title: Does a traumatic birth experience have an impact on future reproduction?
abstract: OBJECTIVE
  To investigate whether women's experiences of their first birth affects future reproduction.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  South Hospital, Stockholm, Sweden.
  
  
  METHODS
  Six hundred and seventeen women who gave birth to their first child 1989-1992.
  
  
  METHODS
  A global measure of women's experiences of their first birth, assessed two months postpartum, was available from a birth centre trial, together with information on a range of background variables. This information was linked to the Swedish Medical Birth Register, which included information on the number of subsequent births during the following 8-10 years.
  
  
  METHODS
  Number of births (0 or > or =1) following the first birth.
  
  
  RESULTS
  Women with a negative experience of their first birth had fewer subsequent children and a longer interval to the second baby (RR 1.7, 95% CI 1.3-2.3). Being 35 years and older (RR 2.6, 95% CI 1.6-3.7), or single (RR 2.6, 95% CI 1.7-3.9) was also associated with subsequent infertility.
  
  
  CONCLUSIONS
  A negative birth experience was associated with subsequent infertility, and women's experiences should therefore be considered seriously in the provision of maternity care.
authors.affiliation: Department of Nursing, Karolinska Institute, Stockholm, Sweden.
authors.forename: Karin
authors.initials: K
authors.lastname: Gottvall
authors.forename: Ulla
authors.initials: U
authors.lastname: Waldenström
mesh_terms: D000328:Adult; D001007:Anxiety / Q000209:etiology*; D001294:Attitude to Health; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000523:psychology*; D010298:Parity; D011247:Pregnancy / Q000523:psychology*; D011446:Prospective Studies; D012044:Regression Analysis; D018456:Reproductive Medicine