Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial
Objective To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study.Design A register-based, multicentre, randomised, controlled, superiority trial.Setting Women were recr...
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BMJ Publishing Group
2021-04-01
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| Online Access: | https://bmjopen.bmj.com/content/11/4/e042340.full |
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| author | Anna Dencker Ulla-Britt Wennerholm Sissel Saltvedt Anna Wessberg Christina Bergh Helena Fadl Verena Sengpiel Jan Wesström Anna-Karin Wikström Helen Elden Henrik Hagberg Helena Nilvér Ingela Lundgren |
| author_facet | Anna Dencker Ulla-Britt Wennerholm Sissel Saltvedt Anna Wessberg Christina Bergh Helena Fadl Verena Sengpiel Jan Wesström Anna-Karin Wikström Helen Elden Henrik Hagberg Helena Nilvér Ingela Lundgren |
| author_sort | Anna Dencker |
| collection | DOAJ |
| description | Objective To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study.Design A register-based, multicentre, randomised, controlled, superiority trial.Setting Women were recruited at 14 hospitals in Sweden, 2016–2018.Participants Women with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks.Interventions The women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379).Outcome measures As main outcome, women’s childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1–10) within 3 days after delivery at the remaining eleven hospitals.Results The total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22).Conclusions There were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high.Trial registration number ISRCTN26113652. |
| format | Article |
| id | doaj-art-a36cea2cf10b4930b353712fc396a945 |
| institution | Kabale University |
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| language | English |
| publishDate | 2021-04-01 |
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| spelling | doaj-art-a36cea2cf10b4930b353712fc396a9452024-11-21T15:00:11ZengBMJ Publishing GroupBMJ Open2044-60552021-04-0111410.1136/bmjopen-2020-042340Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trialAnna Dencker0Ulla-Britt Wennerholm1Sissel Saltvedt2Anna Wessberg3Christina Bergh4Helena Fadl5Verena Sengpiel6Jan Wesström7Anna-Karin Wikström8Helen Elden9Henrik Hagberg10Helena Nilvér11Ingela Lundgren12Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Goteborg, SwedenDepartment of Obstetrics, Sahlgrenska University Hospital, Gothenbourg, SwedenDepartment of Obstetrics and Gynaecology, Karolinska University Hospital, Stockholm, SwedenInstitute of Health and Care Sciences, Sahlgrenska Akademy, University of Gothenbourg, Gothenbourg, SwedenDepartment of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Goteborg, SwedenDepartment of Obstetrics and Gynaecology, Faculty of Medicine and Health, Örebro University, Örebro, SwedenCentre of Perinatal Medicine & Health, Institute of Clinical Sciences, Salgrenska Akademy, Göteborgs Universitet, Gothenbourg, SwedenCentre for Clinical Research, Department of Women’s Health, Dalarna County Council, Falun, SwedenDepartment of Women’s and Children’s Health, Uppsala University, Uppsala, SwedenDepartment of Obstetrics and Gynecology, Region Västra Götaland, Sahlgrenska University Hospital, Goteborg, SwedenDepartment of Obstetrics, Sahlgrenska University Hospital, Gothenbourg, SwedenInstitute of Health and Care Sciences, Sahlgrenska Akademy, University of Gothenbourg, Gothenbourg, SwedenInstitute of Health and Care Sciences, University of Gothenburg, Goteborg, SwedenObjective To compare childbirth experiences in women randomly assigned to either induction of labour at 41 weeks or to expectant management until 42 weeks, in the Swedish Post-term Induction Study.Design A register-based, multicentre, randomised, controlled, superiority trial.Setting Women were recruited at 14 hospitals in Sweden, 2016–2018.Participants Women with an uncomplicated singleton pregnancy were recruited at 41 gestational weeks.Interventions The women were randomly assigned to induction of labour at 41 weeks (induction group, n=1381) or expectant management until 42 weeks (expectant management group, n=1379).Outcome measures As main outcome, women’s childbirth experiences were measured using the Childbirth Experience Questionnaire version 2 (CEQ2), in 656 women, 3 months after the birth at three hospitals. As exploratory outcome, overall childbirth experience was measured in 1457 women using a Visual Analogue Scale (VAS 1–10) within 3 days after delivery at the remaining eleven hospitals.Results The total response rate was 77% (2113/2760). There were no significant differences in childbirth experience measured with CEQ2 between the groups (induction group, n=354; expectant management group, n=302) in the subscales: own capacity (2.8 vs 2.7, p=0.09), perceived safety (3.3 vs 3.2, p=0.06) and professional support (3.6 vs 3.5, p=0.38) or in the total CEQ2 score (3.3 vs 3.2, p=0.07), respectively. Women in the induction group scored higher in the subscale participation (3.6 vs 3.4, p=0.02), although with a small effect size (0.19). No significant difference was observed in overall childbirth experience according to VAS (8.0 (n=735) vs 8.1 (n=735), p=0.22).Conclusions There were no differences in childbirth experience, according to CEQ2 or overall childbirth experience assessed with VAS, between women randomly assigned to induction of labour at 41 weeks or expectant management until 42 weeks. Overall, women rated their childbirth experiences high.Trial registration number ISRCTN26113652.https://bmjopen.bmj.com/content/11/4/e042340.full |
| spellingShingle | Anna Dencker Ulla-Britt Wennerholm Sissel Saltvedt Anna Wessberg Christina Bergh Helena Fadl Verena Sengpiel Jan Wesström Anna-Karin Wikström Helen Elden Henrik Hagberg Helena Nilvér Ingela Lundgren Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial BMJ Open |
| title | Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial |
| title_full | Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial |
| title_fullStr | Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial |
| title_full_unstemmed | Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial |
| title_short | Women’s childbirth experiences in the Swedish Post-term Induction Study (SWEPIS): a multicentre, randomised, controlled trial |
| title_sort | women s childbirth experiences in the swedish post term induction study swepis a multicentre randomised controlled trial |
| url | https://bmjopen.bmj.com/content/11/4/e042340.full |
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