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The correlation of maternal childbirth experience satisfaction with postnatal depression, anxiety and stress scoring

Al-Kubaisi, Muna Khaleel Dheyab and Al-Ani, Ali Sabri Radeef and Ismail, Hamizah (2019) The correlation of maternal childbirth experience satisfaction with postnatal depression, anxiety and stress scoring. International Journal of Innovative Research in Medical Science (IJIRMS), 4 (7). pp. 435-440. ISSN 2455-8737

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Abstract

Aim: To evaluate the relationship of childbirth satisfaction and maternal postnatal emotional disturbances and to explore the socialdemographic factors that affects the maternal childbirth experience. Methods: The study was performed at Hospital Ampuan Afzan in Kuantan, Pahang, Malaysia. All women presented with labour or elective caesarean sections (CS) at term were counselled to participate in the study. A total number of 600 participants were recruited. Elective CS perform in 99 patients and vaginal delivery achieved by 320 mothers, 40 ended by instrumental delivery and 141 went through emergency CS. Patients were interviewed 24 hours postnatal using two questionnaires; childbirth satisfaction questionnaire and DASS21 for psychological assessment. The data were analysed using possible correlation matrix in SPSS 23 version. Results: Pearson correlation test; Satisfaction had an inverse relation with depression scores (r = -0.14, n = 600, p = 0.001), anxiety (r = -0.125, n = 600) (p = 0.002), and stress (r = -0.116, n = 600, p = 0.005). Independent sample t-test; Women with satisfaction score below the mean (<66.01) have higher depressive mood (4.66 ± 5.31) than women with satisfaction score above the mean (≥66.01) (3.69 ± 5.40) (p<0.03). The same significant relation was seen with stress score (8.91 ± 7.27 and 7.78 ± 7.01 respectively) (p <0.05) but not with anxiety. Mothers who deliver first child (Primiparous) have lower satisfaction than women with previous delivery experience (Multiparous) (64.99 ± 6.31 and 66.70 ± 6.45 respectively) (p < 0.05) and women with neonates admitted to neonatal intensive care (65.08 ± 6.52 and 66.70 ± 6.42 respectively) (p < 0.05) are more liable to have dissatisfaction. Women delivered by elective caesarean section (CS) or instrumentation have lower satisfaction score than normal delivery and emergency CS (p < 0.05). Conclusion: Negative psychological background of mothers affects the level of maternal satisfaction post-childbirth. Primiparous mothers are dissatisfied with childbirth as compared with multiparous women. Neonatal admission to the Intensive Care Unit (NICU) negatively affects maternal satisfaction. Mothers with higher education have better satisfaction score.

Item Type: Article (Journal)
Additional Information: 6476/73772
Uncontrolled Keywords: Satisfaction, childbirth, depression, anxiety, stress
Subjects: R Medicine > RG Gynecology and obstetrics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Obstetric & Gynecology
Kulliyyah of Medicine > Department of Psychiatry
Kulliyyah of Medicine
Depositing User: salina mohammad
Date Deposited: 26 Aug 2019 10:58
Last Modified: 26 Aug 2019 10:58
URI: http://irep.iium.edu.my/id/eprint/73772

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