CONFERENCE PROCEEDING
The Birth Experiences Study in the Netherlands: Induction of labour is associated with a more negative childbirth experience, reduced perception of respect and lower autonomy
 
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1
University Medical Center Groningen, Primary and Long-term Care- Midwifery science, Groningen, Netherlands
 
2
Amsterdam UMC, Midwifery Academy Amsterdam Groningen- Midwifery Science, Amsterdam, Netherlands
 
3
University Medical Center Groningen, Epidemiology, Groningen, Netherlands
 
4
University Medical Center Groningen, Genetics, Groningen, Netherlands
 
 
Eur J Midwifery 2026;10(Supplement 1):A183
 
ABSTRACT
BACKGROUND:
The rates of induction of labour have increased substantially in recent decades, prompting the need to assess its impact on women's experiences, autonomy, and perceived quality of care.

OBJECTIVES:
To investigate the association of induction of labour with childbirth experience, perceptions of respect, and autonomy.

METHODS:
In the Netherlands, a cross-sectional study was undertaken as part of the Birth Experience Study (BESt). A total of 1,396 women who had given birth in the past five years completed an online survey. Binary outcomes for induced versus spontaneous labour were compared using validated tools: CEQ2.0 (birth experience), MORI (respect), and MADM (autonomy). Thematic analysis was applied to open-ended responses on induction experiences.

RESULTS:
In total 426 (30.5%) women had an induction of labour. Odds ratios were increased for women in the induction of labour group, indicating they experienced a more negative childbirth (OR = 1.90; 95% CI = 1.43 – 2.54), reduced perceptions of respect (OR = 1.74; 95% CI = 1.31 – 2.29), and lower autonomy (OR = 1.32; 95% CI = 1.00 – 1.74) in comparison to the spontaneous onset of labour group. The qualitative results indicate that some women were happy with their decision to be induced, especially when it was medically necessary. However, others felt underinformed, unheard, and wished they had been offered more choices.

CONCLUSIONS:
Induction of labour is associated with a more negative childbirth experience, reduced perceptions of respect and lower autonomy compared to spontaneous labour.

KEY MESSAGE:
As induction rates rise, it is vital to ensure women are fully informed, feel heard, and are supported in making autonomous decisions to improve their childbirth experience. Interprofessional - collaboration
eISSN:2585-2906
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