Department of Midwifery, Health Reproductive Research Center, Sari Branch, Islamic Azad University, Sari, Iran.
Department of Reproductive Health, School of Nursing & Midwifery, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
BMC Pregnancy Childbirth. 2024 Oct 2;24(1):635. doi: 10.1186/s12884-024-06840-1.
Childbirth experience is an event in a woman's life with short- and long-term effects on her physical and mental health. This study aimed to investigate different dimensions of women's childbirth experiences and its predictors.
This cross-sectional study was conducted on 430 postnatal women with vaginal delivery in 2021 in Northern Iran. Data were collected using the Iranian women's childbirth experience questionnaire (IWCEQ) and demographic and pregnancy-related characteristics questionnaire. Principal component analysis using Amos 24 and backward multiple linear regression using SPSS 22 were employed to analyze the data.
The mean score of childbirth experiences was 48.48 ± 19.09% out of 100 (95% CI: 46.68-50.28). The Principal Component Analysis revealed that the preparation (β = 0.84), positive perception (β = 0.78), and fear dimensions (β= -0.72) were the most important dimensions of women's childbirth experiences. Moreover, education (B = -7.14, p = 0.001), spouse's education (B = 7.40, p = 0.001), history of previous childbirth (B = 4.88, p = 0.001), obstetric problems of previous childbirth (B = - 7.73, p = 0.038), mother's preferred type of delivery (B = 9.34, p = 0.001), the simultaneous delivery of another baby in the delivery room (B = -3.39, p = 0.017), and birth weight (B = -5.79, p = 0.005) explained 40% of the variance of the childbirth experience score.
Childbirth experience is a unique experience that influenced by positive and negative issues. More studies to identify related factors to dimensions of childbirth experience may have some insights for developing national and local- level health policies and clinical protocols.
分娩经历是女性生活中的一个事件,对其身心健康具有短期和长期影响。本研究旨在调查女性分娩经历的不同维度及其预测因素。
本横断面研究于 2021 年在伊朗北部对 430 名阴道分娩的产后妇女进行,采用伊朗女性分娩经历问卷(IWCEQ)和人口统计学及妊娠相关特征问卷收集数据。采用 Amos 24 的主成分分析和 SPSS 22 的向后多元线性回归分析数据。
分娩经历的平均得分为 100 分的 48.48±19.09%(95%CI:46.68-50.28)。主成分分析显示,准备(β=0.84)、积极感知(β=0.78)和恐惧维度(β=-0.72)是女性分娩经历的最重要维度。此外,教育(B=-7.14,p=0.001)、配偶教育(B=7.40,p=0.001)、既往分娩史(B=4.88,p=0.001)、既往分娩的产科问题(B=-7.73,p=0.038)、母亲首选分娩方式(B=9.34,p=0.001)、分娩室同时分娩另一个婴儿(B=-3.39,p=0.017)和出生体重(B=-5.79,p=0.005)解释了分娩经历得分 40%的差异。
分娩经历是一种独特的经历,受到积极和消极问题的影响。进一步研究确定与分娩经历维度相关的因素可能为制定国家和地方卫生政策和临床方案提供一些见解。