Messer, Tamara A.; Blank, Fabienne; Grand-Guillaume-Perrenoud, Jean Anthony; Aubry, Evelyne (2024). The Impact Of Obesity on Childbirth Expectations Journal of Midwifery & Women's Health Wiley-Blackwell 10.1111/jmwh.13685
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Introduction: Positive childbirth expectations are crucial for fostering a positive labor experience and enhancing the health and well-being of both the woman and her newborn. However, the impact of obesity on childbirth expectations remains underexplored. We aim to assess childbirth expectations in women living with obesity to enhance perinatal care tailored to their specific needs. Methods: Using an adapted version of the Childbirth Expectation Questionnaire (CEQ) in a nationwide online survey, we assessed expectations on childbirth of pregnant women living in Switzerland. We performed one-way analysis of variance and independent t tests to analyze associations between childbirth expectations and women’s characteristics such as body mass index (BMI). Binomial logistic regressions estimated the likelihood of positive birth expectations occurring based on individual and contextual factors. Results: In total, 961 pregnant women responded to the CEQ through social media. Increased BMI was associated with lower mean scores in overall birth expectations (P = .008), whereas women accompanied by midwives during pregnancy showed significantly increased mean scores (P < .001). Regression analysis revealed that women living with obesity were less likely to have positive expectations for their upcoming childbirth when compared with others (adjusted odds ratio [aOR], 0.63; 95% CI, 0.42-0.95; P = .027). Conversely, midwifery care and plans for nonclinical births were associated with increased positive childbirth expectations (aOR, 3.65; 95% CI, 2.11-6.32; P < .001 and aOR, 4.77; 95% CI, 3.37-6.74; P < .001, respectively). Discussion: Women living with obesity exhibited significantly lower childbirth expectations compared with other women, impacting birth out- comes and satisfaction. Midwife involvement correlated with more positive expectations, emphasizing their role in improving women’s realistic expectations and fostering well-being. Enhanced accessibility to models of care with midwifery continuity may be a crucial factor in promoting positive expectations among women living with obesity.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
School of Health Professions School of Health Professions > Midwifery |
Name: |
Messer, Tamara A.; Blank, Fabienne; Grand-Guillaume-Perrenoud, Jean Anthony  0000-0003-0543-2454 and Aubry, Evelyne 0000-0002-3861-0694 |
Subjects: |
R Medicine > RG Gynecology and obstetrics |
ISSN: |
1526-9523 |
Publisher: |
Wiley-Blackwell |
Language: |
English |
Submitter: |
Jean Anthony Grand-Guillaume-Perrenoud |
Date Deposited: |
17 Sep 2024 12:35 |
Last Modified: |
17 Sep 2024 12:35 |
Publisher DOI: |
10.1111/jmwh.13685 |
Uncontrolled Keywords: |
birth, body mass index, labor, midwifery, obesity, perinatal care, pregnancy, survey |
ARBOR DOI: |
10.24451/arbor.22428 |
URI: |
https://arbor.bfh.ch/id/eprint/22428 |
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