Percentage dat later spijt heeft van elke keuze. De balken en het volledige overzicht staan hieronder.
Familie
Laatst beoordeeld 2026-05-04
Kwaliteit van bewijs 4.38/5
Beoordelingsscore op acht dimensies volgens de
kwaliteitsrubriek
. Elke dimensie krijgt een score van 1 tot 5.
D1 Bronverificatie
5/5
D2 Autoriteit en onafhankelijkheid van bronnen
4/5
D3 Nauwkeurigheid van spijtcijfer
3/5
D4 Vergelijkbaarheid van bronnen
3/5
D5 Gilovich-patroon
5/5
D6 Prozakwaliteit
5/5
D7 Volledigheid van voorbehouden
5/5
D8 Steekproefkwaliteit
5/5
Gemiddelde4.38/5
Spijt van handelen
Keizersnede
19%
19% van vrouwen met een keizersnede was ontevreden met de bevallingservaring (ontevredenheidsproxy)
Vrouwen die in Schotland bevielen via keizersnede, geworven via postale enquête (gemengd gepland en ongepland)
retrospectief, variabele tijd sinds bevalling
Spijt van nalaten
Vaginale bevalling
7,0%
7% van vrouwen had 1 jaar postpartum een negatieve bevallingservaring (negatieve-ervaringsproxy)
Zweedse vrouwen geworven bij alle prenatale klinieken nationaal, beoordeeld 1 jaar na bevalling (overwegend vaginale bevallingen gezien ~15% nationale keizersnede-percentage)
1 jaar na bevalling
% betreurt deze keuze
KeizersnedeVaginale bevalling
19%7,0%
action dominates — Handelen domineert — de meesten hebben spijt dat ze handelden.
Gerelateerde keuzes
Semantisch vergelijkbare keuzes — zelfde terrein, andere afwegingen.
Cesarean delivery carries roughly three times the negative-experience rate of
spontaneous vaginal delivery across the available survey and outcomes literature:
19% of cesarean-delivery women in a large Scottish postal study reported dissatisfaction
with their birth (Porter et al. 2007, n=1,661), compared to 7% of women in a national
Swedish cohort who rated their birth — predominantly vaginal — as a negative experience
one year later (Waldenström et al. 2004, n=2,541). The PTSD literature corroborates the
direction: spontaneous vaginal birth produces the lowest postpartum PTSD rates of any
delivery mode (1.8% at 6+ months, Ginter 2022 integrative review), while emergency
cesarean sits at the top (4.8%), with elective cesarean and instrumental vaginal between
them.
The critical within-group caveat is that unplanned cesareans drive most of the negative
signal. Konheim-Kalkstein & Miron-Shatz (2021) found 73% regret among 227 US women
with unplanned cesareans as their only birth — but the regret was predominantly
inaction-flavored, centering on not having advocated for themselves during labor, rather
than regretting the surgical procedure itself. Women who chose a planned elective
cesarean fared far better: Coates et al. (2021) found 85% were satisfied with their
decision-making process. The 19% average
action-side rate masks wide within-group variation: planned/elective cesarean carries
markedly less dissatisfaction than unplanned cesarean, where Konheim-Kalkstein &
Miron-Shatz found 73% regret — depending almost entirely on whether the procedure was
chosen or imposed by circumstances.
The direction is consistent with the Gilovich inaction-versus-action pattern: the
shorter-term satisfaction advantage of elective cesarean (control, predictability,
pain management) reflects known short-horizon benefits, while the negative-experience
and PTSD data above suggest the psychological costs of operative delivery are what
compound rather than fade. Long-term, decade-scale survey data directly comparing
fulfillment or regret by delivery mode remains sparse in the literature — an evidence
gap rather than a null finding. The absence of direct “regret about not having a
cesarean” survey data from vaginal-delivery populations is itself informative: the
construct is rarely studied because the experience is relatively rarely reported.
Bronnen: handelen
Bronnenverantwoording
Elk getal hieronder is wat elke bron rapporteerde, met het letterlijke citaat waarop we ons baseerden en hoe we tot ons cijfer kwamen. Klik op een link om rechtstreeks te verifiëren.
3/3 bronnen onafhankelijk woordelijk geverifieerd tegenover de geciteerde bron
[1]Birth / Porter, van Teijlingen, Yip & Bhattacharya — Satisfaction with cesarean section: qualitative analysis of open-ended questions in a large postal survey
Geverifieerd
Vakgenoten-beoordeeld
81% of cesarean-delivery women were satisfied with the birth experience; 19% were not satisfied
Fragment
“"Eighty-one percent of women were satisfied with the experience. Thirty-six percent rated at least one aspect of their caesarean section as distressing. Forty-two percent provided written descriptions of distressing experiences, of which 66% described psychological or communication-related issues."
