Childbirth Experience Among Primiparas and Multiparas with Spontaneous Vaginal Delivery

Introduction: Preparing women for childbirth, supporting the mother during labour, and thoughtful care during labour contribute to a positive birth experience. Listening to women's voices is essential to developing quality maternity.
Objectives. To assess childbirth experience aspects with focus on supportive communication, respectful treatment and share-decision making between primiparous and multiparous.

Materials and Methods
Online anonymous survey (from the time of September 2023 to September 2024) of women who gave birth in 2023 and 2024 data were analysed. The questionnaire was developed based on the standards of the World Health Organization (WHO) and the evaluation criteria of childbirth experience (IMAgiNE EURO).

Results
Although not statistically significant differences bu slightly higher proportions an average by 2 percent points were observed in multiparas than primiparas: always fully involved in the process of choosing the care/treatment received 87.0% (n=248) to 85.2% (n=236); always feel treated with dignity 87.7% (n=250) to 85.6% (n=237) and by 3.5 percent points rated higher that healthcare providers always establish effective and clear communication – 91.2% (n=260) to 87.7% (n=243). Practically the same rates for both groups were observed for these aspects: always received immediate attention from healthcare providers to be assisted when is needed - an average 94%; always feel emotionally supported – 90%; relatives or other support person were always allowed to stay with you for as long as you felt the need – 88%. The existing results show that multipara also slightly higher rate overall birth experience as very positive but not statistically significant – 74.7% (n=213) to 70.0% (n=194).

Conclusions
Although no statistically significant differences were found, but data showed that primiparas evaluate the birth experience slightly more negatively than multipara. To improve women's birth experiences in healthcare facilities, their psychosocial and communication needs must be met. Positive communication and emotional support improve women's experience of childbirth care.