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Table 1 Birth satisfaction score by pre- and during- labour factors (n = 674)

From: Pre- and during-labour predictors of low birth satisfaction among Iranian women: a prospective analytical study

Pre-labour Factors

n

Mean (SD)

Mean difference

During labour factors

n

Mean (SD)

MD (95% CI)

Hospital

   

Woman dehydrationb

 

Taleghani

340

23.8 (6.6)

−0.02 (− 1.0 to 1.0)

No

350

26.4 (5.9)

reference

Al-zahra

334

23.9 (6.3)

reference

Less than 3 h

266

21.8 (6.0)

−4.6 (− 5.7 to − 3.2)***

Age (year)

   

More than 3 h

58

18.0 (4.1)

−8.4 (− 10.3 to − 6.4)***

≤ 20

116

24.1 (5.8)

0.3 (−1.0 to 1.9)

Labour Induction with oxytocin

 

21–34

477

23.8 (6.5)

reference

No

384

27.0 (5.6)

reference

35+

81

24.0 (7.1)

0.2 (− 2.0 to 1.7)

Yes

290

19.7 (5.0)

−7.3 (−8.1 to − 6.5)***

Woman educationa

   

Labour Augmentation with oxytocin

No or low

372

24.1 (6.4)

reference

No

196

28.9 (4.7)

reference

High

302

23.6 (6.6)

−0.5 (−1.5 to 0.5)

Yes

478

21.7 (5.9)

−7.2 (−8.2 to − 6.3)***

Views on household Income

 

Amniotomy

   

Sufficient

304

24.7 (6.6)

reference

No

357

24.5 (6.6)

reference

Insufficient

370

23.2 (6.3)

−1.5 (−2.5 to − 0.5)**

Yes

317

23.1 (6.2)

−1.4 (− 2.4 to − 0.4)**

Parity

   

Abnormal fetal cardiogram

 

Primiparous

382

23.1 (6.2)

−1.8 (−2.8 to − 0.9)***

No

653

24.0 (6.5)

reference

Multiparous

292

24.9 (6.7)

reference

Yes

21

19.4 (5.5)

−4.6 (−7.4 to − 1.8)**

Planned pregnancy

   

Receive remifentanil

 

Yes

558

24.1 (6.4)

reference

No

557

24.3 (6.4)

reference

No

116

23.8 (6.5)

0.3 (−1.0 to 1.6)

Yes

117

21.5 (6.4)

−2.81 (−4.1 to − 1.5)***

Attendance at birth preparation classes

 

Labour dystocia

   

Yes

70

25.4 (6.2)

reference

No

335

28.8 (4.1)

reference

No

604

23.7 (6.5)

−1.7 (−3.4 to −0.1)*

Yes

339

18.9 (4.2)

−9.9 (− 10.6 to − 9.3)***

Woman experience of violence during pregnancy

Fearc

   

Physical violence

   

Low

285

28.7 (4.9)

reference

No

618

24.0 (6.5)

reference

High

389

20.3 (5.1)

−8.4 (−9.2 to − 7.6)***

Yes

56

22.4 (6.4)

−1.6 (−3.3 to 0.2)

Anxiety statec

   

Emotional violence

   

Mild

232

30.2 (3.6)

reference

No

484

24.6 (6.3)

reference

Moderate

175

23.9 (4.9)

−6.2 (−7.2 to − 5.3)***

Yes

190

21.9 (6.5)

−2.7 (−3.7 to − 1.6)***

Severe

267

18.3 (3.7)

−11.8 (−12.7 to − 11.0)***

Sexual violence

   

Support by staffb

  

No

600

24.4 (6.4)

reference

Insufficient

109

16.4 (3.4)

−8.8 (−10.0 to − 7.7)***

Yes

74

19.4 (5.4)

−5.0 (−6.5 to − 3.5)***

Sufficient

565

25.3 (5.9)

reference

Woman preference of birth

 

Mode of childbirth

 

Vaginal or no matter

578

24.3 (6.4)

reference

Vaginal with no epi/tear

85

27.2 (5.8)

reference

Cesarean

96

21.1 (6.0)

−3.2 (−4.6 to − 1.9)***

Vaginal with epi or tear

507

24.2 (6.2)

−2.9 (− 4.8 to − 1.0)***

Gestational age (weeks)

   

Vaginal with epi and tear

41

18.9 (5.5)

−8.2 (−11.2 to − 5.2)***

370 to 396

427

24.5 (6.4)

reference

Emergency CS

41

16.9 (4.0)

−10.3 (− 13.3 to − 7.3)***

400 or more

247

22.7 (6.4)

− 1.77 (−2.8 to − 0.8)**

Breast feeding at 1st h after childbirth

    

Yes

618

24.2 (6.4)

reference

    

No

56

20.3 (5.6)

−4.2 (−5.9 to − 2.4)***

  1. epi Episiotomy, CS Cesarean section, * P < 0.05, ** P < 0.005, *** P < 0.001
  2. All analysis were done using univariate general linear model
  3. Birth satisfaction was assessed by Iranian (Persian) version of the birth satisfaction scale-revised (IP-BSS-R) with range score of 0–40 (the higher score, the higher satisfaction)
  4. a15 were illiterate, 357 had low education (153 had elementary, 204 Junior high school/guidance), 240 senior high school and 62 university education, bexistence of one of dehydration signs or symptoms (dry mouth and lips, thirst, dizziness, weakness, trouble swallowing dry food, dry, sticky mouth that makes it hard to talk, a swollen, cracked or dry tongue) [27] . cAnxiety was assessed using the Spielberger’s State Anxiety Inventory (scores 20–40: mild, 41–54: moderate, ≥ 55: severe anxiety). Fear was assessed using one question “I feel frightened” with four options (not at all/somewhat: low fear, moderately so/very much so: high fear [25]. Staff support was assessed using nurse and physician subscale of Mackey satisfaction tool (score range:17–85, scores 51 or less: insufficient, 52 or more: good support [37]