Subjective Perception and Maternal Satisfaction with Induced Labor: A Prospective Analysis within a Randomized Controlled Trial
Sultanmuratova D.D. Isenova S.Sh. Kulchimbayeva S.M. Nakhanova Z.K.
1 July 2025Kaz Med Print LLP
Reproductive Medicine (Central Asia)
2025#2025Issue 2153 - 162 pp.
Relevance: The increasing frequency of labor induction in clinical practice underscores the need to evaluate not only medical but also psychosocial outcomes. Women’s satisfaction with the childbirth experience is considered an important indicator of the quality of obstetric care, especially under conditions of increased anxiety and insufficient information during induction. Objective: To determine the impact of the induction method, level of awareness, and medical support on women’s satisfaction with childbirth in order to develop recommendations for improving the management of induced labor. Materials and Methods: A prospective analysis was conducted within a multicenter randomized controlled trial (NCT06249815) involving 400 pregnant women. A validated 12-item questionnaire was used to assess subjective experience, covering domains such as awareness, anxiety, physical comfort, staff support, and overall satisfaction (Appendix 1). The survey was conducted within 24 hours after delivery. A comparative analysis included 120 women, divided into two groups by induction method: sequential (Foley catheter + misoprostol) and misoprostol monotherapy. Results: Overall satisfaction was higher in the sequential induction group (77%) compared to the misoprostol group (64%; p = 0.059). The most significant difference was noted in concern for the baby (85% vs. 46%; p < 0.001). Women who considered themselves well-informed were 1.8 times more likely to report satisfaction (p = 0.011). Staff support positively correlated with satisfaction (ρ = 0.56), while anxiety showed an inverse relationship. The method of induction had a moderate impact, less significant than the quality of communication and psychological support. Conclusion: The subjective perception of induced labor is determined not only by the method used but, more importantly, by the level of patient awareness and support from medical staff. These findings underscore the importance of a personalized approach and emotional support in enhancing the quality of obstetric care.
Foley catheter , labor induction , patient information , positive birth experience
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Department of Obstetrics and Gynecology with a course in Clinical Genetics, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Department of Surgical Diseases, Kazakhstan’s Medical University “Higher School of Public Health,”, Almaty, Kazakhstan
Department of Obstetrics and Gynecology with a course in Clinical Genetics
Department of Surgical Diseases
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