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Birthing positions and mother`s satisfaction with childbirth: a cross-sectional study on the relevance of self determination. | LitMetric

Birthing positions and mother`s satisfaction with childbirth: a cross-sectional study on the relevance of self determination.

Arch Gynecol Obstet

Center for Health Communication and Health Services Research, Department for Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, University Hospital Bonn, Venusberg-Campus 1, Gebäude 02, Auenbruggerhaus, 53127, Bonn, Germany.

Published: November 2024

AI Article Synopsis

  • The study investigates the impact of birthing positions and women's freedom to choose these positions during labor on their satisfaction with the childbirth experience.
  • It involved a survey of 761 women who gave birth vaginally, highlighting that the supine position was the most common but often chosen involuntarily, affecting satisfaction levels negatively.
  • The findings emphasize the importance of self-determination in birthing choices, showing that limited choice correlates with lower satisfaction among mothers.

Article Abstract

Introduction: Considering the inconclusive evidence regarding the clinical benefits of specific birthing positions, emphasis has been placed on adhering to women's preferences during the second stage of labour. Therefore, the present study aimed to assess the association between birthing position, the freedom to choose a birth position during the second stage of labour, and women's subjective satisfaction with childbirth.

Methods: We performed a cross-sectional survey of women 8 or 12 months after a vaginal birth in a hospital. The women were recruited via two cooperating health insurance companies. Multivariate analyses were conducted to assess the strength of the association between birthing position and maternal satisfaction with childbirth, with a particular focus on interactions with self-determination.

Results: In total, the data from 761 women were analysed. The supine position was the most frequently reported birthing position in the second stage of labour at 77.5%. Notably, 39.0% and 30.5% of the women who gave birth in the dorsal and lateral supine positions, respectively, stated that the birth position was not chosen voluntarily. The regression models show a significant negative association between supine birthing position and satisfaction with childbirth, which is significantly related to self-determination. The most common reason for the adoption of a specific birthing position was instructions from medical staff.

Discussion: The data provide insight into the perceived satisfaction with childbirth depending on the birthing position, whereby the relevance of self-determination is particularly evident. At the same time, self-determination is often not given, which is associated with reduced birth satisfaction.

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Source
http://dx.doi.org/10.1007/s00404-024-07770-1DOI Listing

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