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Measuring women’s childbirth experiences: a systematic review for identification and analysis of validated instruments
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-8562-3068
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
2017 (English)In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 17, no 1, article id 203Article in journal (Refereed) Published
Abstract [en]

Background

Women’s childbirth experience can have immediate as well as long-term positive or negative effects on their life, well-being and health. When evaluating and drawing conclusions from research results, women’s experiences of childbirth should be one aspect to consider. Researchers and clinicians need help in finding and selecting the most suitable instrument for their purpose. The aim of this study was therefore to systematically identify and present validated instruments measuring women’s childbirth experience.

Methods

A systematic review was conducted in January 2016 with a comprehensive search in the bibliographic databases PubMed, CINAHL, Scopus, The Cochrane Library and PsycINFO. Included instruments measured women’s childbirth experiences. Papers were assessed independently by two reviewers for inclusion, and quality assessment of included instruments was made by two reviewers independently and in pairs using Terwee et al’s criteria for evaluation of psychometric properties.

Results

In total 5189 citations were screened, of which 5106 were excluded by title and abstract. Eighty-three full-text papers were reviewed, and 37 papers were excluded, resulting in 46 included papers representing 36 instruments. These instruments demonstrated a wide range in purpose and content as well as in the quality of psychometric properties.

Conclusions

This systematic review provides an overview of existing instruments measuring women’s childbirth experiences and can support researchers to identify appropriate instruments to be used, and maybe adapted, in their specific contexts and research purpose.

Place, publisher, year, edition, pages
Springer Nature, 2017. Vol. 17, no 1, article id 203
National Category
Nursing
Identifiers
URN: urn:nbn:se:hb:diva-29563DOI: 10.1186/s12884-017-1356-yOAI: oai:DiVA.org:hb-29563DiVA, id: diva2:1745644
Available from: 2023-03-23 Created: 2023-03-23 Last updated: 2023-03-30Bibliographically approved
In thesis
1. To give birth in late- and post-term pregnancy - women's experiences and perspectives
Open this publication in new window or tab >>To give birth in late- and post-term pregnancy - women's experiences and perspectives
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Childbirth is a lifechanging event, and women carry with them the experience throughout life. Around one in five pregnancies reach gestational week 41. When to recommend induction of labour for those extending 41 gestational weeks has been debated. Also, knowledge of women’s experiences and perspectives is limited. Therefore, the overall aim of this thesis was to obtain a deeper understanding of women’s experiences and perspectives of giving birth in late- and post-term pregnancy. Study I is a systematic review aiming to identify and present validated instruments measuring women’s childbirth experiences. In total, 36 instruments were identified representing different aspects of childbirth experiences with varying quality of psychometric properties. Study II compared childbirth experience between women randomised to either induction in gestational week 41+0 to 41+2 or to expectant management until gestational week 42. In total, 656 women responded to the Childbirth Experience Questionnaire version 2, three months after birth. As an exploratory outcome, 1457 women responded to the overall childbirth experience measured on a visual analogue scale within three days after birth. No significant difference was seen between the two randomised groups. Study III is a phenomenological study where twelve women were interviewed about their experience of induction of labour in late- and post-term pregnancy. The essence was described as the induction of labour becoming another journey than the intended one. In Study IV, ten women who wanted to await spontaneous onset in week 41 were interviewed about their experiences and perspectives regarding giving birth in late-term pregnancy. Through reflexive thematic analysis, three main themes were identified: well-being and trust in the own body’s process, not for me right now – if everything is good, and the embodied experience of giving birth. This thesis provides new insights into how induction of labour can be experienced in late- and post-term pregnancy as well as the experience of wanting to await spontaneous onset of labour. The included studies can aid maternity personnel in acquiring a deeper understanding and enable more individualised care in the lifechanging and existential period that giving birth and becoming a parent is.

Place, publisher, year, edition, pages
Göteborg: University of Gothenburg, 2022
Keywords
childbirth experience, late-term pregnancy, post-term pregnancy, induction of labour, systematic review, validated questionnaire, randomised controlled trial, phenomenology, thematic analysis
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-29567 (URN)978-91-8009-807-6 (ISBN)978-91-8009-808-3 (ISBN)
Public defence
2022-06-08, sal 2119, Arvid Wallgrens backe 1, Göteborg, 09:00
Available from: 2023-03-23 Created: 2023-03-23 Last updated: 2023-03-23Bibliographically approved

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