44% of the women belonged to the group with a W DEQ score 66, which corresponds with a higher degree of negative experience during delivery. The background characteristics of the women included are presented in Table 1. The mean age of the women was 30 years. No differences were presented according to BMI, height and education. Smoking before Tofacitinib mechanism pregnancy was more common in the group with a higher W DEQ score. The outcome of the infant is shown in Table 3. No differences were found in gestational age, birth weight, Inhibitors,Modulators,Libraries height or head circumference of the baby. Girls were more common in the group with a lower W DEQ score. A low Apgar score at 1 and 5 minutes after delivery, and a transfer of the newborn to the neonatal care unit were significantly more common in the group where a high W DEQ score was reported.

The additional Inhibitors,Modulators,Libraries questions in the questionnaire showed a significant difference between the two groups in that women in the high W DEQ group were Inhibitors,Modulators,Libraries less satisfied than those in the low group with the amount of time the midwife spent in the delivery room during labour. Many of the women in the high W DEQ group also expressed a wish for the midwife to be present more of the time during labour. Fewer women in the high W DEQ group would consider having another vaginal birth, or even having more children. Three additional questions about sleeping, eating and whether the woman had been looking forward to the delivery showed no significant differences between the groups regarding the W DEQ score.

In the multivariable logistic regression analysis, the AFL value and obstetric factors presented in previous publications as having an association with a negative delivery experience were analysed for their association with a high W DEQ score. A high AFL level at delivery, an extended latent phase, the use of epidural anaesthesia Inhibitors,Modulators,Libraries and an Apgar score 7 at 1 min after delivery all seemed Inhibitors,Modulators,Libraries to be risk factors for negative experience of childbirth in this study. No significant association between a high W DEQ score and labour dystocia according the partogram, nor mode of delivery, was indicated in this material. Nor was there any clear association with any of the other obstetrical variables studied. According to the multivariable analysis, high AFL value and a longer latent phase seemed to be independent risk factors for having a high W DEQ score among these 446 healthy primiparas.

A low Apgar score at 1 minute after delivery also increased the risk of a negative childbirth Volasertib leukemia experience. Discussion In this prospective observational study of primiparas experience of childbirth, a high AFL level and a long latent phase of labour seemed to be associated with a negative labour experience. A low Apgar score of the newborn at delivery was a further factor that strongly contributed to a high W DEQ score.