Is it Necessary to Evaluate Fear of Childbirth in Pregnant Women? A Scoping Review

Imakawa, Cibele Santini de Oliveira; Nadai, Mariane Nunes de; Reis, Monica; Quintana, Silvana Maria; Moisés, Elaine Christine Dantas

doi:10.1055/s-0042-1751062

Rev Bras Ginecol Obstet

2022

DOI: 10.1055/s-0042-1751062

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Is it Necessary to Evaluate Fear of Childbirth in Pregnant Women? A Scoping Review

Cibele Santini de Oliveira Imakawa

Mariane Nunes de Nadai

Monica Reis

et al.

Abstract: Objective To review concepts, definitions, and findings about fear of childbirth (FOC). Methods A bibliographic review was carried out through the main scientific databases in 2020. Results All 32 articles considered potentially relevant were analyzed. A recent study suggests that the global prevalence of FOC can reach up to 14%. Factors such as parity, gestational age, previous birth experience, age and nationality of the woman seem to influence FOC. Conclusion Fear of childbirth… Show more

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Validation of the Chinese version of the Fear of Birth Scale among pregnant women

Zhang,

McAra-Couper,

Lou

et al. 2024

Midwifery

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Validation of the Chinese version of the Fear of Birth Scale among pregnant women

Zhang,

McAra-Couper,

Lou

et al. 2024

Midwifery

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Internal Structure of the Brazilian Online Version of the Childbirth Fear Prior to Pregnancy Scale

Mizobata,

Castro,

de Lima Parada

et al. 2024

TONURSJ

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Background Approximately 80% of pregnant women have some degree of childbirth fear, which can have short- and long-term negative effects when not correctly identified and managed. Therefore, it is essential to assess childbirth fear to measure and identify factors related to this fear. Furthermore, it is crucial to develop appropriate and early interventions to improve the childbirth experience for women and their families, including the obstetric care provided. Objective This study aimed to assess the validity of the internal structure of the Brazilian online version of the Childbirth Fear Prior to Pregnancy (CFPP) scale. Methods This methodological study was conducted to assess the validity of the internal structure of the Brazilian online version of the CFPP scale. A total of 553 men and women aged 18 or older participated in the study. The participants were not pregnant at the time of data collection but intended to have children in the future. A combination of Exploratory and Confirmatory Factor Analyses were used for statistical analysis. Reliability was assessed using Cronbach’s Alpha and McDonald’s Omega indicators. The Research Ethics Committee approved the study (protocol no: 4.961.821.) Results The psychometric parameters indicated a unidimensional model with adequate factor loadings (0.47–0.73) and reliability (0.86). Goodness of fit was achieved (χ2/df = 1.5, NNFI = 0.97, CFI = 0.98, GFI = 0.98, and SRMR = 0.06). Conclusion The Brazilian online version of the CFPP scale showed evidence of internal structural validity and reliability for measuring the construct in the population of this country.

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Mode of delivery preferences: the role of childbirth fear among nulliparous women

Elgzar,

Alshahrani,

Ibrahim

2023

Front. Psychol.

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IntroductionThe increasing Cesarean Section (CS) rates may be attributed to women’s increasing requests for elective CS. High Fear of Childbirth (FOC), especially among nulliparous women, may be significantly associated with CS preference without medical indications. The current study aims to investigate the impact of childbirth fear on the mode of delivery preference among nulliparous women.MethodsA cross-sectional correlational study was performed in the Maternal and Children Hospital (MCH) from the beginning of October 2022 to the end of February 2023 and incorporated a convenience sample of 342 nulliparous women. The data was collected using a self-reported questionnaire comprising participants’ demographic and obstetrics characteristics and the FOC questionnaire. A logistic regression model examined the relationship between CS preference and the other independent variables.ResultsThe results indicated that 74.3% of the nulliparous women preferred vaginal delivery, while 25.7% preferred Cesarean Section. Concerning childbirth-related fear, the highest mean scores were related to fear of clinical procedures, fear of harming or distressing the infant, and fear of pain 5.19 ± 1.13, 5.12 ± 1.27, and 5.09 ± 1.22, respectively. High FOC was present among 74.6%, moderate in 17.3%, and severe in 6.7% of the participants. Logistic regression analysis showed maternal age and monthly income were the significant sociodemographic determinants of choosing CS as the preferred delivery mode (p < 0.05). Moreover, the participants who had increased fear of harming or distressing the infant, fear from pain, fear from the body’s ability to give birth, fear from not being involved in decision-making, and overall FOC had a higher probability of choosing CS as the preferred delivery mode compared to the participants who had lower fear (p < 0.05).DiscussionHaving high FOC increases the CS preference among nulliparous women. Increased fear of harming or distressing the infant, fear from pain, fear from the body’s ability to give birth, and fear from not being involved in decision- making seem to be significant dimensions of childbirth fear associated with CS preference among nulliparous women.

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Is it Necessary to Evaluate Fear of Childbirth in Pregnant Women? A Scoping Review

Cited by 5 publications

References 54 publications

Validation of the Chinese version of the Fear of Birth Scale among pregnant women

Validation of the Chinese version of the Fear of Birth Scale among pregnant women

Internal Structure of the Brazilian Online Version of the Childbirth Fear Prior to Pregnancy Scale

Mode of delivery preferences: the role of childbirth fear among nulliparous women

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