Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 43 805 2025 04 21 Childbirth Experience and Its Relationship with Post-traumatic Stress Disorder in Primiparous Women: A Cross-sectional Study Childbirth Experience and Its Relationship with Post-traumatic Stress Disorder in Primiparous Women: A Cross-sectional Study 146 154 32869 10.48305/jims.v43.i805.0146 FA Parya Foroughi PhD Student in Reproductive Health, Student Research Committee, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran 0000-0001-5252-6889 Anwar Dastbaz Assistant Professor, Counseling Department, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Iran 0000-0002-7402-5820 Farzaneh Zaheri Associated Professor, Midwifery Department, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran 0000-0002-7827-8008 Kamyar Mansori Associated Professor, Department of Epidemiology and Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran Leila Hashemi Nasab Instructor, Midwifery Department, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran 0000-0001-7975-8604 Journal Article 2024 09 15 Background: Childbirth experience is one of the momentous experiences in women's lives, and identifying its relationship with psychological issues and its consequences can be a step towards improving the level of mental health of mothers; therefore, the present study was conducted to determine the birth experience and its relationship with post-traumatic stress disorder in primiparous women in 2023. Methods: The present cross-sectional study was conducted on 420 eligible primiparous women referring to comprehensive health centers in Sanandaj city, who were selected in a cluster manner. The data collection tool included a demographic and clinical characteristics form, the childbirth experience, and city birth trauma questionnaires. The data were analyzed using multiple linear regression and the Independent T-test. P < 0.05 was considered. Findings: The study findings showed that the mean scores of birth experience and Post-traumatic stress disorder (PTSD) and the rate of dissociative symptoms were 2.84 ± 0.55, 18.21 ± 11.23, and 57.3%, respectively. Postpartum PTSD was significantly associated with education level (P = 0.006), having a companion during labor (P = 0.007), and spousal support (P = 0.004). With an increase in the birth experience score, the mean PTSD score decreased significantly (P = 0.001), and with an increase in the positive experience of childbirth, the rate of dissociative symptoms decreased (P = 0.001). Conclusion: The childbirth experience score in Sanandaj women was relatively favorable. The average score of post-traumatic stress disorder was lower than the average of the entire scale, and factors such as the educational level of the participants, having a companion during labor, and the level of support from their spouse were related to it. There was also a negative and significant relationship between childbirth experience and post-traumatic stress disorder and dissociative symptoms, and creating a good and pleasant experience during labor and delivery for mothers reduces the incidence. Background: Childbirth experience is one of the momentous experiences in women's lives, and identifying its relationship with psychological issues and its consequences can be a step towards improving the level of mental health of mothers; therefore, the present study was conducted to determine the birth experience and its relationship with post-traumatic stress disorder in primiparous women in 2023. Methods: The present cross-sectional study was conducted on 420 eligible primiparous women referring to comprehensive health centers in Sanandaj city, who were selected in a cluster manner. The data collection tool included a demographic and clinical characteristics form, the childbirth experience, and city birth trauma questionnaires. The data were analyzed using multiple linear regression and the Independent T-test. P < 0.05 was considered. Findings: The study findings showed that the mean scores of birth experience and Post-traumatic stress disorder (PTSD) and the rate of dissociative symptoms were 2.84 ± 0.55, 18.21 ± 11.23, and 57.3%, respectively. Postpartum PTSD was significantly associated with education level (P = 0.006), having a companion during labor (P = 0.007), and spousal support (P = 0.004). With an increase in the birth experience score, the mean PTSD score decreased significantly (P = 0.001), and with an increase in the positive experience of childbirth, the rate of dissociative symptoms decreased (P = 0.001). Conclusion: The childbirth experience score in Sanandaj women was relatively favorable. The average score of post-traumatic stress disorder was lower than the average of the entire scale, and factors such as the educational level of the participants, having a companion during labor, and the level of support from their spouse were related to it. There was also a negative and significant relationship between childbirth experience and post-traumatic stress disorder and dissociative symptoms, and creating a good and pleasant experience during labor and delivery for mothers reduces the incidence.

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