Aetiological relationships between factors associated with postnatal traumatic symptoms among Japanese primiparas and multiparas: A longitudinal study

Takegata, Mizuki; Haruna, Megumi; Matsuzaki, Masayo; Shiraishi, Masahiko; Okano, Tadaharu; Severinsson, Elisabeth

doi:10.1016/j.midw.2016.10.008

Cited by 20 publications

(16 citation statements)

References 38 publications

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“…The factor analysis revealed four dimensions: fear, lack of anticipation, isolation, and riskiness (Takegata et al, ), indicating that FOC among Japanese women is multi‐dimensional, as is the case in Western studies (Fenwick, Gamble, Nathan, Bayes, & Hauck, ; Wiklund, Edman, Ryding, & Andolf, ). In our most recent quantitative survey investigating 464 pregnant Japanese women in three obstetric facilities in Tokyo (Takegata et al, ), the JW‐DEQ version A scores varied widely, implying that some women suffer from intense FOC. In view of the fact that expectations of childbirth in Japan are a culturally‐sensitive topic, a qualitative study seemed necessary to obtain a broader understanding of women's fear and to devise antenatal psychological interventions.…”

Section: Introductionmentioning

confidence: 99%

“…Fear of childbirth (FOC) is associated with several maladaptive responses to pregnancy, childbirth, and parenting, including lower quality of life during pregnancy (e.g. loss of concentration at work and sleep problems) (Hall et al, ), severe pain during labor (Alehagen, Wijma, & Wijma, ; Saisto, Kaaja, Ylikorkala, & Halmesmaki, ; Takegata et al, ), and a higher risk of postnatal traumatic stress symptoms (Garthus‐Niegel, von‐Soest, Vollrath, & Eberhard‐Gran, ; Takegata et al, ; Verreault et al, ). Furthermore, severe FOC is a major motive for requesting Caesarean section (CS) birth without medical reasons among Western pregnant mothers (D'Souza, ; Nieminen, Stephansson, & Ryding, ), which leads to the risk of postoperative complications for the mother, and respiratory maladaptation for the infant (D'Souza, ).…”

Section: Introductionmentioning

confidence: 99%

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Qualitative exploration of fear of childbirth and preferences for mode of birth among Japanese primiparas

Takegata

Haruna

Morikawa

et al. 2018

Nursing & Health Sciences

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Antenatal fear of childbirth (FOC) is associated with negative effects, such as postnatal traumatic symptoms. As the birth-related culture of East Asian countries differs from that in Western countries, the aim of the present qualitative, descriptive study was to explore FOC, perceptions for Caesarean section (CS), and obstetric analgesia (OA) among Japanese primiparas. The qualitative, descriptive study included focus group interviews with 11 primiparous women, which were conducted in a birth house and a maternity hospital in a metropolitan area of Japan in 2013. As a result, seven categories emerged from the analysis: Maternal and child risk, pain, losing control, uncertainty, prolonged labor, poor family support and loneliness before hospitalization. All participants denied having a preference for CS birth due to fear. Opposing values of OA were identified in women who chose OA and those who did not.In conclusion, it is necessary to increase clinical awareness that the objects of fear are diverse. Furthermore, diverse values regarding OA should be understood and equally respected by health-care professionals. K E Y W O R D S caesarean section, fear of childbirth, Japanese primiparas, obstetric analgesia, qualitative study

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Qualitative exploration of fear of childbirth and preferences for mode of birth among Japanese primiparas

Takegata

Haruna

Morikawa

et al. 2018

Nursing & Health Sciences

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“…Traumatic childbirth is an international public health problem. Examples from various countries reporting birth trauma include Japan (Takegata et al, 2017), Turkey (Gökçe İsbİr et al, 2016), and the United Kingdom (Thomson & Downe, 2016). Up to 45% of new mothers have reported experiencing a traumatic birth (Alcorn, O'Donovan, Patrick, Creedy, & Devilly, 2010).…”

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confidence: 99%

Traumatic Childbirth and Its Aftermath: Is There Anything Positive?

