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This study aimed to investigate women\u2019s memories of their childbirth experience 4 months and 4 years after giving birth. Additionally, it aimed to examine how the childbirth experience is linked to women\u2019s mental health, sexual satisfaction, exclusive breastfeeding, and the type of subsequent birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective cohort study, a total of 580 women giving birth in Tabriz hospitals in 2018 were followed up for 4 years. The data were collected using a childbirth experience questionnaire, a mental health inventory, and a sexual satisfaction scale for women, and were analyzed by a Pearson correlation test, an independent samples t-test, and a general linear model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The total scores of the childbirth experience in two short-term (4 months) and long-term (4 years) time points following the birth had a significant and strong correlation with each other (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009.51;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). After adjusting for the effects of socio-demographic and obstetric characteristics, sexual satisfaction had significant relationships with childbirth experience (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and postpartum complications (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). In addition, mental health had significant relationships with childbirth experience (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), postpartum complications (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), and low income (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.004).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Even 4 years after giving birth, women have a clear recall of their childbirth experience. This experience has a significant association with long-term outcomes such as sexual satisfaction, mental health, exclusive breastfeeding, and subsequent birth type.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12978-024-01819-9","type":"journal-article","created":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T03:17:27Z","timestamp":1717039047000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Association of childbirth experience with long\u2013term psychological outcomes: a prospective cohort study"],"prefix":"10.1186","volume":"21","author":[{"given":"Jila","family":"Nahaee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansour","family":"Rezaie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elham","family":"Abdoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mojgan","family":"Mirghafourvand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solmaz","family":"Ghanbari-Homaie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Jafarzadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,30]]},"reference":[{"key":"1819_CR1","unstructured":"WHO. 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