Obstetric outcome for women who received individualized treatment for fear of childbirth during pregnancy

Sydsjö, Gunilla; Sydsjö, Adam; Gunnervik, Christina; Bladh, Marie; Josefsson, Ann

doi:10.1111/j.1600-0412.2011.01242.x

Cited by 96 publications

(125 citation statements)

References 23 publications

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“…FOC is often the reason for caesarean section on the woman's request [1,[15][16][17], which probably means that elective caesarean section is more common among these women [9,11,16]. This might reflect that these women doubt their own capacity to cope with the upcoming labour and birth.…”

Section: Introductionmentioning

confidence: 99%

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Self-efficacy beliefs and fear of childbirth in nulliparous women

Salomonsson

Gullberg

Alehagen

et al. 2013

Journal of Psychosomatic Obstetrics & Gynecology

113

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Objective: To explore how childbirth self-efficacy, i.e. outcome expectancy and efficacy expectancy, was associated with fear of childbirth (FOC) and how efficacy expectancy and FOC respectively were related to socio-demographic characteristics, mental problems and preference for a caesarean section. Methods:In this cross sectional study, a consecutive sample of 1000 pregnant nulliparous women was sent the Wijma Delivery Expectancy Questionnaire and Childbirth Self-Efficacy Inventory. Statistical analyses were performed on data from 423 women.Results: Outcome expectancy and efficacy expectancy correlated significantly and positively, FOC correlated significantly and negatively with both outcome expectancy and efficacy expectancy. Women with severe FOC (20.8 %) had a significantly lower level of education (p= 0.001), and had more often sought help because of mental problems (p= 0.004). They were more likely to have low efficacy expectancy (p<0.001) and to prefer a caesarean section instead of a vaginal birth (p<0.001).Conclusions: Lower efficacy expectancy was associated with higher FOC while preference for a caesarean section was not. Improvement of self-efficacy could be a part of care for women with FOC during pregnancy; however, it would not be enough for fearful women who wish to have a caesarean section.

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Section: Introductionmentioning

confidence: 99%

“…Pregnant women with severe FOC run an increased risk negative birth experiences [6], posttraumatic stress after childbirth [7,8] dystocia [9] and emergency caesarean section [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Self-efficacy beliefs and fear of childbirth in nulliparous women

Salomonsson

Gullberg

Alehagen

et al. 2013

Journal of Psychosomatic Obstetrics & Gynecology

113

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“…There is emerging evidence that childbirth fear may contribute to a longer labour, increased use of pain medication and emergency caesarean section (CS) [1]- [4]. In addition to emergency CS, childbirth fear has been linked to request for elective CS which consequently contributes to overall increases in CS rates [5]- [11]. High levels of childbirth fear in pregnancy are thought to influence women's decisions about birth mode.…”

Section: Introductionmentioning

confidence: 99%

Psycho-Social Predictors of Childbirth Fear in Pregnant Women: An Australian Study

Toohill¹,

Fenwick²,

Gamble³

et al. 2014

OJOG

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Background: Around 20% of birthing women report high levels of childbirth fear. Fear potentially impacts women's emotional health, preparation for birth, and birth outcomes. Evidence suggests that personal and external factors contribute to childbirth fear, however results vary. Aim: To identify pyscho-social factors associated with childbirth fear and possible antenatal predictors of childbirth fear according to women's parity. Method: 1410 women in second trimester and attending one of three public hospitals in south-east Queensland were screened for childbirth fear using the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ). Other measures included the Edinburgh Depression Scale (EPDS), Decisional Conflict Scale (DCS) and items from the EuroQol (EQ-5D) targeting Anxiety/Depression and Pain/Discomfort. In addition items measuring a previous mental health condition, social support and knowledge were used. Preferred mode of birth was also collected. Psycho-social factors were analysed to determine associations with childbirth fear. Multivariate analysis was used to determine predictors of fear. Results: Thirty-one percent (n = 190/604) of nulliparous and 18% (n = 143/782) of multiparous women reported high fear levels. Having a mental health history, desiring a caesarean section, reporting moderate to high pain during pregnancy, having a non-supportive partner and perceiving less childbirth knowledge than peers, were associated with childbirth fear. Standard multiple regression analyses by parity determined that depression, decisional conflict, low social support and less perceived knowledge predicted levels of childbirth fear. The model explained 32.4% of variance in childbirth fear for nulliparous and 29.4% for multiparous women. Conclusion: Psychosocial factors are significantly associated with childbirth fear. The identification of predictive psychosocial factors for childbirth fear indicates the importance of observing, assessing, and developing support strategies for women. Such strategies are required to decrease anxiety and depression for women during pregnancy, promote normal birth, and build social support to improve women's feelings J. Toohill et al. 532 and positive expectations of birth.

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“…The goal of such teams is to support the pregnant woman in her troublesome considerations, guide her through pregnancy, and prepare her for birth-giving, irrespective of mode of delivery (Ryding, Persson, Onell & Kvist 2003;Larsson et al 2015). Most often pregnant women with FOC pay 1-4 visits to a support team (Ryding et al 2003;Sydsjö, Sydsjö, Gunnervik, Bladh & Josefsson 2012;Larsson, Karlström, Rubersson & Hildingsson 2015). Concluding from the organization of the existing support teams, their psychological/psychiatric competence and the number of visits, these contacts are more supportive than psychotherapeutic.…”

Section: Treatment Of Severe Foc and Childbirth-related Ptsd In Obstementioning

confidence: 99%

Clinical aspects of childbirth-related anxiety

Nieminen

2016

Linköping University Medical Dissertations

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Obstetric outcome for women who received individualized treatment for fear of childbirth during pregnancy

Abstract: Fear of childbirth is a predisposing factor for emergency and elective CS even after psychological counseling. Maximal effort is necessary to avoid traumatizing deliveries and negative experiences, especially for nulliparous women.

Cited by 96 publications

References 23 publications

Self-efficacy beliefs and fear of childbirth in nulliparous women

Self-efficacy beliefs and fear of childbirth in nulliparous women

Psycho-Social Predictors of Childbirth Fear in Pregnant Women: An Australian Study

Clinical aspects of childbirth-related anxiety

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