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

Nahaee, Jila; Mohammad-Alizadeh-Charandabi, Sakineh; Abbas-Alizadeh, Fatemeh; Martin, Colin; Hollins Martin, Caroline J.; Mirghafourvand, Mojgan; Hassankhani, Hadi


Jila Nahaee

Sakineh Mohammad-Alizadeh-Charandabi

Fatemeh Abbas-Alizadeh

Colin Martin

Caroline J. Hollins Martin

Mojgan Mirghafourvand

Hadi Hassankhani


Maternal childbirth dissatisfaction has short- and long-term negative effects on the mothers’ health and life, as well as on relation with her child and family. Due to lack of studies in Iran and other counties, we aimed to determine pre- and during- labour predictors of low birth satisfaction.

Seven hundred women with low risk singleton pregnancy participated in this prospective analytical study. The participants were hospitalized for vaginal delivery with fetus in cephalic presentation and gestational age of 370–416 at two teaching centers in Tabriz (Iran). Woman characteristics, anxiety state (using Spielberger inventory) and dehydration were assessed at cervical dilatation of 4–6 cm. Iranian (Persian) birth satisfaction scale-revised was applied 12–24 h after birth. Multiple linear regression was used to determine the predictors.

Excluding 26 women who were outliers, 674 women were analyzed. The mean birth satisfaction score was 23.8 (SD 6.5) from an attainable score of 0–40. The during-labour predictors of low birth satisfaction score were severe and moderate anxiety, labour dystocia, insufficient support by staff, vaginal birth with episiotomy and tear, emergency cesarean section, labour induction and labour augmentation with oxytocin, and woman dehydration. The pre-labour predictors included being primiparous, sexual and emotional violence during pregnancy, gestational age of 400–416, preference for cesarean section, no attendance at pregnancy classes, and insufficient household income. The proportion of the variance explained by the during-labour variables was 75%, by pre-labour variables was 14% and by overall was 76%.

The controllable during-labour predictors explains most of the variance of the satisfaction score. It seems that responding to women’s physical and psychological needs during labour and applying less interventions could improve women’s childbirth satisfaction.


Nahaee, J., Mohammad-Alizadeh-Charandabi, S., Abbas-Alizadeh, F., Martin, C., Hollins Martin, C. J., Mirghafourvand, M., & Hassankhani, H. (2020). Pre- and during-labour predictors of low birth satisfaction among Iranian women: a prospective analytical study. BMC Pregnancy and Childbirth, 20(1), Article 408.

Journal Article Type Article
Acceptance Date Jul 9, 2020
Online Publication Date Jul 14, 2020
Publication Date 2020-12
Deposit Date Jul 22, 2020
Publicly Available Date Jul 22, 2020
Journal BMC Pregnancy and Childbirth
Print ISSN 1471-2393
Electronic ISSN 1471-2393
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 20
Issue 1
Article Number 408
Keywords Obstetrics and Gynaecology
Public URL
Additional Information Received: 22 January 2020; Accepted: 9 July 2020; First Online: 14 July 2020; : The study was approved by the Ethics Committee of Tabriz University of Medical Sciences under the code IR.TBZMED.REC.1397.624. We followed all Helsinki declaration and national ethical standards. All participants were ensured about the matter of confidentiality, and informed written consent of the participants, and in case of under 16 years old also from their husbands (and from their parents if accessible), was obtained before data collection.; : Not applicable.; : The authors declare no competing interests.


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