title: The influence of the systematic birth preparation program on childbirth satisfaction.
abstract: OBJECTIVE
  The primary purpose of this study was to assess the influence of a systematic multidisciplinary birth preparation program on satisfaction with childbirth experience. A secondary aim was to detect factors that affect the childbirth satisfaction.
  
  
  METHODS
  In this prospective study, 77 pregnant women who completed the 4-month birth preparation program (Group 1) and 75 women in the control group (Group 2) were asked to fill out two questionnaires with face-to-face interviews within 48 h after labor. One of the questionnaires was the translated form of Salmon's Item List German (SIL-Ger), and SIL-Ger scores ≥70 was accepted as a satisfactory experience.
  
  
  RESULTS
  There was no statistically significant difference between the groups in terms of sociocultural and intrapartum characteristics, and obstetric outcome parameters. The women who received antenatal education experienced significantly less pain (p = 0.01), had a better communication with midwife or obstetrician during delivery (p = 0.001), and participated more actively in decision-making before, during, and after childbirth (p < 0.001 for all). SIL score was significantly higher in Group 1 (105.7 ± 2.2 vs 80 ± 2.5, p < 0.01), and significantly more women had a SIL score ≥70 (96.1 vs 73.3%, p < 0.01). In multivariate logistic regression model, attending the birth preparation program and the level of pain perceived during labor were found to have a significant effect on the birth satisfaction.
  
  
  CONCLUSIONS
  Systematic birth preparation program improves satisfaction with childbirth experience by enabling women to communicate better with healthcare providers and to participate in decision-making during labor, as well as by decreasing the perception of labor pain.
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Kanuni Sultan Suleyman Research and Teaching Hospital, Istanbul, Turkey.
authors.forename: Aysu
authors.initials: A
authors.lastname: Akca
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Kanuni Sultan Suleyman Research and Teaching Hospital, Istanbul, Turkey.
authors.forename: Aytul
authors.initials: A
authors.lastname: Corbacioglu Esmer
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Bagcilar Research and Teaching Hospital, Merkez, Mimar Sinan Caddesi, 6. Sokak, Bağcılar, 34100, Istanbul, Turkey. eozyurek@yahoo.com.
authors.forename: Eser Sefik
authors.initials: ES
authors.lastname: Ozyurek
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Kanuni Sultan Suleyman Research and Teaching Hospital, Istanbul, Turkey.
authors.forename: Arife
authors.initials: A
authors.lastname: Aydin
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Kanuni Sultan Suleyman Research and Teaching Hospital, Istanbul, Turkey.
authors.forename: Nazli
authors.initials: N
authors.lastname: Korkmaz
authors.affiliation: Department of Obstetrics and Gynecology, Acibadem University School of Medicine, Istanbul, Turkey.
authors.forename: Husnu
authors.initials: H
authors.lastname: Gorgen
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Kanuni Sultan Suleyman Research and Teaching Hospital, Istanbul, Turkey.
authors.forename: Ozgur
authors.initials: O
authors.lastname: Akbayir
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D048949:Labor Pain / Q000523:psychology; D007743:Labor, Obstetric; D008880:Midwifery; D036801:Parturition / Q000523:psychology*; D010353:Patient Education as Topic; D010358:Patient Participation / Q000523:psychology; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D011247:Pregnancy; D011295:Prenatal Care; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Birth preparation; Childbirth satisfaction; Labor pain; Salmon’s Item List German score