”
Brongegevens van
2007-06-01
Geraadpleegd
2026-05-04
Verificatie
Fragment onafhankelijk opnieuw opgehaald en woord voor woord bevestigd tegenover de geciteerde bron tijdens onze onderbouwingsaudit.
Berekening
Porter et al. (2007) conducted a postal survey of all women in Grampian, Scotland who delivered by cesarean in a 2-year period; 1,661 responded (75% response rate). Satisfaction item was binary; 81% reported satisfied, leaving 19% as the dissatisfied/negative-experience proportion used as the regret proxy. Mixed planned and unplanned cesareans; emergency cesarean carries substantially higher dissatisfaction rates (see Konheim-Kalkstein below for unplanned-only data). The 19% figure is the primary action-side rate because it covers the full cesarian population, not only emergency cases.
Onafhankelijkheid
Population-based postal survey in Scotland; independent of the US-based Konheim-Kalkstein study below.
[2]Journal of Health Psychology / Konheim-Kalkstein & Miron-Shatz — 'If only I had . . .': Regrets from women with an unplanned cesarean delivery
Geverifieerd
Vakgenoten-beoordeeld
73% of women with unplanned cesarean as their only birth reported regret; regret centered on inaction, particularly not advocating for the self
Fragment
“"Seventy-three percent of women reported regret which mostly centered on inaction, particularly not advocating for the self. Those with regrets reported lower birth satisfaction (t(220) = 4.84, p < .001). Only emotional support was associated with lower likelihood of experiencing regret (p < .001)."
”
Brongegevens van
2019-12-03
Geraadpleegd
2026-05-04
Verificatie
Fragment onafhankelijk opnieuw opgehaald en woord voor woord bevestigd tegenover de geciteerde bron tijdens onze onderbouwingsaudit.
Berekening
Konheim-Kalkstein & Miron-Shatz (2021) surveyed 227 US women with unplanned cesarean as their only birth. The 73% regret rate is specific to unplanned cesareans; the regret was predominantly inaction-flavored (wishing they had advocated for themselves differently, not necessarily regretting the surgical procedure per se). This rate is cited as secondary context for within-group variation — emergency/unplanned cesareans carry a far higher regret burden than the 19% mixed-sample figure. The action-side regret_rate uses 0.19 (Porter 2007) as the more representative overall population figure.
Onafhankelijkheid
Separate US online survey study; independent of Porter's Scottish postal survey in population, country, timing, and methodology.
[3]Australian and New Zealand Journal of Obstetrics and Gynaecology / Coates, Donnolley, Thirukumar, Lainchbury, Spear & Henry — Women's experiences of decision-making and beliefs in relation to planned caesarean section: A survey study
Geverifieerd
Vakgenoten-beoordeeld
85% of women were satisfied with the decision-making process for a planned cesarean section, regardless of whether the CS was perceived as requested or recommended
Fragment
“"The majority (85%) of women appeared satisfied with the decision-making process, regardless of whether they perceived their CS as requested or recommended."
”
Brongegevens van
2021-02-01
Geraadpleegd
2026-07-03
Verificatie
Fragment onafhankelijk opnieuw opgehaald en woord voor woord bevestigd tegenover de geciteerde bron tijdens onze onderbouwingsaudit.
Berekening
Coates, Donnolley, Thirukumar, Lainchbury, Spear & Henry (2021), Australian and New Zealand Journal of Obstetrics and Gynaecology, 61(1):106-115 (published online 2020-09-22). PMID 32964450. Survey of women who had a planned (elective) cesarean section specifically. Cited as within-group context: the 19% dissatisfaction figure used as the primary action-side regret proxy (Porter 2007) mixes planned and unplanned cesareans; this source shows planned/elective cesarean alone carries much higher decision satisfaction (85%) than the mixed sample, corroborating the caveat that regret concentrates in unplanned/emergency cesareans. Not used in regret_rate arithmetic.
Onafhankelijkheid
Australian survey study; independent of Porter (Scotland), Konheim-Kalkstein (US), and Waldenström (Sweden) in population, country, and methodology.
Bronnen: niet handelen
Bronnenverantwoording
Elk getal hieronder is wat elke bron rapporteerde, met het letterlijke citaat waarop we ons baseerden en hoe we tot ons cijfer kwamen. Klik op een link om rechtstreeks te verifiëren.
