The predictive role of support in the birth experience: A longitudinal cohort study
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Background: Several risk factors for negative birth experience have been identiﬁed, but little is knownregarding the inﬂuence of social and midwifery support on the birth experience over time.Objective: The aim of this study was to describe women’s birth experience up to two years after birth andto detect the predictive role of satisfaction with social and midwifery support in the birth experience.Method: A longitudinal cohort study was conducted with a convenience sample of pregnant women from26 community health care centres. Data was gathered using questionnaires at 11–16 weeks of pregnancy(T1, n = 1111), at ﬁve to six months (T2, n = 765), and at 18–24 months after birth (T3, n = 657). Data aboutsociodemographic factors, reproductive history, birth outcomes, social and midwifery support,depressive symptoms, and birth experience were collected. The predictive role of midwifery supportin the birth experience was examined using binary logistic regression.Results: The prevalence of negative birth experience was 5% at T2 and 5.7% at T3. Women who were notsatisﬁed with midwifery support during pregnancy and birth were more likely to have negative birthexperience at T2 than women who were satisﬁed with midwifery support. Operative birth, perception ofprolonged birth and being a student predicted negative birth experience at both T2 and T3.Conclusions: Perception of negative birth experience was relatively consistent during the study period andthe role of support from midwives during pregnancy and birth had a signiﬁcant impact on women’sperception of birth experience.
Women and Birth
Paediatrics and Reproductive Medicine not elsewhere classified