Effects of continuous midwifery labour support for women with severe fear of childbirth

Sydsjö, Gunilla; Blomberg, Marie; Palmquist, Sofie; Angerbjörn, Louise; Bladh, Marie; Josefsson, Ann

doi:10.1186/s12884-015-0548-6

Cited by 39 publications

(60 citation statements)

References 15 publications

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“…During labor, an intimate, calm, and friendly atmosphere, with emphasis on an individual approach is vital in providing a comfortable and secure environment for pregnant women. This requires the creation of a strong and positive relationship between pregnant women and healthcare professionals by means of effective communication, full acceptance, empathy, support, appreciation, and respect (Sydsjö et al, 2015). The positive effect of psychoprophylaxis on reducing FOC among women has also been demonstrated in other studies (Karabulut et al, 2016;Kızılırmak, Başer, 2016;Serçekuş, Başkale, 2016).…”

Section: Discussionmentioning

confidence: 90%

Factors Associated With Childbirth - Related Fear Among Slovak Women

Mazúchová

Škodová

Kelčíková

et al. 2017

Cent Eur J Nurs Midw

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Aim: Aim of the study was to examine the intensity of childbirth-related fear, its components and relationship with selected variables (age, parity, and delivery history) among pregnant women in Slovakia. Design: The study was designed as a descriptive cross-sectional study. Methods: A cross-sectional study, 156 pregnant women participated in the research (age 29.7 ± 4.73). The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ, version A) was used to assess the intensity of childbirth-related fear. A short questionnaire of our own design was used to measure the components of child-related fear. Correlation analysis, ANOVA, and linear regression were employed. Results: The average intensity of child-related fear in the research sample was 68.8 (± 11.6), extreme fear was identified among 9.6% of pregnant women. Child-related fear and age were significantly negatively correlated (R = -0.16; p = 0.05). Results of ANOVA showed significant differences in intensity of fear according to delivery history (F = 4.58; p = 0.005). In the linear regression model, parity and delivery history were shown to be significant predictors of fear of childbirth. The most prevalent components of childbirth-related fear were pain (21.2%), prolonged labor (19.2%), and use of forceps or vacuum extraction (17.6%). Conclusion: Being a primipara, or perceiving a previous labor as complicated were significant factors influencing the fear of childbirth in our sample. The identification of the components and related factors of childbirth-related fear is important in planning effective intervention strategies aimed at anxiety prevention during pregnancy, and contributes to improvement in the quality of life of pregnant women.

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Section: Discussionmentioning

confidence: 90%

Factors Associated With Childbirth - Related Fear Among Slovak Women

Mazúchová

Škodová

Kelčíková

et al. 2017

Cent Eur J Nurs Midw

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“…This perception is also in line with the findings of Salomonsson et al (). The significance of the midwife's ability to be present is also confirmed by women (Lyberg & Severinsson, ; Sydsjö et al, ). It is therefore worrying that several midwives described a lack of opportunity to be present as much as desired.…”

Section: Discussionmentioning

confidence: 90%

Fear of childbirth from the perspective of midwives working in hospitals in Norway: A qualitative study

Tobiasson

Lyberg

2019

Nursing Open

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Aim To illuminate the perceptions of hospital‐based midwives who support women suffering from moderate to severe fear of childbirth during an expected vaginal birth. Design A qualitative descriptive and explorative study. Methods Focus group interviews were conducted with 18 midwives representing four different hospitals in Norway. Results Encountering fear of childbirth evoked the desire to protect and help, although the ability to provide optimal support was dependent on several circumstances, several of which were beyond the midwives̕ control. The main theme “Midwives finding their own strength when encountering the vulnerability of women with fear of childbirth” consisted of two themes: “Being present” and “Being alone.” The midwives described being present as a prerequisite for continuity of care and affirmation. The emphasis on continuity of care could give rise to a sense of loneliness and guilt during and after demanding situations in the birthing room.

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“…Moreover, in the obstetric system where this study took place, the midwife responsible for the home birth accompanied the woman to hospital whenever possible. Other researchers have discussed how particularly fearful women can benefit from such continuous, familiar support …”

Section: Discussionmentioning

confidence: 99%

“…Other researchers have discussed how particularly fearful women can benefit from such continuous, familiar support. 40,41…”

Section: Discussionmentioning

confidence: 99%

Is fear of childbirth related to the woman’s preferred location for giving birth? A Dutch low‐risk cohort study

Sluijs

Cleiren

Lith

et al. 2019

Birth

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Background In The Netherlands, women with low‐risk pregnancy are routinely given the option of home birth, providing a unique opportunity to study the relationship between fear of childbirth (FOC) and preference for childbirth location, and whether women experience higher FOC when the actual location differs from their preference. Methods In this prospective cohort study, 331 nulliparous and parous women completed a questionnaire at gestational week 30 (T1) and two months postpartum (T2). FOC was assessed using versions A (T1) and B (T2) of the Wijma Delivery Expectancy/Experience Questionnaire (W‐DEQ). Results At T1, women who preferred home birth had significantly lower FOC compared with women who preferred a hospital birth (mean ± SD W‐DEQ scores: 55 ± 19.8 and 64 ± 18.3, respectively, P < .01). About 28% of women who responded at T2 gave birth at home. Congruence between the preferred and actual childbirth location was not predictive of FOC assessed at T2 when adjusted for obstetric and psychological variables. In an extended analysis, we found that except for prepartum FOC, the following variables also correlated with postpartum FOC: being referred because of complications and poor neonatal condition. Conclusions Compared to women who prefer hospital birth, women who prefer home birth have lower prepartum and postpartum FOC. Giving birth at a location other than the preferred location does not appear to affect postpartum FOC. Whether giving birth at home or in the hospital, caregivers should pay extra attention to women with high FOC because they are vulnerable to postpartum FOC, especially after a complicated birth and referral.

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Effects of continuous midwifery labour support for women with severe fear of childbirth

Cited by 39 publications

References 15 publications

Factors Associated With Childbirth - Related Fear Among Slovak Women

Factors Associated With Childbirth - Related Fear Among Slovak Women

Fear of childbirth from the perspective of midwives working in hospitals in Norway: A qualitative study

Is fear of childbirth related to the woman’s preferred location for giving birth? A Dutch low‐risk cohort study

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