Does fear of childbirth during pregnancy predict emergency caesarean section?

Johnson, Rebecca; Slade, Pauline

doi:10.1046/j.1471-0528.2002.01351.x

Cited by 149 publications

(170 citation statements)

References 31 publications

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“…The two structural regression models differed between the primiparous and the multiparous groups, because women who had an emCS were included in the former [11]. Fear of childbirth factors were considered latent variables in the JW-DEQ versions A and B, which comprised: Fear, Lack of positive anticipation, Isolation and Riskiness [15] [16]. Antenatal fear of childbirth, anxiety, and depression during pregnancy (Time 1), which were determined as exogenous variables, correlated with each other.…”

Section: Discussionmentioning

confidence: 99%

Does Antenatal Fear of Childbirth Predict Postnatal Fear of Childbirth? A Study of Japanese Women

Takegata¹,

Haruna²,

Matsuzaki³

et al. 2015

OJN

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The study aimed to determine whether antenatal fear of childbirth (expectation) could predict postnatal fear of childbirth (experience) by taking account of other antenatal psychological variables (anxiety and depression) as well as birth outcomes in Japanese women. A longitudinal observational study was conducted at a clinic in Tokyo, Japan, in 2011. Self-report questionnaires were distributed to 240 Japanese women at 37 gestational weeks (Time 1) and on the second day after delivery (Time 2). Regression analyses by means of structural equation modelling were conducted in both the primiparous and the multiparous group. The models exhibited good fit (chisquare value/degree of freedom = 1.10 -1.62, comparative fit index = 0.92 -0.99 and root mean square error of approximation = 0.03 -0.07). Antenatal fear of childbirth was the most predictive variable of postnatal fear of childbirth in both the primiparous (β = 0.58, p = 0.002) and the multiparous group (β = 0.62, p < 0.001). In conclusion, antenatal fear of childbirth was a significant predictor of postnatal fear of childbirth when other antenatal psychological variables and birth outcomes were taken into account. Pregnant women who are strongly afraid of childbirth need special attention before and after delivery.

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Section: Discussionmentioning

confidence: 99%

Does Antenatal Fear of Childbirth Predict Postnatal Fear of Childbirth? A Study of Japanese Women

Takegata¹,

Haruna²,

Matsuzaki³

et al. 2015

OJN

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“…15 23 On the other hand, other studies reported no such relationships. [24][25][26] One explanation for these inconsistencies could be differences in cultural, social and organisational characteristics between countries. These factors can mediate or exacerbate the effect of anxiety on the birth process and on concomitant interventions.…”

Section: Introductionmentioning

confidence: 99%

Possible relationship between general and pregnancy-related anxiety during the first half of pregnancy and the birth process: a prospective cohort study

2017

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ObjectivesThe rate of interventions during childbirth has increased dramatically during the last decades. Maternal anxiety might play a role in the progress of the labour process and interventions during labour. This study aimed to identify associations between anxiety in the first half of pregnancy and the birth process, including any interventions required during labour. In addition, differences in the associations by parity and ethnicity were explored.DesignProspective cohort study.SettingPrimary care midwifery practices and secondary/tertiary care obstetric practices in Amsterdam, participating in the multiethnic ABCD (Amsterdam Born Children and their Development) study (participation rate 96%; response 8266/12 373 (67%)).ParticipantsIncluded were women with singletons, alive at labour start, with a gestational age ≥24 weeks (n=6443).Independent variableGeneral anxiety (State-Trait Anxiety Inventory state) and pregnancy-related anxiety (Pregnancy-Related Anxieties Questionnaire (PRAQ)) were self-reported in the first half of pregnancy.OutcomesAssociations between both forms of anxiety and several indicators of the birth process were analysed. Subgroup analyses were performed for parity and ethnicity.ResultsThe prevalence of high general anxiety (State-Trait Anxiety Inventory score ≥43) and pregnancy-related anxiety (PRAQ score ≥P90) were 30.9% and 11.0%, respectively. After adjustment, in nulliparae, both general anxiety and pregnancy-related anxiety were associated with pain relief and/or sedation (OR for general anxiety 1.23; 95% CI 1.02 to 1.48; OR for pregnancy-related anxiety 1.45; 95% CI 1.14 to 1.85). In multiparae, general anxiety was associated with induction of labour (OR 1.53; 95% CI 1.16 to 2.03) and pregnancy-related anxiety was associated with primary caesarean section (OR 1.66; 95% CI 1.02 to 2.70). Associations were largely similar for all ethnicities.ConclusionsHigh levels of general and pregnancy-related anxiety in early pregnancy contribute modestly to more interventions during the birth process with similar associations between ethnic groups, but with some differences between nulliparae and multiparae.

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“…When measured by the WDEQ-A [21], the prevalence of high levels of childbirth fear (score ≥66) has been consistently reported to be between 24% and 26% [for example, Johnson and Slade [14], Hall et al [16], Zar, Wijma and Wijma [24] – also see Table 1]. …”

Section: Introductionmentioning

confidence: 99%

“…Sweden.K32WDEQ ≥66SwedishAll, Mean 5726%Nullips, Mean 58.626%Multis, Mean 50.326%Johnson, 2002. [14]. UK.K32WDEQ -UKNullips, Mean 65.4-Multis, Mean 58Zar, 2002.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of childbirth fear in an Australian sample of pregnant women

Toohill

Fenwick

Gamble

et al. 2014

BMC Pregnancy Childbirth

159

144

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BackgroundChildbirth fear is reported to affect around 20% of women. However reporting on levels of symptom severity vary. Unlike Scandinavian countries, there has been limited focus on childbirth fear in Australia. The aim of this paper is to determine the prevalence of low, moderate, high and severe levels of childbirth fear in a large representative sample of pregnant women drawn from a large randomised controlled trial and identify demographic and obstetric characteristics associated with childbirth fear.MethodUsing a descriptive cross-sectional design, 1,410 women in their second trimester were recruited from one of three public hospitals in south-east Queensland. Participants were screened for childbirth fear using the Wijma Delivery Expectancy/Experience Questionnaire Version A (WDEQ-A). Associations of demographic and obstetric factors and levels of childbirth fear between nulliparous and multiparous women were investigated.ResultsPrevalence of childbirth fear was 24% overall, with 31.5% of nulliparous women reporting high levels of fear (score ≥66 on the WDEQ-A) compared to 18% of multiparous women. Childbirth fear was associated with paid employment, parity, and mode of last birth, with higher levels of fear in first time mothers (p < 0.001) and in women who had previously had an operative birth (p < 0.001).ConclusionPrevalence of childbirth fear in Australian women was comparable to international rates. Significant factors associated with childbirth fear were being in paid employment, and obstetric characteristics such as parity and birth mode in the previous pregnancy. First time mothers had higher levels of fear than women who had birthed before. A previous operative birth was fear provoking. Experiencing a previous normal birth was protective of childbirth fear.

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Does fear of childbirth during pregnancy predict emergency caesarean section?

Cited by 149 publications

References 31 publications

Does Antenatal Fear of Childbirth Predict Postnatal Fear of Childbirth? A Study of Japanese Women

Does Antenatal Fear of Childbirth Predict Postnatal Fear of Childbirth? A Study of Japanese Women

Possible relationship between general and pregnancy-related anxiety during the first half of pregnancy and the birth process: a prospective cohort study

Prevalence of childbirth fear in an Australian sample of pregnant women

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