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. 2011 May;28(5):383-8.
doi: 10.1055/s-0031-1274508. Epub 2011 Mar 4.

Mothers' satisfaction with planned vaginal and planned cesarean birth

Joan L Blomquist  1 , Lieschen H Quiroz, Deborah Macmillan, Alexis McCullough, Victoria L Handa
Affiliations

Mothers' satisfaction with planned vaginal and planned cesarean birth

Joan L Blomquist et al. Am J Perinatol. 2011 May.

Abstract

We sought to describe maternal satisfaction with childbirth among women planning either cesarean or vaginal birth. We enrolled primiparous women planning cesarean birth and a comparison group planning vaginal birth. After delivery, the maternal subjective experience was assessed with a visual analogue satisfaction scale and the Salmon questionnaire, with scale scores for these aspects of the maternal experience of birth: fulfillment, distress, and difficulty. The sample included 160 women planning vaginal birth and 44 women planning cesarean. Eight weeks postpartum, women planning cesarean reported higher satisfaction ratings ( P = 0.023), higher scores for fulfillment ( P = 0.017), lower scores for distress ( P = 0.010), and lower scores for difficulty ( P < 0.001). The least favorable scores were associated with unplanned cesarean ( N = 48). Women planning cesarean reported a more favorable birth experience than women planning vaginal birth, due in part to low satisfaction associated with unplanned cesarean. Maternal satisfaction with childbirth may be improved by efforts to reduce unplanned cesarean, but also by support for maternal-choice cesarean.

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Figures

Figure 1
Figure 1
Visual analogue satisfaction (VAS) scores, by actual route of delivery. Data are from the postpartum questionnaire. CS, cesarean delivery.
Figure 2
Figure 2
Salmon satisfaction scores, by actual route of delivery. Data are from the postpartum questionnaire. CS, cesarean delivery.
See this image and copyright information in PMC

References

    1. Morgan BM, Bulpitt CJ, Clifton P, Lewis PJ. Analgesia and satisfaction in childbirth (the Queen Charlotte’s 1000 Mother Survey) Lancet. 1982;2:808–810. - PubMed
    1. Capogna G, Alahuhtat S, Celleno D, et al. Maternal expectations and experiences of labour pain and analgesia: a multicentre study of nulliparous women. Int J Obstet Anesth. 1996;5:229–235. - PubMed
    1. Rijnders M, Baston H, Schönbeck Y, et al. Perinatal factors related to negative or positive recall of birth experience in women 3 years postpartum in the Netherlands. Birth. 2008;35:107–116. - PubMed
    1. Wiklund I, Edman G, Andolf E. Cesarean section on maternal request: reasons for the request, self-estimated health, expectations, experience of birth and signs of depression among first-time mothers. Acta Obstet Gynecol Scand. 2007;86:451–456. - PubMed
    1. Christiaens W, Bracke P. Assessment of social psychological determinants of satisfaction with childbirth in a cross-national perspective. BMC Pregnancy Childbirth. 2007;7:26. - PMC - PubMed

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