A feasibility study of a psychoeducation intervention based on Human Caring Theory in nulliparous women with fear of childbirth

Boz, İlkay; Akgün, Mehtap; Duman, Ferdane

doi:10.1080/0167482x.2020.1752173

Cited by 16 publications

(31 citation statements)

References 33 publications

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“…Summarized within this review are educational interventions: psychoeducation (Bazrafshan et al, 2020;Boz et al, 2020;Hajmohamadi et al, 2018;Klabbers et al, 2019;Kordi et al, 2017;Uçar & Golbasi, 2019) and more general education (Abbasi et al, 2020;Aksoy Derya et al, 2021;Haapio et al, 2017;Karabulut et al, 2016;Munkhondya et al, 2020;Noorbala et al, 2019). Bazrafshan et al (2020), Boz et al (2020), Hajmohamadi et al (2018), Kordi et al (2017) and Uçar and Golbasi (2019) found a positive effect for psychoeducation, while the study of Klabbers (2019) did not validate this result. Taking the ratings of Uçar (2019) and Klabbers (2019) as weak ratings into account, the results could be interpreted as positive effects for psychoeducational interventions.…”

Section: Categories Of Interventionsmentioning

confidence: 94%

“…14 studies focused on "fear of childbirth" as an outcome (Abdollahi et al, 2020;Airo (Toivanen) et al, 2018;Amiri et al, 2019;Andaroon et al, 2017;Boryri et al, 2018;Boz et al, 2020;Firouzan et al, 2020;Haapio et al, 2017;Hildingsson et al, 2019;Irmak Vural & Aslan, 2019;Kacperczyk-Bartnik et al, 2019;Karabulut et al, 2016;Klabbers et al, 2019;Kordi et al, 2017;Larsson et al, in press;Mary et al, 2017;Munkhondya et al, 2020;Narita et al, 2018;Nieminen et al, 2016;Rahmani et al, 2019;Rondung et al, 2018;Rouhe et al, 2015b;Shahsavan et al, 2020;Swift et al, in press;Uçar & Golbasi, 2019).…”

Section: Outcome Variablesmentioning

confidence: 99%

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Systematic Review on the Efficacy of Interventions for Fear of Childbirth, Anxiety and Fear in Pregnant Women

Birner¹,

Große²

2021

Preprint

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Background: Fears and anxieties during pregnancy and childbirth are a frequent phenomenon and can have negative consequences on wellbeing, psychological health and birth outcomes. Therefore, it is important to focus on the interventions to reduce those fears and anxieties during pregnancy and childbirth. A systematic review was conducted to examine the current literature on psychological interventions to reduce anxieties and fears during pregnancy and childbirth. Scopus and PubMed were searched from 2015 up until December 2020 for relevant studies. Included were pregnant women, with no restriction on age ranges or parity. Entered in the review were quantitative studies, including randomized controlled trials (RCTs), non-randomized controlled trials as well as treatment evaluations. After reviewing titles, abstracts and studies, 72 studies were included in this review as they met the inclusion criteria. Standard methodological procedures for systematic reviews were used. The quality assessment of included articles was done by using the Quality Assessment Tool for Quantitative Studies (EPHPP). Results: The main results of this review concern the fear and anxiety reducing effects of psychoeducation, relaxation techniques, guided imagery, supportive care through a midwife, group discussion, “lifestyle based education”, writing therapy, cognitive behavioral therapy groups and stress intervention, individual structured psychotherapy, communication skills training, counseling approaches (except distraction techniques), a motivational interviewing psychotherapy, emotional freedom techniques, breathing awareness and different hypnotherapeutic techniques on different fears and anxieties during pregnancy and childbirth. For mindfulness-based interventions mixed results are found. The effect of an acceptance and commitment therapy, biofeedback interventions, a mind body intervention, mental health training courses, the group intervention Nyytti® as well as cognitive analytic therapy is unclear, due to weak ratings. Antenatal class attendance reduced delivery fear significantly only in first time mothers. An internet-based problem-solving treatment did not reduce anxiety during pregnancy. Conclusion: A broad range of interventions show positive effects on fear of childbirth and fear and anxiety in pregnancy. Further research should address other acknowledged psychotherapeutic practices, like psycho-dynamic as well as systemic interventions, as they are underrepresented within this review. Furthermore , there is a need for manualized therapeutic interventions, with regards to a combination of effective intervention components.

