Maternal childbirth experience and induction of labour in each mode of delivery: a retrospective seven-year cohort study of 95,051 parturients in Finland

Johanna M Joensuu, Hannu Saarijärvi, Hanna Rouhe, Mika Gissler, Veli-Matti Ulander, Seppo Heinonen, Paulus Torkki, Tomi S Mikkola, Johanna M Joensuu, Hannu Saarijärvi, Hanna Rouhe, Mika Gissler, Veli-Matti Ulander, Seppo Heinonen, Paulus Torkki, Tomi S Mikkola

Abstract

Background: Childbirth experience has been shown to depend on the mode of delivery. However, it is unclear how labour induction influences the childbirth experience in different modes of delivery. Thus, we assessed the childbirth experience among mothers with spontaneous and induced labours.

Design: A retrospective cohort study.

Setting: Childbirths in four delivery hospitals in Helsinki and Uusimaa District, Finland, in 2012-2018.

Sample: 95051 childbirths excluding elective caesarean sections.

Methods: Obstetric data combined to maternal childbirth experience measured by Visual Analogue Scale (VAS) was analysed with univariate linear modelling and group comparisons. The primiparas and multiparas were analysed separately throughout the study due to the different levels of VAS.

Main outcome measures: Maternal childbirth experience measured by VAS.

Results: The negative effect of labour induction on the childbirth experience was discovered in each mode of delivery. Operative deliveries were perceived more negatively when they were preceded by labour induction. The rate of poor childbirth experience (VAS≤5) was higher for mothers with labour induction (ORs varying from 1.43 to 1.77) except in emergency caesarean sections. The negative effect of labour induction was smaller than the effect of mode of delivery, while successful vaginal delivery with induction (meanPRIMI=8.00 [95% CI 7.96-8.04], meanMULTI=8.50 [8.47-8.53]) was perceived more positive than operational deliveries with spontaneous labour (meansPRIMI≤7.66 [7.61-7.70], meansMULTI≤7.96 [7.89-8.03]). However, labour induction more than doubled the risk of caesarean section for both primiparas and multiparas.

Conclusions: Labour induction generates more negative experiences for both primiparas and multiparas. The negative effect of labour induction is detected for all modes of delivery, being worst among labour induction resulting in operative delivery. The parturients facing cumulative obstetric interventions require special support and counselling during and after delivery.

Keywords: Delivery method; Giving birth; Induced labour; Maternal experience; Maternity; Pregnancy.

Conflict of interest statement

The authors declare that they have no competing interests.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
Data inclusion criteria and sample size
Fig. 2
Fig. 2
The adjusted means of VAS with 95% confidence intervals for spontaneous and induced labours in each mode of delivery (corresponding data in a numerical Table 6 is available in a supplementary file)

