Counseling for childbirth fear – a national survey

Potential mechanisms in fear of birth: The role of pain catastrophizing and intolerance of uncertainty

“…To date, Sweden is one of few countries with an existing model of care for this form of fear. In addition to standard antenatal care, all hospitals in Sweden provide midwife‐led counselling, with a specific focus on fear of birth . Although still sparingly evaluated, cognitive behavioral therapy has been suggested as an alternative and feasible approach .…”

“…In addition to standard antenatal care, all hospitals in Sweden provide midwifeled counselling, with a specific focus on fear of birth. 49 Although still sparingly evaluated, cognitive behavioral therapy has been suggested as an alternative and feasible approach. 50 With regard to the concepts investigated in this study, this approach seems reasonable.…”

The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review

“…The review process identified 30 papers that met inclusion criteria (see Table ). Included studies regard the knowledge, skills and attitudes of midwives (Hauck et al., ; Higgins et al., ; Jones, Creedy, & Gamble, , ,; Lau, McCauley, Barnfield, Moss, & Cross, ; Legere et al., ; Mathibe‐Neke, Rothberg, & Langley, ; McCauley et al., ; Noonan, Doody, Jomeen, & Galvin, ; Noonan et al., ; Ross‐Davie, Elliott, Sarkar, & Green, ; Rothera & Oates, ), and student midwives (Higgins, Carroll, & Sharek, ; Jarrett, , ; Phillips, ); the effectiveness of educational interventions in improving knowledge and skills (Davies et al., ; Fenwick, Toohill, Slavin, Creedy, & Gamble, ; McLachlan, Forster, Collins, Gunn, & Hegarty, ; Reed, Fenwick, Hauck, Gamble, & Creedy, ); the delivery of counselling or psychosocial interventions by midwives (Clarke, King, & Prost, ; Fenwick et al., , ; Larsson, Karlström, Rubertsson, & Hildingsson, ; Toohill et al., ); and barriers and enablers to embedding midwife‐led mental healthcare in practice (Bayrampour et al., ; Fenwick et al., ; Gamble, Toohill, Slavin, Creedy, & Fenwick, ; Higgins et al., ; Myors, Schmied, Johnson, & Cleary, ; Myors et al., ).…”

“…Studies that evaluated the effectiveness of educational interventions in improving knowledge and skills of midwives or student midwives to provide mental healthcare employed pre/post‐survey design (Higgins et al., ; McLachlan et al., ), mixed methods (Fenwick et al., ; Reed et al., ), and one survey study (Davies et al., ). Studies in relation to the delivery of counselling or psychosocial interventions by midwives include a systematic review and meta‐analysis of 10 randomised controlled trials (RCTs) (Clarke et al., ), a single RCT (published in two papers) (Fenwick et al., ; Toohill et al., ), a qualitative interview study (Fenwick et al., ) and a national survey study (Larsson et al., ). Studies that outline barriers and enablers to embedding midwife‐led mental healthcare (other than knowledge and skills deficits), include two integrative reviews (Bayrampour et al., ; Myors et al., ) and three mixed method studies (Fenwick et al., ; Gamble et al., ; Myors et al., ).…”

“…A study by Larsson et al. () into the comprehensiveness of midwife‐led counselling for childbirth fear in obstetric clinics in Sweden found that all responding clinics offer midwife‐led counselling, highlighting that in some countries midwife‐led mental healthcare is routine. Further evidence that midwives can provide mental health support comes from a systematic review by Clarke et al.…”