Fear of childbirth during pregnancy: A study of more than 8000 pregnant women

Geissbühler, Verena; Eberhard, Jakob

doi:10.3109/01674820209074677

Cited by 162 publications

(146 citation statements)

References 15 publications

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“…This finding is in line with other studies that have reported that processes surrounding childbirth have more influence on birth satisfaction compared with material aspects of care [4,5,29]. As others have reported, our findings show that having a fear of childbirth negatively influences the childbirth satisfaction of women who have vaginal births [57–59]. In this study, women who gave birth at CHCs were more satisfied with their birth experiences compared with those who gave birth at DHs.…”

Section: Discussionsupporting

confidence: 93%

Satisfaction with childbirth services provided in public health facilities: results from a cross- sectional survey among postnatal women in Chhattisgarh, India

Jha

Larsson

Christensson

et al. 2017

Global Health Action

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Background: A woman’s satisfaction with childbirth services can have a significant impact on her mental health and ability to bond with her neonate. Knowing postnatal women’s opinions and satisfaction with services makes the services more women-friendly. Indian women’s satisfaction with childbirth services has been explored qualitatively, or by using non-standard local questionnaires, but scientific data gathered with standardised questionnaires are extremely limited. Objective: To measure postnatal Indian women’s satisfaction with childbirth services at selected public health facilities in Chhattisgarh, India. Methods: Cross-sectional survey using consecutive sampling (n = 1004) was conducted from March to May 2015. Hindi-translated and validated versions of the Scale for Measuring Maternal Satisfaction for Vaginal Births (VB) and Caesarean Births (CB) were used for data collection. Results: Although most of the women (VB 68.7%; CB 79.2%) were satisfied with the overall childbirth services received, those who had VB were least satisfied with the processes around meeting their neonates (mean subscale score 1.8, SD 1.3), while women having CB were least satisfied with postpartum care received (mean subscale score 2.7, SD 1.2). Regression analyses revealed that among women having VB, interacting with care providers, being able to maintain privacy, and being free from fear of childbirth had a positive influence on overall satisfaction with the childbirth. Among women having CB, earning their own salary and having a positive perception of self-health had associations with overall birth satisfaction. Conclusions: Improving interpersonal interaction with nurse-midwives, and ensuring privacy during childbirth and hospital stay, are recommended first steps to improve women’s childbirth satisfaction, until the supply gap is eliminated.

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Section: Discussionsupporting

confidence: 93%

Satisfaction with childbirth services provided in public health facilities: results from a cross- sectional survey among postnatal women in Chhattisgarh, India

Jha

Larsson

Christensson

et al. 2017

Global Health Action

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“…Multiparae and the higher educated women experienced less fear of childbirth, as was predicted by other authors (Gurung et al, 2005;Geissbuehler et al, 2002). Note that regarding intervention/hospital-related fear, parity was non-significant (B = -0.069; p = 0.157), which could indicate that the anti-medical reaction of Belgian women planning a home birth was unlikely to be the consequence of earlier negative birth experiences.…”

Section: Cross-national Comparisonmentioning

confidence: 48%

“…Some sociodemographic variables (age, parity, and level of education) were controlled in the regression analysis as they can confound the association between antenatal care giver and fear of childbirth. Multiparae and older women are on average less fearful (Gurung, Dunkel-Schetter, Collins, Rini, & Hobel, 2005;Geissbuehler & Eberhard, 2002), but at the same time they are more likely to have an obstetric history which automatically sends them to secondary care. In Belgium, women planning a home birth, hence seeing a midwife instead of an obstetrician, are likely to have completed higher education (Gilleir, 2007;Christiaens & Bracke, 2009).…”

Section: Datamentioning

confidence: 99%

Pregnant Women's Fear of Childbirth in Midwife- and Obstetrician-Led Care in Belgium and the Netherlands: Test of the Medicalization Hypothesis

2011

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Fear of childbirth has gained importance in the context of increasing medicalization of childbirth.Belgian and the Dutch societies are very similar but differ with regard to the organization of maternity care. The Dutch have a high percentage of home births and low medical intervention rates.In contrast, home births in Belgium are rarer, and the medical model is more widely used. By comparing the Belgian and the Dutch maternity care models we explored the association between fear of childbirth and medicalization.An antenatal questionnaire was completed by 833 women at 30 weeks of pregnancy. Fear of childbirth was measured by a shortened Dutch version of the Childbirth AttitudesQuestionnaire. A four-dimensional model with baby-related, pain and injuries-related, general and personal control-related, and medical interventions and hospital care-related fear, fitted well in both countries. Multiple regression analysis showed no country differences, except that Belgian women in midwife-led care were more fearful of medical interventions and hospital care than the Dutch. For the other dimensions, both Belgian and Dutch women receiving midwifery care reported less fear compared to those in obstetric antenatal care. Hence, irrespective of the maternity care model, antenatal care providers are crucial in preventing fear of childbirth.

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“…Most healthy women in developed countries should be able to experience childbearing as a positive life event that has very few adverse consequences (2). Although most of women have good health in Western countries, the rate of childbirth interventions such as cesarean-section is high among them; for instance, the rate of cesarean delivery was 32.8% in the United States in 2012 (3).…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2017

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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.

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Fear of childbirth during pregnancy: A study of more than 8000 pregnant women

Cited by 162 publications

References 15 publications

Satisfaction with childbirth services provided in public health facilities: results from a cross- sectional survey among postnatal women in Chhattisgarh, India

Satisfaction with childbirth services provided in public health facilities: results from a cross- sectional survey among postnatal women in Chhattisgarh, India

Pregnant Women's Fear of Childbirth in Midwife- and Obstetrician-Led Care in Belgium and the Netherlands: Test of the Medicalization Hypothesis

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

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