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Section: Categories Of Interventionsmentioning

confidence: 94%

Section: Outcome Variablesmentioning

confidence: 99%

Systematic Review on the Efficacy of Interventions for Fear of Childbirth, Anxiety and Fear in Pregnant Women

Birner¹,

Große²

2021

Preprint

View full text Add to dashboard Cite

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“…While there have historically been few childbirth education programs for pregnant women in Turkey, the Turkish Ministry of Health (TMOH) has started to provide childbirth preparation courses to reduce the rate of cesarean section in recent years. In the circular issued by the TMOH in 2018 it was recommended that these programs be managed by physicians, obstetrics nurses, and midwives (Boz et al, 2021). Nurses in Turkey, as in the rest of the world, are active participants in pregnancy training programs where different methods are applied (Buran et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Effect of Hypnobirthing Training on Fear, Pain, Satisfaction Related to Birth, and Birth Outcomes: A Randomized Controlled Trial

Buran

Aksu

2022

Clin Nurs Res

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We aimed to determine the effect of Hypnobirthing training on fear of childbirth (FOC), birth pain, birth satisfaction and birth outcomes. This randomized controlled trial study was conducted with 80 nulliparous pregnant who were divided into two groups (experimental group n = 40 and control n = 40) in a maternity hospital. The couples received the training in groups(4 weeks, once a week, 3-hour, group session). The mean score of hypnobirthing group for the whole Wijma Birth Expectancy/Experience Scale was significantly lower than that of the routine care group ( p < .001).In the latent, active, and transitional phases of labor, the Visual Analog Scale (VAS)scores of the experimental groups were found to be significantly lower than those of the control group ( p < .001).The experimental group’s rates of birth intervention were significantly lower and their deliveries period were shorter, than those that of the routine control group ( p < .001).In addition, the vaginal delivery rates ( p = .037)and the scores for the Birth Satisfaction Scale-Revised (BSS-R) were also found to be higher than those of the control group ( p < .001).

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“…Intensified FOC and PrA have been identified as two key factors that affect CB preference among the population of pregnant women with low obstetric risk 3,12‐14 . Approximately 9%‐36.7% of women have been reported to experience severe FOC—a condition that has been correlated with many complications, including an increased number of CB cases 14,15 . As such, understanding the factors that contribute to increased PrA and FOC is critical for understanding the increase in CB rates.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, no existing forms of education or support programs have been identified as being more effective than any other intervention. However, many researchers have indicated the ineffectiveness of participating in antenatal classes for reducing FOC and the potential effectiveness of engaging in psychoeducation and in offering additional forms of support, such as doula care 3,15,24 …”

Section: Introductionmentioning

confidence: 99%

Preferences of women with low obstetric risk for cesarean or vaginal birth in Poland: Areas for intervention

Michalik

Wójcicka

Czerwińska-Osipiak

et al. 2021

Birth

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Background In Poland, the rate of cesarean birth (CB) is 43%, which is much higher than the European average of 27%. Optimizing the CB birth rate is of critical importance, especially among women with low‐risk pregnancies. However, the determinants of cesarean preference among low‐risk women in Poland have not been well explored. Methods This cross‐sectional study included 1011 pregnant women and aimed to identify associations between selected determinants of women's preferences for CB vs. vaginal birth (VB) in Poland. A descriptive questionnaire was distributed online, and a theoretical model was validated against empirically gathered data. Group comparisons were performed using the Welch t test for continuous data or chi‐square test for categorical data. All statistical analyses were performed using R (R Core Team, 2018). Results The mean age of women preferring CB (30.46 years) was 1.25 years higher than that of women preferring VB (29.21 years). Pregnant women who expressed a preference for CB tended to be multigravid, inhabited cities, and were characterized by higher levels of anxiety and depression. Moreover, the majority of women who underwent a previous CB asserted their intention to repeat the procedure for the current pregnancy. Conclusions The primary factors that were correlated with high CB preference among the low‐risk group included age, previous childbirth experiences, and anxiety. The underlying reasons that drive birth preferences remain poorly understood. However, women who have previously undergone difficult childbirth experiences and are afraid of pain require specialized care.

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A feasibility study of a psychoeducation intervention based on Human Caring Theory in nulliparous women with fear of childbirth

Cited by 16 publications

References 33 publications

Systematic Review on the Efficacy of Interventions for Fear of Childbirth, Anxiety and Fear in Pregnant Women

Systematic Review on the Efficacy of Interventions for Fear of Childbirth, Anxiety and Fear in Pregnant Women

Effect of Hypnobirthing Training on Fear, Pain, Satisfaction Related to Birth, and Birth Outcomes: A Randomized Controlled Trial

Preferences of women with low obstetric risk for cesarean or vaginal birth in Poland: Areas for intervention

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