A systematic review protocol. JBI Evidence Synthesis. 15(3), pp. 594-602. https://doi.org/10.11124/JBISRIR-2016-003132
Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol
Brett, Lindsey, Traynor, Victoria, Stapley, Paul and Meedya, Shahla. (2017). Effects and feasibility of an exercise intervention for individuals living with dementia in nursing homes : Study protocol. International Psychogeriatrics. 29(9), pp. 1565-1577. https://doi.org/10.1017/S1041610217000138
The health and health preparation of long-term Australian travellers
Halcomb, Elizabeth, Stephens, Moira, Smyth, Elizabeth, Meedya, Shahla and Tillott, Sarah. (2017). The health and health preparation of long-term Australian travellers. Australian Journal of Primary Health. 23(4), pp. 386-390. https://doi.org/10.1071/PY16138
The Milky Way educational and support programme : Structure, content and strategies
Meedya, Shahla, Fahy, Kathleen and Parratt, Jenny A.. (2016). The Milky Way educational and support programme : Structure, content and strategies. Women and Birth. 29(4), pp. 388-393. https://doi.org/10.1016/j.wombi.2016.01.006