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BMC Pregnancy and Childbirth

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Open Access 01-12-2021 | Labor Induction | Research article

Women’s expectations and experiences of labor induction – a questionnaire-based analysis of a randomized controlled trial

Authors: Moa Strandberg, Tove Wallstrom, Eva Wiberg-Itzel

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

Abstract

Background

Although labor induction is a commonly used procedure in obstetrical care, there are limited data on its psycho-emotional effects on the woman. This study analysed the expectations and experiences of women in different routes of labor induction. The study’s primary aim was to compare women’s delivery experience if induced by orally administrated misoprostol (OMS) compared with misoprostol vaginal insert (MVI). Secondly, an evaluation of women’s general satisfaction with induced labor was made, and factors associated with a negative experience.

Methods

Primiparous women (n = 196) with a singleton fetus in cephalic presentation, ≥ 37 weeks of gestation, with a Bishop’s score ≤ 4 planning labor induction were randomly allocated to receive either OMS (Cytotec®) or MVI (Misodel®). Data were collected by validated questionnaires, the Wijma Delivery Expectation/Experience Questionnaire (A + B). The pre-labor part of the survey (W-DEQ version A) was given to participants to complete within 1 hour before the start of induction, and the post-labor part of the questionnaire (W-DEQ version B) was administered after birth and collected before the women were discharged from hospital.

Results

It was found that 11.8% (17/143) reported a severe fear of childbirth (W-DEQ A score ≥ 85). Before the induction, women with extreme fear had 3.7 times increased risk of experiencing labor induction negatively (OR 3.7 [95% CI, 1.04–13.41]).

Conclusion

No difference was identified between OMS and MVI when delivery experience among women induced to labor was analysed. Severe fear of childbirth before labor was a risk factor for a negative experience of labor induction.

Trial registration

Clinical trial register number NCT02918110. Date of registration on May 31, 2016.

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Title: Women’s expectations and experiences of labor induction – a questionnaire-based analysis of a randomized controlled trial
Authors: Moa Strandberg
Tove Wallstrom
Eva Wiberg-Itzel
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Labor Induction
Misoprostol
Published in: BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-021-03786-6

2024 ASCO Annual Meeting

Springer Medicine

Women’s expectations and experiences of labor induction – a questionnaire-based analysis of a randomized controlled trial

Abstract

Background

Methods

Results

Conclusion

Trial registration

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Trial registration

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