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Background: The childbirth experience of primipara profoundly impacts her future physical and mental health, reproductive intention, and choice of childbirth mode. This study aimed to explore the current situation of primipara's childbirth experience, to analyze the factors influencing negative childbirth experience, and to explore the relationship between childbirth experience and reproductive intention.
Methods: A cross-sectional survey of a convenience sample of 522 primipara 1-5 days postpartum was conducted at five hospitals in Guangdong Province (May to July 2024). Data were collected using the General Information Questionnaire, the Social Support Rating Scale, the Childbirth Readiness Scale, the Caring Behaviors Inventory Scale, the Wijma Delivery Experience Questionnaire, and the Questionnaire on Reproduction Intention of Primipara.
Results: The mean score of fear of childbirth was 68.86 ± 17.68. A total of 137 respondents met the clinical criteria for fear of childbirth (≥ 85 points), indicating that 26.2% of primipara had a negative experience of childbirth. Binary logistic regression model showed that elderly primipara [odds ratio (OR) (95% confidence interval (CI)): 11.167 (2.737-45.559)], pregnancy comorbidities or maternal childbirth complications [OR (95%CI): 6.596 (3.046-14.287)], childbirth intervention [OR (95%CI): 6.168 (2.869-13.258)], and severe pain [OR (95%CI): 4.660 (2.197-9.882)] were risk factors for negative childbirth experience. Childbirth accompaniment [OR (95%CI): 0.081 (0.018-0.368)], high level of social support [OR (95%CI): 0.768 (0.704-0.839)], and high level of childbirth readiness [OR (95%CI): 0.878 (0.812-0.950)] protected against a negative birth experience. There was a negative correlation between the fear of childbirth score and reproduction intention scores.
Conclusions: Childbirth accompaniment and high levels of social support and childbirth readiness can reduce primipara's perception of negative childbirth experience. Negative childbirth experience can reduce reproduction intention.
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http://dx.doi.org/10.1186/s12884-024-06843-y | DOI Listing |
J Obstet Gynaecol
December 2025
Department of Obstetrics and Gynaecology, Princess Margaret Hospital, Hong Kong.
Background: Antenatal perineal massage (APM) is an established technique for preventing severe perineal trauma, but it is uncommonly practised in Hong Kong. This study aimed to investigate pregnant women's knowledge, attitudes and interest in APM, and to identify factors that influence their interest in the technique.
Methods: A prospective cross-sectional study was conducted over 7 months at Princess Margaret Hospital.
J Public Health Policy
September 2025
Carrera de Medicina, Universidad Nacional de Loja, Av. Pio Jaramillo Alvarado, 110150, Loja, Ecuador.
Poor quality obstetric care can harm women's mental health, especially after childbirth. This study examines how the perceived quality of health services during childbirth is related to postpartum depression in Ecuador. Using data from 16,451 women in the 2018 National Health and Nutrition Survey, we applied probit and latent class probit models.
View Article and Find Full Text PDFBMC Pregnancy Childbirth
September 2025
Department of Obstetrics and Gynecology, Sahlgrenska Academy at Gothenburg University, Sahlgrenska University Hospital, Medicinaregatan 3, Gothenburg, SE- 413 45, Sweden.
Background: A growing body of knowledge is questioning the timing of postpartum care (PPC) and suggesting a structural change. The primary aim was to evaluate individuals' satisfaction with additional PPC, and the secondary aim was to identify different needs postpartum.
Methods: This comparative study was conducted in six maternity clinics in Gothenburg, Sweden 2019-2020.
BMC Pregnancy Childbirth
September 2025
Department of Psychology, Reykjavik University, Reykjavík, Iceland.
Background: One in three women worldwide will experience physical and/or sexual violence in their lifetime, and pregnancy is a risk factor for domestic violence. Recent studies have identified global stressors, such as the COVID-19 pandemic, as being connected to an increased prevalence of domestic violence. The aim of the present study was threefold: Firstly, to investigate the prevalence of DV among pregnant women during the COVID-19 pandemic in Iceland.
View Article and Find Full Text PDFInt J Gynaecol Obstet
September 2025
WHO Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Objective: Despite advancements in maternity quality care worldwide, mistreatment of women during childbirth persists. Currently, there is a gap of knowledge on the occurrence of disrespect and abuse during childbirth in the World Health Organization (WHO) European region.
Methods: Within the IMAgiNE EURO (Improving Maternal Newborn Care in the WHO European Region During COVID-19 Pandemic) study, women 18 years and older who gave birth in healthcare facilities in the WHO European region, were invited to complete an online validated questionnaire regarding quality of maternity care.