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PhD defence A. Holopainen 13 June 2024 09:45 - 11:15

Becoming a parent: Antecedents and sequelae of a negative childbirth experience

Negative childbirth experience doesn't have to be a risk for parenthood

Some women experience their childbirth as negative or even traumatic. What are the consequences of such experiences? And is this risk related to previous traumatic experiences? Psychologist Annaleena Holopainen examined the history and consequences of a negative childbirth experience. She concludes that a negative experience doesn't have to impact the parent-child relationship or subsequent childbirths.

‘We know from previous research that a negative childbirth experience for a woman can have adverse effects on the whole family,’ Holopainen says. ‘For example, contact with the baby can be stressful for the mother because the baby reminds her of the birth.’ However, it was unclear whether a negative childbirth experience, besides adverse effects such as maternal stress, also affects the mother's parenting behaviour or the parent-child relationship. Holopainen: ‘In addition, it was also unclear whether pre-pregnancy experiences, for example from childhood or a previous traumatic childbirth experience, affect how women experience childbirth.’

To better protect women from negative childbirth experiences and their consequences, Holopainen examined women's experiences that may play a role in their childbirth experience and the consequences of a negative childbirth. She did so using data from a long-term study that has been tracking mothers since 2009, Generations2. She also used data from an online survey to investigate how women with a previous traumatic childbirth experience perceive their next childbirth. Besides surveys, Holopainen also used interviews with mothers about their experiences with their parents and caregivers, and data from observations of parenting behaviour and parent-child relationships.

‘This study shows that previous experiences do not have to be a risk for a new childbirth,’ Holopainen says. ‘It was thought that adverse childhood experiences or previous traumatic childbirth would make women vulnerable to a negative childbirth experience, but this was not found in this study.’

However, making conscious choices during childbirth, for example, choosing to have a home birth, did appear to be protective for women with previous traumatic childbirth experiences. In addition, unlike previous studies, this study found no association between negative childbirth experiences and maternal parenting behaviour or the parent-child relationship. A negative childbirth experience did correlate with more stress for the mother and partner. 

‘For pregnant women, it can be nice to know that unpleasant childhood experiences or a previous traumatic delivery need not be a risk for a new delivery,’ Holopainen explains. ‘But to prevent stress for both parents, it is important to ensure that women do not experience their childbirth negatively. Support from one's surroundings has an important protective role during childbirth and parenthood.’

More information on the thesis

Programme

PhD defence by A. Holopainen

PhD Faculty of Behavioural and Movement Sciences

Supervisors:

  • prof.dr. C. Schuengel
  • dr. M. Oosterman
  • dr. M.L. Verhage

The PhD defence can also be followed online.

About PhD defence A. Holopainen

Starting date

  • 13 June 2024

Time

  • 09:45 - 11:15

Location

  • VU Aula

Address

  • De Boelelaan 1105
  • 1081 HV Amsterdam

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