{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T18:21:24Z","timestamp":1782930084590,"version":"3.54.5"},"reference-count":45,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T00:00:00Z","timestamp":1734134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the prevalence and risk factors of maternal dissatisfaction 2\u2009days after a singleton vaginal delivery at or near term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a planned ancillary cohort study of the TRanexamic Acid for Preventing Postpartum Hemorrhage After Vaginal Delivery (TRAAP) randomized controlled trial. Maternal dissatisfaction, related to the birth and to the subsequent hospital stay, was assessed 2\u2009days postpartum by two self\u2010administered questions: \u201cAre you satisfied with the care you received during your child's birth?\u201d and \u201cAre you satisfied with the care you have received during your hospital stay?\u201d. Satisfaction was defined by answers of \u201cextremely satisfied\u201d or \u201cvery satisfied,\u201d and dissatisfaction by the responses \u201cmoderately satisfied,\u201d \u201cnot very satisfied,\u201d or \u201cnot at all satisfied\u201d. Their association with maternal dissatisfaction was analyzed by random\u2010effects logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of maternal dissatisfaction with the birth was 2.9%, and with the hospital stay 9.5%. Characteristics associated with a higher risk of maternal dissatisfaction with the birth were labor exceeding 6\u2009h, bad memories of the birth and, only for women without complicated deliveries, manual examination of the uterine cavity. The only characteristic associated with a higher risk of dissatisfaction with the hospital stay was non\u2010French nationality. None of the postpartum hemorrhage, third\u2010 or fourth\u2010degree perineal lacerations, operative vaginal delivery, episiotomy and uterine massage were associated with a higher risk of maternal dissatisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Maternal dissatisfaction was low after singleton vaginal deliveries at or near term. Strategies aiming to avoid labor longer than 6\u2009h and manual examination of the uterine cavity may decrease maternal dissatisfaction after delivery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.16091","type":"journal-article","created":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T09:00:11Z","timestamp":1734166811000},"page":"645-655","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence and risk factors of maternal dissatisfaction after vaginal delivery: A multicenter prospective study"],"prefix":"10.1002","volume":"169","author":[{"given":"Marie","family":"Tartaglia","sequence":"first","affiliation":[{"name":"University of Bordeaux, INSERM, Bordeaux Population Health Center, Epicene Team  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliz\u00e9e","family":"Froeliger","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bordeaux University Hospital  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fleur","family":"Delva","sequence":"additional","affiliation":[{"name":"University of Bordeaux, INSERM, Bordeaux Population Health Center, Epicene Team  Bordeaux France"},{"name":"Occupational and Environmental Health Service Bordeaux University Hospital  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Madar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bordeaux University Hospital  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanane","family":"Bouchghoul","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bordeaux University Hospital  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Deneux\u2010Tharaux","sequence":"additional","affiliation":[{"name":"Perinatal Obstetrical and Pediatric Epidemiology Research Team (EPOP\u00e9), Center for Research on Epidemiology and Statistics (CRESS), INSERM Paris University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lo\u00efc","family":"Sentilhes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Bordeaux University Hospital  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the TRanexamic Acid for Preventing postpartum hemorrhage after vaginal delivery (TRAAP) study group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,14]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Making pregnancy safer: the critical role of the skilled attendant","author":"Department of Reproductive Health and Research","year":"2016"},{"key":"e_1_2_11_3_1","first-page":"349124","article-title":"Facteurs influen\u00e7ant les exp\u00e9riences positives de naissance des m\u00e8res pour la premi\u00e8re fois. 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