BACKGROUND: Induction of labour is common in modern obstetrics but its impact on women's birth experiences is inconclusive. AIM: The aim of the present study was to explore the prevalence of induction in a Swedish region and reasons for labour induction. A second aim was to compare the experience of spontaneous labour and birth for women to the experience of induction of labour. A third aim was to explore the difference in labour in relation to the length of pregnancy. METHODS: A one-year cohort of 936 women was included in a longitudinal Swedish survey in which data were collected by questionnaires, two months after birth. The main outcome was a set of data recording women's birth experiences. RESULTS: Labour induction was performed in 17% of births and mostly performed for medical reasons. Women who were induced used more epidurals (OR 2.3; 95% CI 1.4-3.8) for pain relief and used bath/shower less frequently for pain relief (OR 0.3; 95% CI 0.2-0.5). Labour induction was associated with a less positive birth experience (OR 1.5; 95% CI 1.0-2.3), and women who were induced were more likely to totally agree that they were frightened that the baby would be damaged during birth (OR 2.1; 95% CI 1.2-3.9), but the assessment of feelings during birth differed with regard to length of pregnancy. CONCLUSION: Labour induction affects women's experiences of birth and is related to length of pregnancy.
BACKGROUND: Induction of labour is common in modern obstetrics but its impact on women's birth experiences is inconclusive. AIM: The aim of the present study was to explore the prevalence of induction in a Swedish region and reasons for labour induction. A second aim was to compare the experience of spontaneous labour and birth for women to the experience of induction of labour. A third aim was to explore the difference in labour in relation to the length of pregnancy. METHODS: A one-year cohort of 936 women was included in a longitudinal Swedish survey in which data were collected by questionnaires, two months after birth. The main outcome was a set of data recording women's birth experiences. RESULTS: Labour induction was performed in 17% of births and mostly performed for medical reasons. Women who were induced used more epidurals (OR 2.3; 95% CI 1.4-3.8) for pain relief and used bath/shower less frequently for pain relief (OR 0.3; 95% CI 0.2-0.5). Labour induction was associated with a less positive birth experience (OR 1.5; 95% CI 1.0-2.3), and women who were induced were more likely to totally agree that they were frightened that the baby would be damaged during birth (OR 2.1; 95% CI 1.2-3.9), but the assessment of feelings during birth differed with regard to length of pregnancy. CONCLUSION: Labour induction affects women's experiences of birth and is related to length of pregnancy.
Authors: Johanna M Joensuu; Hannu Saarijärvi; Hanna Rouhe; Mika Gissler; Veli-Matti Ulander; Seppo Heinonen; Paulus Torkki; Tomi S Mikkola Journal: BMC Pregnancy Childbirth Date: 2022-06-23 Impact factor: 3.105
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Authors: Michelle R Wise; Joy Marriott; Malcolm Battin; John M D Thompson; Michael Stitely; Lynn Sadler Journal: Trials Date: 2020-02-17 Impact factor: 2.279