1/2 bronnen onafhankelijk woordelijk geverifieerd tegenover de geciteerde bron
[1]Birth / Waldenström, Hildingsson, Rubertsson & Rådestad — A Negative Birth Experience: Prevalence and Risk Factors in a National Sample
Geverifieerd
Vakgenoten-beoordeeld
7% of women had a negative birth experience assessed at 1 year postpartum; risk factors included emergency operative delivery, induction, pain, and lack of control
Fragment
“"Seven percent of the women had a negative birth experience. Risk factors for a negative birth experience included not being treated with respect, lack of emotional support from midwives, emergency cesarean section, instrumental delivery, induction, too much pain, and labor complications."
”
Brongegevens van
2004-03-01
Geraadpleegd
2026-05-04
Verificatie
Fragment onafhankelijk opnieuw opgehaald en woord voor woord bevestigd tegenover de geciteerde bron tijdens onze onderbouwingsaudit.
Berekening
Waldenström et al. (2004) recruited 3,061 women at all Swedish antenatal clinics over one calendar year; 2,541 completed the 1-year postal follow-up. At the time of the study, Sweden's national cesarean rate was approximately 15%, meaning the vast majority of participants (approximately 85%) delivered vaginally. The 7% negative-birth-experience rate is therefore broadly representative of vaginal delivery experience. "Negative birth experience" was measured by a validated single-item scale at 1 year; this is a proxy for regret rather than a direct measure of it. Risk factors list emergency cesarean as a distinct category, confirming the vaginal-birth sample dominates the non-negative group.
Onafhankelijkheid
National population-based Swedish cohort; fully independent of the UK Porter survey and US Konheim-Kalkstein study in country, era, and methodology.
[2]International Journal of Environmental Research and Public Health / Ginter et al. — The Impact of Mode of Birth on Childbirth-Related PTSD Symptoms beyond 6 Months Postpartum: An Integrative Review
Vakgenoten-beoordeeld
“"CB-PTS/D rates by mode at ≥6 months postpartum from the largest cohort included: spontaneous vaginal 1.8%, operative vaginal 4.2%, elective cesarean 3.1%, emergency cesarean 4.8%."
”
Brongegevens van
2022-07-11
Geraadpleegd
2026-05-04
Berekening
Ginter et al. (2022) integrative review of 26 quantitative and 2 qualitative studies on childbirth-related PTSD by mode of delivery. Spontaneous vaginal birth consistently showed the lowest PTSD rate (1.8%), substantially below emergency cesarean (4.8%) and even elective cesarean (3.1%). These rates support the directional finding that vaginal delivery results in fewer negative psychological outcomes than cesarean (especially emergency) delivery. The PTSD rate (1.8%) is lower than the Waldenström negative-birth-experience rate (7%) because PTSD is a more restrictive clinical construct than general negative experience; both are cited to triangulate the inaction-side estimate.
Onafhankelijkheid
Systematic integrative review of 28 studies spanning multiple countries and decades; independent of Waldenström, Porter, and Konheim-Kalkstein.
Kanttekeningen
De twee zijden van deze vermelding meten gerelateerde maar onderscheiden constructen in verschillende populaties en tijdperken: de actiezijde gebruikt "ontevredenheid" uit een Schotse postale enquête van gemengde geplande/ongeplande keizersnedes (Porter 2007); de inactiezijde gebruikt "negatieve bevallingservaring" uit een nationaal Zweeds prospectief cohort (Waldenström 2004). Dit zijn proxies voor spijt, geen directe spijt-schaalmetingen. De richting van de 19% vs 7%-kloof is consistent met de PTSS-literatuur (Ginter 2022: nood-keizersnede 4,8%, spontaan vaginaal 1,8%), met extra ondersteuning van de Carter et al. (2022) Birth-meta-analyse die toont dat keizersnede een hogere PTSS-last met zich meebrengt. De belangrijkste binnen-groep-kanttekening is dat ongeplande/nood-keizersnede het negatieve-ervaringssignaal aandrijft: Konheim-Kalkstein (2021) vond 73% spijt specifiek onder vrouwen met ongeplande keizersnede — veel hoger dan het 19% gemengde-keizersnede-gemiddelde. De geplande electieve keizersnede-tevredenheid is substantieel hoger (~85% tevreden met beslissing, Coates 2021). De regret_delta van 0,12 vertegenwoordigt de populatie-gemiddelde kloof, die significante subgroep-variatie maskeert. Waldenström's Zweedse steekproef uit de vroege 2000s vertegenwoordigt mogelijk niet volledig de huidige hoog-inkomen-land obstetrische ervaring gezien veranderingen in pijnbeheer, gedeelde besluitvorming en ondersteunende zorg. Opmerkelijk vond een lange-termijn follow-up uit 2017 (Tully et al., AJOG) dat na 10+ jaar vrouwen die vaginaal bevielen, groter vervulling en minder nood rapporteerden dan zij die via keizersnede bevielen, consistent met het inactie-domineert-patroon in langere tijdframes.
