Effect of the maternal childbirth experience on a subsequent birth: a retrospective 7-year cohort study of primiparas in Finland

Johanna Maria Joensuu, Hannu Saarijärvi, Hanna Rouhe, Mika Gissler, Veli-Matti Ulander, Seppo Heinonen, Paulus Torkki, Tomi Mikkola

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu


Objective To study the effect of the childbirth experience on the likelihood and interval to a subsequent live birth.Design Retrospective analysis of a 7-year cohort.Setting Childbirths in Helsinki University Hospital delivery units.Participants All parturients giving birth to a term and living baby from a single pregnancy in Helsinki University Hospital delivery units from January 2012 to December 2018 (n=120 437). Parturients delivering their first child (n=45 947) were followed until the birth of a subsequent child or the end of 2018.Main outcome measure The interval to a subsequent childbirth connected to the experience of the first childbirth was the primary outcome of the study.Results A negative first childbirth experience decreases the likelihood of delivering a subsequent child during the follow-up (adjusted HR=0.81, 95.76 to 0.86) compared with those experiencing the first childbirth as positive. For parturients with a positive childbirth experience, the median interval to a subsequent delivery was 3.90 years (3.84textendash3.97) compared with 5.29 years (4.86textendash5.97) after a negative childbirth experience.Conclusion The negative childbirth experience influences reproductive decisions. Consequently, more focus should be placed on understanding and managing the antecedents of positive/negative childbirth experiences.No data are available. These data were granted for use only in this study. These data are not allowed to be reused or shared without separate permission.
LehtiBMJ Open
DOI - pysyväislinkit
TilaJulkaistu - helmik. 2023
OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä, vertaisarvioitu


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