Women's perceptions and experiences of childbirth in United Arab Emirates

Aims: To determine women's perceptions and experiences of childbirth in Uni ted Arab Emirates [UAE]. Methods: A consecutive sample of 715 women who delivered during a 3 month p eriod were interviewed on the third postnatal day about their experience an d satisfaction with maternity care using a structured questionnaire. Results: 95 (13.2 %) women had negative feelings including fear, anger, sor row and regret, guilt, jealousy, sense of failure and disappointment while the rest felt that childbirth was enjoyable and that they had been well-inf ormed, especially by nurses, about their perinatal care. Subjects delivered by cesarean (N = 104, 14.5 %) were significantly less satisfied with the i nformation provided by their caregivers, and their involvement in decision- making before the operation than the vaginal group (p = 0.001). Irrespectiv e of mode of delivery, most participants strongly agreed that cesarean is w orse than vaginal delivery whatever the reason and should be performed only for medical reasons. Adverse maternal experiences were significantly more frequent with cesarean delivery (p = 0.00001), older age (p = 0.04), primip arity (p = 0.03), higher education (p = 0.03), lack of antenatal care (p = 0.03) and prolonged labor (p = 0.04). Conclusions: Childbirth experience and the prevalence and correlates of pos tnatal psychosocial morbidity in UAE are not different from those observed elsewhere.