Beck¹,

Watson²,

Gable³

2018

J Perinat Educ

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Up to 45% of new mothers have reported experiencing birth trauma. For some individuals who have experienced a traumatic event, there can be a positive legacy called posttraumatic growth. Using Tedeschi and Calhoun’s Posttraumatic Growth Model as the theoretical framework, the purpose of this pilot study was to determine levels of posttraumatic stress, core beliefs disruption, and posttraumatic growth in women who have experienced traumatic childbirth. Thirty mothers completed the Posttraumatic Stress Disorder Symptom Scale-Self Report, Core Beliefs Inventory, and Posttraumatic Growth Inventory. Type of birth and length of time since the traumatic birth occurred predicted 38% of the variance in posttraumatic growth. In order to help mothers, childbirth educators need to understand the process involved in posttraumatic growth.

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“…Of these nine, eight were primiparae. The mean score of JW-DEQ version B for primiparae was higher than that of multiparae among Japanese women [3] [13]. We excluded the multiparae who had a past medical history of cesarean section or instrumental delivery because these women might have greater fear of childbirth in subsequent pregnancies than those with spontaneous vaginal delivery [23] [24].…”

Section: Discussionmentioning

confidence: 99%

“…One of the key components of fear of childbirth is considered to be fear of pain [2]. Fear of childbirth after delivery was correlated with labor pain estimated retrospectively 2 days after delivery among Japanese primiparae [3]. Women preferred a cesarean section in subsequent pregnancies due to fear of pain [4].…”

Section: Introductionmentioning

confidence: 99%

Women with Fear of Childbirth Perceived Large Accumulated Labor Pain in Japan

Iizuka¹,

Masaoka²,

Ohashi³

2018

OJN

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Background: To improve negative birth experiences among women who experience intense labor pain during labor, it is important to examine the relationship between fear of childbirth immediately after vaginal delivery and the actual intensity of labor pain. However, previous studies have generally evaluated labor pain in a retrospective setting. Purpose: This study examined the relationship between fear of childbirth immediately after vaginal delivery and the actual labor pain intensity and accumulated labor pain intensity without pharmacological pain relief during labor in Japan. Methods: A prospective observational study was conducted between July 2015 and April 2016. Forty-seven pregnant Japanese women were available for analysis. Fear of childbirth was measured by the Japanese version of the Wijma Delivery Expectancy/Experience Questionnaire (JW-DEQ) version B on the third day after vaginal delivery. Participants with scores of 85 or higher were categorized in the high JW-DEQ group, having severe fear of childbirth. Labor pain intensity was examined chronologically in real time with stepwise usage of two types of Numeric Rating Scale (NRS). Accumulated labor pain intensity was calculated using the area under the curve (AUC). Results: Nine participants were in the high JW-DEQ group and eight of the nine were primiparae. Primiparae in the high JW-DEQ group experienced significantly longer duration and larger accumulated labor pain intensity between the onset of labor and 4 to 6 cm of cervical dilatation than those in the low JW-DEQ group (P = 0.024 and P = 0.021, respectively). Conclusions/Implications for Practice: The latent phase of labor was a key stage to improve fear of childbirth immediately after vaginal delivery without pharmacological pain relief among Japanese primiparae. Midwives should give assistance in the latent phase of labor by focusing on progressing labor smoothly and relieving labor pain to improve negative birth experiences.

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Aetiological relationships between factors associated with postnatal traumatic symptoms among Japanese primiparas and multiparas: A longitudinal study

Cited by 20 publications

References 38 publications

Qualitative exploration of fear of childbirth and preferences for mode of birth among Japanese primiparas

Qualitative exploration of fear of childbirth and preferences for mode of birth among Japanese primiparas

Traumatic Childbirth and Its Aftermath: Is There Anything Positive?

Women with Fear of Childbirth Perceived Large Accumulated Labor Pain in Japan

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