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Parents' experiences of an instrumental vaginal birth findings from a regional survey in Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. (Internationell sexuell och reproduktiv hälsa/Larsson)
2013 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, Vol. 4, no 1, 3-8 p.Article in journal (Refereed) Published
Abstract [en]

Objective: An instrumental vaginal birth is known to affect women's birth experience, few studies have explored the fathers' experiences of attending such a birth. The aim of this study is to compare birth outcome and parents' feelings in parents with instrumental vaginal birth or a spontaneous vaginal birth. Methods: A regional survey was conducted of 936 mothers and 827 fathers recruited in mid-pregnancy and followed up 2 months after birth. Data was collected by questionnaires. Crude and adjusted odds ratios with a 95% confidence interval were used in the analysis. Results: The prevalence for instrumental vaginal birth was 9%. Prolonged labour (OR 8.3; 95% CI 5.0-13.9), augmentation with synthetic oxytocin (OR 5.1; 2.9-8.9), and birth complications (OR 2.5; 1.5-2.6) were more common in the instrumental vaginal group. An instrumental vaginal birth was associated with a negative birth experience for mothers (OR 3.2; 1.3-8.1) and fathers (OR 5.2; 1.2-21.5). Mothers who had an instrumental vaginal birth were more likely to report feelings that the baby would be damaged during birth (OR 3.0; 1.7-5.5) and that the birth experience made them decide not to have any more children (OR 3.4; 1.1-10.7). Fathers reported a near-panic feeling when attending an instrumental vaginal birth (OR 5.2; 1.7-15.5). Conclusion: An instrumental vaginal birth was correlated with longer and more complicated births, epidurals and oxytocin augmentation. It affected the birth outcome and parents' feelings and was associated with future reproductive thoughts and a negative birth experience.

Place, publisher, year, edition, pages
2013. Vol. 4, no 1, 3-8 p.
Keyword [en]
Instrumental vaginal birth, Parents' birth experiences, Birth outcome
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-197994DOI: 10.1016/j.srhc.2012.12.002ISI: 000316091000002OAI: oai:DiVA.org:uu-197994DiVA: diva2:614996
Available from: 2013-04-08 Created: 2013-04-08 Last updated: 2014-01-10Bibliographically approved

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Hildingsson, Ingegerd
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