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CONFERENCE PROCEEDING
Disrespectful care during childbirth and poor emotional well-being one year postpartum: A Swedish nationwide survey and register-based cohort study
1
Université Paris Cité- Inserm- Centre for Research in Epidemiology and StatisticS CRESS, Obstetric- Perinatal- Paediatric Life Course Epidemiology Research Team OPPaLE, Paris, France
2
Karolinska Institutet, Clinical Epidemiology Division- Department of Medicine, Stockholm, Sweden
3
Karolinska Institutet, Department of Women's Health and Health Professions, Stockholm, Sweden
Eur J Midwifery 2026;10(Supplement 1):A547
ABSTRACT
BACKGROUND:
The postpartum period represents a critical phase for women’s mental health, with few modifiable risk factors identified.
OBJECTIVES:
To assess whether experiences of disrespectful care during childbirth are associated with poor postpartum emotional well-being.
METHODS:
This study used data from the Swedish Pregnancy Survey distributed at two months and one year postpartum to all women who gave birth in Sweden, linked to the nationwide Swedish Pregnancy Register, providing comprehensive medical data. Women who gave birth between October 2020 and August 2023 and completed both surveys were included. Exclusion criteria were planned cesarean section, preterm birth, or non-cephalic presentation. Disrespectful care was assessed via six items in the two-month questionnaire: involvement in shared-decision making, guidance to cope with pain, support during labor, midwife presence in the delivery room, respectful treatment, and information. Postpartum emotional well-being was self-reported one year after birth on a 5-point Likert scale and scores ≤2 were defined as poor. Associations were analyzed using multivariable logistic regression and principal component analysis.
RESULTS:
Of 68,006 women included, 13.8% reported poor emotional well-being at one year postpartum. These women more frequently experienced disrespectful care, including limited involvement in decision-making (adjusted odds ratio [aOR] 3.86; 95% confidence interval [CI] 3.58–4.15), inadequate guidance to cope with pain (aOR 3.10; 95% CI 2.88–3.33), lack of support (aOR 3.96; 95% CI 3.64–4.29), insufficient midwife presence (aOR 3.14; 95% CI 2.88–3.43), lack of respectful treatment (aOR 5.15; 95% CI 4.58–5.79), and poor information (aOR 3.82; 95% CI 3.54–4.11). Similar patterns were found using a composite score combining the six types and intensity of disrespectful care experienced during childbirth.
CONCLUSIONS:
All type of disrespectful care during childbirth appear to be associated with poor postpartum emotional well-being.
KEY MESSAGE:
Promoting respectful care during childbirth may help reduce adverse maternal mental health outcomes. Poster session 1 (Group A)
The postpartum period represents a critical phase for women’s mental health, with few modifiable risk factors identified.
OBJECTIVES:
To assess whether experiences of disrespectful care during childbirth are associated with poor postpartum emotional well-being.
METHODS:
This study used data from the Swedish Pregnancy Survey distributed at two months and one year postpartum to all women who gave birth in Sweden, linked to the nationwide Swedish Pregnancy Register, providing comprehensive medical data. Women who gave birth between October 2020 and August 2023 and completed both surveys were included. Exclusion criteria were planned cesarean section, preterm birth, or non-cephalic presentation. Disrespectful care was assessed via six items in the two-month questionnaire: involvement in shared-decision making, guidance to cope with pain, support during labor, midwife presence in the delivery room, respectful treatment, and information. Postpartum emotional well-being was self-reported one year after birth on a 5-point Likert scale and scores ≤2 were defined as poor. Associations were analyzed using multivariable logistic regression and principal component analysis.
RESULTS:
Of 68,006 women included, 13.8% reported poor emotional well-being at one year postpartum. These women more frequently experienced disrespectful care, including limited involvement in decision-making (adjusted odds ratio [aOR] 3.86; 95% confidence interval [CI] 3.58–4.15), inadequate guidance to cope with pain (aOR 3.10; 95% CI 2.88–3.33), lack of support (aOR 3.96; 95% CI 3.64–4.29), insufficient midwife presence (aOR 3.14; 95% CI 2.88–3.43), lack of respectful treatment (aOR 5.15; 95% CI 4.58–5.79), and poor information (aOR 3.82; 95% CI 3.54–4.11). Similar patterns were found using a composite score combining the six types and intensity of disrespectful care experienced during childbirth.
CONCLUSIONS:
All type of disrespectful care during childbirth appear to be associated with poor postpartum emotional well-being.
KEY MESSAGE:
Promoting respectful care during childbirth may help reduce adverse maternal mental health outcomes. Poster session 1 (Group A)
| eISSN: | 2585-2906 |
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