ArticleBJOG : an international journal of obstetrics and gynaecology2025
Medical Interventions and Women's Perceptions of Respectful Intrapartum Care: A National Survey-Based Cohort Study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Disrespectful Maternity Care and Postpartum Depression at 2 Months: A Population-Based Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
objectiveTo investigate whether women's perceptions of respectful intrapartum care are influenced by the use of epidural, oxytocin, or episiotomy.
designNational survey-based cohort study using data from the Swedish Pregnancy Survey 8 weeks postpartum (NPS-8) merged with Swedish Pregnancy Register (SPR) data.
settingSweden, 2022-2023. POPULATION: Primiparous women with a singleton pregnancy, cephalic presentation, spontaneous onset of labour, a live fetus at ≥ 37 weeks gestation, and a vaginal birth.
methodsAssociations between respectful care and epidural analgesia, oxytocin, or episiotomy and their combinations were analysed using logistic regression to estimate adjusted odds ratios (aOR) with 95% confidence intervals (CI).
main outcome measuresFour NPS-8 items assessing women's perceptions of being treated respectfully, receiving support, being informed, and being involved in decision-making during childbirth.
resultsOf 34 111 women, 20 363 (59.7%) responded, with the majority feeling respected during childbirth. Compared with women who had spontaneous vaginal births, those with instrumental births more frequently reported inadequate support (17.7% vs. 11.0%), insufficient information (25.1% vs. 16.2%), and lack of involvement in decision-making (29.2% vs. 17.1%). Among women with spontaneous vaginal births, those subjected to an episiotomy were less likely to report being involved in decision-making (77.8% vs. 83.8%; aOR 0.60, 95% CI 0.50-0.73). The combination of episiotomy and oxytocin was associated with the lowest adjusted odds of involvement in decision-making (77.0% vs. 84.6%; aOR 0.54, 95% CI 0.43-0.69).
conclusionWomen with spontaneous vaginal births were less likely to report being involved in decision-making when they underwent an episiotomy, or if oxytocin augmentation was followed by an episiotomy.
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Registered trials
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