Fear of childbirth and use of labor analgesia: A nationwide register‐based analysis in Finland

Vaajala, Matias; Kekki, Maiju; Mattila, Ville M.; Kuitunen, Ilari

doi:10.1002/ijgo.14781

Cited by 3 publications

(1 citation statement)

References 21 publications

(47 reference statements)

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“…Although the definition and measuring methods of FOC have varied, a meta‐analysis estimated that 14% of pregnant women suffer from FOC (O'Connell et al, 2017). Further, FOC has been shown to have adverse perinatal and psychological effects on women including increased request for caesarean section without medical indication, increased utilization of epidural anesthesia, prolonged delivery, emergency caesarean section, negative birth experiences, pregnancy and postpartum depression, and posttraumatic stress disorders (O'Connell et al, 2021; Takegata et al, 2017; Vaajala et al, 2023). Additionally, FOC contributes to the occurrence of adverse neonatal outcomes such as an increase in neonatal intensive care unit hospitalization and low birth weight infants, and a decrease in mothers' bonding to infants (O'Connell et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

The association between fear of childbirth and social support through the Internet and Social Networking Services in pregnant women: A cross‐sectional study

Seto,

Tahara‐Sasagawa,

Yonezawa

et al. 2024

Nursing & Health Sciences

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Social support is an important factor in reducing fear of childbirth (FOC). Recently, the Internet and Social Networking Services (SNS) have become new forms of social support. However, it is unclear whether such support can reduce pregnant women's fear. This study aimed to investigate the association between FOC and social support through the Internet and SNS in pregnant women. A cross‐sectional study using a web‐based questionnaire including questions about FOC, social support, the Internet and SNS usage, psychological variables, and sociodemographic variables was conducted. Data from 111 participants were analyzed. A greater number of social support from people who are often seen during pregnancy, and becoming relieved by interaction with others through the Internet and SNS were negatively associated with FOC. This study showed that face‐to‐face social support was associated with lower FOC, while social support through the Internet and SNS was not. Further research is needed on how to use Internet and SNS to reduce FOC in pregnant women.

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Section: Introductionmentioning

confidence: 99%

The association between fear of childbirth and social support through the Internet and Social Networking Services in pregnant women: A cross‐sectional study

Seto,

Tahara‐Sasagawa,

Yonezawa

et al. 2024

Nursing & Health Sciences

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Influence of smoking and socioeconomic status on labor analgesia: a nationwide register-based study in Finland

Haapanen,

Kuitunen,

Vaajala

2024

Arch Gynecol Obstet

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Purpose Labor pain can be treated by medical and non-medical analgesia. Smoking during pregnancy has been shown to increase the incidence of several complications and may influence analgesic effectiveness. Previous studies have linked socioeconomic status to the use of epidurals for labor analgesia. We aimed to determine whether smoking and socioeconomic status influence the use of labor analgesia in Finland. Methods From January 1, 2004 to December 31, 2018, we collected data from the national Finnish Medical Birth Register on smoking status, labor analgesia, and socioeconomic status during pregnancy. These categorized variables were presented as absolute numbers and percentages. We included data on singleton pregnancies and excluded any data on pregnancies that missed smoking or socioeconomic status. Results 71,603 women smoked during the first trimester, 42,079 women continued to smoke after the first trimester, and 641,449 were non-smokers. The four most used labor analgesia were nitrous oxide, epidural, other medical analgesia, and non-medical analgesia. The most frequently used analgesia was nitrous oxide, which was used by 60.8% of the group of smokers after the first trimester, 58.8% of smokers during the first trimester, and 54.5% of non-smokers. There were no substantial differences between socioeconomic status classes and labor analgesia used. Conclusion Women who continued smoking after the first trimester used labor analgesia more often than non-smokers. There were no clear differences between socioeconomic status classes and labor analgesia used. These findings highlight the need to reduce maternal smoking during pregnancy, and universal social healthcare systems should promote equality in labor analgesia.

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Beyond Fear: Unveiling the Relationship Between Fear of Childbirth and Pharmacological Pain Relief

Chen,

Qiu,

Jing

et al. 2023

Pain Management Nursing

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Fear of childbirth and use of labor analgesia: A nationwide register‐based analysis in Finland

Cited by 3 publications

References 21 publications

The association between fear of childbirth and social support through the Internet and Social Networking Services in pregnant women: A cross‐sectional study

The association between fear of childbirth and social support through the Internet and Social Networking Services in pregnant women: A cross‐sectional study

Influence of smoking and socioeconomic status on labor analgesia: a nationwide register-based study in Finland

Beyond Fear: Unveiling the Relationship Between Fear of Childbirth and Pharmacological Pain Relief

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