Fear of Childbirth and Preference for Cesarean Delivery Among Young American Women Before Childbirth: A Survey Study

Stoll, Kathrin; Edmonds, Joyce K.; Hall, Wendy A.

doi:10.1111/birt.12178

Cited by 73 publications

(76 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In previous studies, university students' confidence about and access to information about pregnancy and birth was associated with reduced fear of childbirth (47,48). These findings support the development of educational modules that promote pregnancy and birth as normal rather than frightening life events and address specific fears, such as fear of irreversible physical damage and uncontrollable pain.…”

Section: Discussionsupporting

confidence: 66%

Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy

Stoll

Hauck

Downe

et al. 2016

Sexual & Reproductive Healthcare

Self Cite

View full text Add to dashboard Cite

Background: Assessment of childbirth fear, in advance of pregnancy, and early identification of modifiable factors contributing to fear can inform public health initiatives and/or school-based educational programming for the next generation of maternity care consumers. We developed and evaluated a short fear of birth scale that incorporates the most common dimensions of fear reported by men and women prior to pregnancy, fear of: labour pain, being out of control and unable to cope with labour and birth, complications, and irreversible physical damage.Methods: University students in six countries (Australia, Canada, England, Germany, Iceland, and the United States, n=2240) participated in an online survey to assess their fears and attitudes about birth. We report internal consistency reliability, corrected-itemto-total correlations, factor loadings and convergent and discriminant validity of the new scale. Results:The Childbirth Fear -Prior to Pregnancy (CFPP) scale showed high internal consistency across samples (α >0.86). All corrected-item-to total correlations exceeded 0.45, supporting the uni-dimensionality of the scale. Construct validity of the CFPP was supported by a high correlation between the new scale and a two-item visual analog scale that measures fear of birth (r >0.6 across samples). Weak correlations of the CFPP with 2 scores on measures that assess related psychological states (anxiety, depression and stress) support the discriminant validity of the scale. Conclusion:The CFPP is a short, reliable and valid measure of childbirth fear among young women and men in six countries who plan to have children. Highlights• Fear of childbirth can precede pregnancy and is associated with preferences for cesarean section among young men and women who plan to have children in the future.• Assessing fear of birth and associated factors for young adults in different countries is an important first step in understanding why some young women and men are afraid of childbirth and how this issue might be addressed.• We developed a 10-item fear of birth scale that incorporates the main dimensions of fear reported by young adults in the literature, including fear of: labour pain, bodily damage, and complications.• The Childbirth Fear -Prior to Pregnancy (CFPP) scale had high internal consistency reliability across samples, measured one underlying construct, was highly correlated with another measure of childbirth fear, and was weakly correlated with measures of depression, anxiety and stress.

show abstract

Section: Discussionsupporting

confidence: 66%

Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy

Stoll

Hauck

Downe

et al. 2016

Sexual & Reproductive Healthcare

Self Cite

View full text Add to dashboard Cite

show abstract

“…Investigaciones internacionales relacionan el miedo con las creencias, experiencias negativas en el parto anterior, deficiencias en la información aportada y la falta de empoderamiento de la mujer en las decisiones sobre el proceso reproductivo (20,21); sin embargo, en nuestro estudio adquiere mayor relevancia la incapacidad de la mujer ante el abordaje del dolor, la idea de un dolor inaguantable y el desajuste de expectativas derivado de la escasa adecuación de información desde la atención primaria. Resultados que coinciden con estudios de corte cuantitativo y cualitativo cuyos hallazgos revelan, por un lado, que la mayor preocupación de las mujeres es el grado de dolor y su duración en el parto así como la inseguridad que tienen para enfrentarse a esta emoción, y, por otro, la necesidad del equipo de salud en explorar las expectativas de la mujer sobre su parto y ajustar la información obtenida en atención primaria para reducir tanto el dolor como el miedo en el parto (10,(22)(23)(24).…”

