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Indications for Emergency Intervention, Mode of Delivery, and the Childbirth Experience

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  • Jonathan E Handelzalts
  • Avigail Waldman Peyser
  • Haim Krissi
  • Sigal Levy
  • Arnon Wiznitzer
  • Yoav Peled

Abstract

Background: Although the impact of emergency procedures on the childbirth experience has been studied extensively, a possible association of childbirth experience with indications for emergency interventions has not been reported. Objectives: To compare the impacts on childbirth experience of ‘planned’ delivery (elective cesarean section and vaginal delivery) versus ‘unplanned’ delivery (vacuum extraction or emergency cesarean section); the intervention itself (vacuum extraction versus emergency cesarean section); and indications for intervention (arrest of labor versus risk to the mother or fetus). Study design: A total of 469 women, up to 72 hours post-partum, in the maternity ward of one tertiary health care institute completed the Subjective Childbirth Experience Questionnaire (score: 0–4, a higher score indicated a more negative experience) and a Personal Information Questionnaire. Intra-partum information was retrieved from the medical records. One-way analysis of variance and two-way analysis of variance, followed by analysis of covariance, to test the unique contribution of variables, were used to examine differences between groups in outcome. Tukey's Post-Hoc analysis was used when appropriate. Results: Planned delivery, either vaginal or elective cesarean section, was associated with a more positive experience than unplanned delivery, either vacuum or emergency cesarean section (mean respective Subjective Childbirth Experience scores: 1.58 and 1.49 vs. 2.02 and 2.07, P

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  • Jonathan E Handelzalts & Avigail Waldman Peyser & Haim Krissi & Sigal Levy & Arnon Wiznitzer & Yoav Peled, 2017. "Indications for Emergency Intervention, Mode of Delivery, and the Childbirth Experience," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-8, January.
    • Handle: RePEc:plo:pone00:0169132
    DOI: 10.1371/journal.pone.0169132
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    Cited by:

    1. Betina Ristorp Andersen & Maria Birkvad Rasmussen & Karl Bang Christensen & Kirsten G Engel & Charlotte Ringsted & Ellen Løkkegaard & Martin G Tolsgaard, 2020. "Making the best of the worst: Care quality during emergency cesarean sections," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-13, February.
    2. Gizell Green & Riki Tesler & Adilson Marques, 2022. "Primiparous and Multiparous Women’s Mode of Birth and Negative Emotions," IJERPH, MDPI, vol. 19(9), pages 1-9, April.

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