References

    1. Hodnett ED. Pain and women's satisfaction with the experience of childbirth: A systematic review. Am J Obstet Gynecol. 2002;186(5, Supplement):160–172. doi: 10.1016/S0002-9378(02)70189-0.
    1. Waldenström U, Hildingsson I, Rubertsson C, Rådestad I. A negative birth experience: Prevalence and risk factors in a national sample. Birth. 2004;31(1):17–27. doi: 10.1111/j.0730-7659.2004.0270.x.
    1. Gottvall K, Waldenström U. Does a traumatic birth experience have an impact on future reproduction? BJOG-Int J Obstet Gy. 2002;109(3):254–260. doi: 10.1111/j.1471-0528.2002.01200.x.
    1. Shorey S, Yang YY, Ang E. The impact of negative childbirth experience on future reproductive decisions: A quantitative systematic review. J Adv Nurs. 2018;74(6):1236–1244. doi: 10.1111/jan.13534.
    1. Larsson C, Saltvedt S, Edman G, Wiklund I, Andolf E. Factors independently related to a negative birth experience in first-time mothers. Sex Reprod Healthc. 2011;2(2):83–89. doi: 10.1016/j.srhc.2010.11.003.
    1. Turkmen S, Tjernström M, Dahmoun M, Bolin M. Post-partum duration of satisfaction with childbirth. J Obstet Gynaecol Res. 2018;44(12):2166–2173. doi: 10.1111/jog.13775.
    1. Falk M, Nelson M, Blomberg M. The impact of obstetric interventions and complications on women’s satisfaction with childbirth a population based cohort study including 16,000 women. BMC Pregnancy Childbirth. 2019;19(1):494. doi: 10.1186/s12884-019-2633-8.
    1. Adler K, Rahkonen L, Kruit H. Maternal childbirth experience in induced and spontaneous labour measured in a visual analog scale and the factors influencing it; a two-year cohort study. BMC Pregnancy Childbirth. 2020;20(1):415. doi: 10.1186/s12884-020-03106-4.
    1. Mishanina E, Rogozinska E, Thatthi T, Uddin-Khan R, Khan KS, Meads C. Use of labour induction and risk of cesarean delivery: A systematic review and meta-analysis. CMAJ. 186(9):665–73 .
    1. Middleton P, Shepherd E, Crowther CA. Induction of labour for improving birth outcomes for women at or beyond term. Cochrane Database Syst Rev. 2018;5(5) .
    1. Davey M, King J. Caesarean section following induction of labour in uncomplicated first births- a population-based cross-sectional analysis of 42,950 births. BMC Pregnancy Childbirth. 2016;16(92) .
    1. Pyykönen A, Tapper A, Gissler M, Haukka J, Petäjä J, Lehtonen L. Propensity score method for analyzing the effect of labor induction in prolonged pregnancy. Acta Obstet Gynecol Scand. 2018;97(4):445–453. doi: 10.1111/aogs.13214.
    1. Keulen JK, Bruinsma A, Kortekaas JC, van Dillen J, van der Post JAM, de Miranda E. Timing induction of labour at 41 or 42 weeks? A closer look at time frames of comparison: A review. Midwifery. 2018;66:111–118. doi: 10.1016/j.midw.2018.07.011.
    1. Gülmezoglu AM, Crowther CA, Middleton P, Heatley E. Induction of labour for improving birth outcomes for women at or beyond term. Cochrane Database Syst Rev. 2012;6(6) .
    1. Schaal NK, Fehm T, Albert J, et al. Comparing birth experience and birth outcome of vaginal births between induced and spontaneous onset of labour: A prospective study. Arch Gynecol Obstet. 2019;300(1):41–47. doi: 10.1007/s00404-019-05150-8.
    1. Bossano CM, Townsend KM, Walton AC, Blomquist JL, Handa VL. The maternal childbirth experience more than a decade after delivery. Am J Obstet Gynecol. 2017;217(3):342.e1–342.e8. doi: 10.1016/j.ajog.2017.04.027.
    1. Blomquist JL, Quiroz LH, MacMillan D, Mccullough A, Handa VL. Mothers’ satisfaction with planned vaginal and planned cesarean birth. Am J Perinatol. 2011;28(5):383. doi: 10.1055/s-0031-1274508.
    1. Carquillat P, Boulvain M, Guittier M. How does delivery method influence factors that contribute to women's childbirth experiences? Midwifery. 2016;43:21–28. doi: 10.1016/j.midw.2016.10.002.
    1. Kempe P, Vikström-Bolin M. Women’s satisfaction with the birthing experience in relation to duration of labour, obstetric interventions and mode of birth. Eur J Obstet Gynecol Reprod Biol. 2020;246:156–159. doi: 10.1016/j.ejogrb.2020.01.041.
    1. Ayers S, Pickering AD. Women's expectations and experience of birth. Psychol Health. 2005;20(1):79–92. doi: 10.1080/0887044042000272912.
    1. Rouhe H, Salmela-Aro K, Halmesmäki E, Saisto T. Fear of childbirth according to parity, gestational age, and obstetric history. BJOG-Int J Obstet Gy. 2009;116(1):67–73. doi: 10.1111/j.1471-0528.2008.02002.x.
    1. Joensuu J, Saarijärvi H, Rouhe H, Gissler M, Ulander VM, Heinonen S, Mikkola T. Maternal childbirth experience and time of delivery: A retrospective seven-year cohort study of 105,847 parturients in Finland. BMJ Open 2021 (accepted to publication)
    1. Wu Y, Kataria Y, Wang Z, Ming W, Ellervik C. Factors associated with successful vaginal birth after a cesarean section: A systematic review and meta-analysis. BMC Pregnancy Childbirth. 2019;19(1):1–12. doi: 10.1186/s12884-018-2145-y.
    1. Hildingsson I, Karlström A, Nystedt A. Women’s experiences of induction of labour – findings from a swedish regional study. Aust N Z J Obstet Gynaecol. 2011;51(2):151–157. doi: 10.1111/j.1479-828X.2010.01262.x.
    1. Spaich S, Welzel G, Berlit S, et al. Mode of delivery and its influence on women's satisfaction with childbirth. Eur J Obstet Gynecol Reprod Biol. 2013;170(2):401–406. doi: 10.1016/j.ejogrb.2013.07.040.
    1. Henderson J, Redshaw M. Women's experience of induction of labor: A mixed methods study. Acta Obstet Gynecol Scand. 2013;92(10):1159–1167. doi: 10.1111/aogs.12211.
    1. Jacquemyn Y, Michiels I, Martens G. Elective induction of labour increases caesarean section rate in low risk multiparous women. Obstet Gynaecol. 2012;32(3):257–259. doi: 10.3109/01443615.2011.645091.
    1. Langhoff-Roos J, Krebs L, Klungsøyr K, et al. The Nordic medical birth registers–a potential goldmine for clinical research. Acta Obstet Gynecol Scand. 2014;93(2):132–137. doi: 10.1111/aogs.12302.
    1. Wijma K, Wijma B, Zar M. Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth. J Psychosom Obstet Gynaecol. 1998;19(2):84–97. doi: 10.3109/01674829809048501.
    1. Waldenström U. Why do some women change their opinion about childbirth over time? Birth. 2004;31(2):102–107. doi: 10.1111/j.0730-7659.2004.00287.x.
    1. Maimburg RD, Væth M, Dahlen H. Women's experience of childbirth – A five year follow-up of the randomised controlled trial “Ready for child trial”. Women Birth. 2016;29(5):450–454. doi: 10.1016/j.wombi.2016.02.003.
    1. Roberts L, Henry A, Harvey SB, et al. Depression, anxiety and posttraumatic stress disorder six months following preeclampsia and normotensive pregnancy: a P4 study. BMC Pregnancy Childbirth. 2022;22(1):108. doi: 10.1186/s12884-022-04439-y.

Source: PubMed

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