Section: Discussionunclassified

“…Relacionado con lo anterior aparecen la incertidumbre y ansiedad, emociones que surgen del halo del riesgo amenazante durante la gestación, el déficit en la información aportada a la mujer, la actitud de los profesionales en la atención obstétrica y las experiencias previas en gestaciones anteriores (21,25). Respecto a ello, nuestro estudio difiere de otras investigaciones que afirman que la incertidumbre se circunscribe al momento del parto, evidenciando no existir una clara relación entre la ansiedad y las experiencias previas (26,27).…”

Section: Discussionunclassified

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Sánchez¹,

Martínez-Ros²,

Castaño-Molina³

et al. 2016

Aquichan

View full text Add to dashboard Cite

Objetivo: explorar las emociones que emergen en la mujer durante el embarazo, parto y el puerperio a lo largo del itinerario asistencial de atención primaria y hospitalaria. Método: estudio cualitativo basado en la Teoría Fundamentada. Se realizaron dos grupos de discusión a profesionales: obstetras, matronas y enfermeras. Igualmente, se desarrollaron entrevistas en profundidad a mujeres en el puerperio. Resultados: las emociones de la mujer en la atención perinatal aparece como categoría central. A partir de ésta, las emociones negativas emergen por la interacción de cinco metacategorías: a) Miedo: dolor al parto y desajuste de expectativas, b) Ansiedad e incertidumbre: enfrentándose a la amenaza del riesgo y la desinformación, c) Vergüenza: comprometiendo la privacidad, d) Ira y Desamparo: asimetría en la estructura relacional, e) Soledad: discontinuidad en la atención asistencial. Las emociones positivas surge de la metacategoría: f) Tranquilidad y confianza: construyendo una interacción clínica simétrica y humanizada. Conclusiones: se constata una variabilidad emocional debido a la coexistencia de los modelos tecnocrático y biopsicosocial. Este proyecta humanidad en los cuidados perinatales, frente a un modelo biomédico marcado por una estructura relacional paternalista y asistencia fragmentada; ambos serán determinantes en la emergencia de emociones en la atención perinatal.

show abstract

“…Moderate to severe level of fear of childbirth is associated with some anxiety disorders such as panic and posttraumatic stress disorder (37). Some characteristics such as fear of pain and low level of pain tolerance are also known as the causes of fears of childbirth (13,32,38). Some other reasons include fear of mother's death, fear of losing control, or fear of expressing stupid behaviors during labor (32).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Fear of Childbirth and Its Associated Factors in Primigravid Women: A Cross- Sectional Study

et al. 2017

View full text Add to dashboard Cite

Background and Objectives: Fear of childbirth is a common concern among pregnant women, which is why many women request Cesarean section. Therefore, this study aimed at determining the prevalence of fear of childbirth and its associated factors in primigravid women in Khorramabad, Lorestan province, Iran. Methods: This cross-sectional study was conducted on 400 primigravid women (gestational age: 18 -32 weeks), who referred to the health centers and stations of Khorramabad in 2014 for routine prenatal care. The participants were selected through multistage cluster sampling method. Childbirth attitude questionnaire (CAQ), demographic characteristics and pregnancy characteristics questionnaires, and Northouse social support questionnaire were used to collect data. The data were analyzed using chi-square test, t test, Mann-Whitney test, and multivariate logistic regression.

show abstract

Fear of Childbirth and Preference for Cesarean Delivery Among Young American Women Before Childbirth: A Survey Study

Abstract: Young women reporting high levels of childbirth fear are nearly four times more likely to prefer a CD. Specific fears, such as worries over the influence of pregnancy and birth on the female body, need to be addressed before pregnancy.

Cited by 73 publications

References 31 publications

Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy

Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy

Explorando las emociones de la mujer en la atención perinatal. Un estudio cualitativo

Prevalence of Fear of Childbirth and Its Associated Factors in Primigravid Women: A Cross- Sectional Study

Contact Info

Product

Resources

About