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These reviews identified effective strategies for a positive childbirth experience, including continuous support for women during childbirth, midwife-led continuity model of care, and behavior of the caregivers.Įarly postpartum debriefing interventions as a prevention of psychological trauma were not found to be effective, therefore focusing on prenatal and intrapartum interventions was recommended. In addition, Cochrane reviews about specific interventions, such as midwife-led care, have reported and analyzed perceptions of the childbirth experience as an outcome. In 2002 a narrative systematic review of observational studies, RCTs and systematic reviews was conducted to assess the effect of pain on women’s sense of satisfaction with childbirth experience. Therefore, it is evident there is a lack of recommendations within national guidelines regarding the prevention of PBT. Previous reviews did not aim to provide a comprehensive insight into the prevention strategies of negative childbirth experiences. Our current review of randomized controlled trials (RCTs) assesses all types of women-centered interventions designed to create a positive childbirth experience. However, trials that tried to create positive childbirth experiences may be considered as an alternative approach in the prevention of PBT. The meeting concluded that there are no published studies directly aimed at preventing psychological trauma in childbirth. Prevention of psychological birth trauma (PBT) has been recommended as a new area of research in Oxford meeting. A negative experience in childbirth is associated with post-traumatic stress disorder (PTSD), disruption to interpersonal relationships, dysfunctional maternal-infancy bonding, reduction in rates of exclusive breastfeeding, inappropriate utilization of maternal and newborn care services, fear of childbirth and increased desire for an elective caesarean section in future pregnancies. Prevention of negative birth experience using these successful practices leads to the promotion of vaginal birth, high quality maternity care and the reduction of chronic psychological complications.Ĭhildbirth is one of the most challenging psychological events in a mother’s life, as 10–34% of all childbearing women are faced with traumatic birth experiences. These programs can comprise a combination of successful strategies such as continuous labour support by a familiar person, reassuring physical contact using massage, and the continuity of midwifery care. We believe that emotional support programs for childbearing women should be implemented in countries’ maternal health plans. This newly found list of successful strategies can shed light on clinical practice in order to create a positive perception of childbirth experience.
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Successful strategies in prevention of negative birth experience were presence of a trained birth companion, relaxation through massage and music, early labour assessment to minimize obstetric interventions, and being prepared for childbirth through individual birth plan. This review categorized strategies into four main group: supporting women during labour, relaxation and pain relief during birth, intrapartum care with minimal intervention, and birth preparedness. Among 8685 search results published between 19, 20 unique RCTs were included. We aimed to find any intervention which can impact on the childbirth experience among low risk pregnant or childbearing women. To achieve this goal, an outcome-based systematic review on RCTs was conducted. This study’s aim is to collect effective prenatal and intrapartum care practices to prevent negative birth experiences. The negative birth experience has been common event internationally it may create a psychological birth trauma (PBT) for women which can lead to post- traumatic stress disorder (PTSD).