{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:33:18Z","timestamp":1792409598265,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,7,2]],"date-time":"2014-07-02T00:00:00Z","timestamp":1404259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine how infertility and subsequent assisted reproductive treatment (<jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>) affect a woman's childbirth experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective multicenter case\u2010control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>We recruited women pregnant with a singleton fetus after either <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>324) or spontaneous conception (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>304) from five infertility clinics and one university maternity clinic in Finland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied their childbirth experience with the Delivery Satisfaction Scale. We compared how psychosocial and obstetric factors affected satisfaction and dissatisfaction with childbirth between and within the <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> and the control group. Logistic regression was then used to analyse the most important contributors to the experienced dissatisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Dissatisfaction with childbirth was as common in the <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> group (11%) as in the control (10%) group. In the <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> group, the women's education level, cesarean section (<jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>) and their partner's absence from the delivery were associated with dissatisfaction. In the control group, significant factors for dissatisfaction were nulliparity, severe pregnancy\u2010related anxiety, emergency <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>, recalled intense pain and the partner's absence from the delivery. According to adjusted logistic regression analysis of the whole sample, the independent risk factors were elective <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 5.7; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 2.2\u201314.1] and emergency <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.9; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.3\u20136.5), recalled intense pain (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 6.8; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.3\u201316.2) and the partner's absence from the delivery (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.7; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.1\u20137.3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> is not a risk factor for dissatisfaction with childbirth by itself. However, the contributors to an unsatisfactory childbirth differ partly between women conceiving with <jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content> and those conceiving spontaneously.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12440","type":"journal-article","created":{"date-parts":[[2014,6,9]],"date-time":"2014-06-09T10:49:31Z","timestamp":1402310971000},"page":"880-887","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Birth experience of women conceiving with assisted reproduction: a prospective multicenter study"],"prefix":"10.1111","volume":"93","author":[{"given":"Piia","family":"Poikkeus","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Helsinki University Central Hospital Helsinki Finland"},{"name":"University of Helsinki Helsinki 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