Obstetric outcome in 100 women with severe anxiety over childbirth

Abstract

Psychosomatic support for women with severe fear of delivery resulted in a 50% reduction of CS for psychosocial indications and vaginal deliveries similar to a reference group. The cost of psychosomatic support was less than savings due to fewer cesarean sections.

Gir tidligere aborter fødselsangst?

“…Derimot var det en sterk assosiasjon mellom kontrollvariabelen psykisk helsestatus og fødselsangst. Kvinner som var plaget av angst eller depresjon, hadde en økt risiko for fødselsangst, saerlig hvis de var plaget av både angst og depresjon samtidig (justert OR 12,6; 95 % KI 8, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]8).…”

“…Studier antyder at 5-20 % av alle kvinner har sterk uro eller frykt for å føde (1,2), og mange elektive keisersnitt gjøres i dag på indikasjonen fødselsangst (1)(2)(3). Angst under svangerskapet er blitt relatert til en rekke negative følger, slik som langvarig fødsel (4,5), økt behov for smertestillende midler, og økt risiko for keisersnitt (6,7).…”

Women-centred interventions to increase vaginal birth after caesarean section (VBAC): A systematic review

“…For women requesting a repeat CS because of fear related to a previous negative birth experience that ended up in an emergency CS, individualised meetings can be of help and result in a withdrawal of CS requests (Ryding et al, 2003;Wiklund et al, 2012). The evidence demonstrates an obvious reduction of requests for CS in various kinds of support programmes for women with fear of birth (Sjögren and Thomassen, 1997;Nerum et al, 2006). However, the actual effects on women's fear are, as yet, unclear (Hildingsson et al, 2011).…”

Rising trends and changed indications of caesarean sections in Sikkim, India: cause for concern?

“…24,25 Nevertheless, fear of childbirth and the CS rates were reduced by 50-60% among pregnant women attending the antenatal classes and who were provided with psychological support when indicated. [30][31][32] Importantly, "one to one care" where one midwife cares for one mother during childbirth was associated with a more positive birth experience and a reduced risk for medical interventions as compared to routine care. 30,33 Anticipated fetal distress remained the most common indication for emergency CS in both the study periods in our study with slight increase in 2011.…”

“…Negative expectations and fear of childbirth have been related to a history of depression, anxiety, lack of support, a previous negative birth experience and a previous urgent or emergency CS. 30,31 On the other hand obstetricians" willingness to perform a CS for nonmedical reasons differs largely between regions and countries. The respect for woman"s autonomy was the most quoted reason for an obstetrician to perform a CS on request without any medical indication in eight European countries in the period 2001-2002.…”