Women's preference on mode of delivery in Southern Italy

Mancuso, Alfredo; Vivo, Antonio De; Fanara, Giusi; Salvatore, Silvia; Triolo, Onofrio; Giacobbe, Annamaria

doi:10.1080/00016340600645255

Cited by 43 publications

(37 citation statements)

References 19 publications

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“…Meanwhile study conducted in Norway by Fuglenes et al [13] to investigate cesarean section preference who found that 85.6% of pregnant women were working, and Mancuso et al [40] who study delivery mode preference in Southern Italy and reported that 62.3% of pregnant women were employed.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

El-Aziz

Mansour

Hassan

2016

JNEP

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Background and objective: Childbirth fear is a major problem for women, as it results in avoidance of maternity, women & fetal stress and raise in women requests for cesarean delivery. The aim of this study is to investigate factors associated with fear of childbirth (FOC), and its effect on women's preference for elective cesarean section (CS). Methods: Design: Cross sectional descriptive design. Setting: Study conducted at five obstetrical and gynecological private clinics in El-Mahalla El-Kobra city. Subjects: A purposive sample consisted of 205 pregnant women selected according to the inclusion and exclusion criteria. Tools: Three tools were used for data collection (Structured Interview Questionnaire, Melender (2002) Questionnaire to measure childbirth fear associated factors and Childbirth Attitudes Questionnaire). Results: Revealed that 47.8% of pregnant women preferred elective CS. Fear of vaginal birth, safer mode for the baby, no influence on postpartum sexual life and pain associated with delivery were the most reasons for CS preference. Childbirth factor was the highest factor associated with FOC with mean ± SD 12.439 ± 3.949. Fear of pain, episiotomy and lacerations were the highest sub factors representative for childbirth factor (89.3%, 83.9%, and 82.4% respectively). The highest cause of FOC was negative mood with mean ± SD 13.302 ± 3.500. 50.0% of pregnant women with high FOC preferred CS. Conclusions and recommendations: Childbirth factor was the highest factor associated with FOC. Fear of pain, episiotomy and lacerations were the highest sub factors representative for childbirth factor associated with FOC. Pregnant women with high fear of childbirth preferred cesarean section. Recommendations: Undertaking information, education and communication programs to increase awareness of the women, husbands, health providers and society about childbirth fear and its effect on cesarean section preference in order to decrease elective cesarean section rate.

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Section: Discussionmentioning

confidence: 99%

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

El-Aziz

Mansour

Hassan

2016

JNEP

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“…There is evidence to suggest that women experiencing intense fear are at greater risk of requiring acute caesarean section in comparison to women who do not experience FOC (Adams, Eberhard-Gran, Esklid, 2012). Other studies have indicated that FOC among multiparas is a factor in an increased ratio of caesarean section by request (Mancuso et al, 2006;Sydsjö et al, 2012;Räisänen et al, 2014;Fenwick et al, 2015). In Finland, Sweden and the United Kingdom, FOC is the main reason for caesarean section in 7-22% of all labors.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Childbirth - Related Fear Among Slovak Women

Mazúchová

Škodová

Kelčíková

et al. 2017

Cent Eur J Nurs Midw

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Aim: Aim of the study was to examine the intensity of childbirth-related fear, its components and relationship with selected variables (age, parity, and delivery history) among pregnant women in Slovakia. Design: The study was designed as a descriptive cross-sectional study. Methods: A cross-sectional study, 156 pregnant women participated in the research (age 29.7 ± 4.73). The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ, version A) was used to assess the intensity of childbirth-related fear. A short questionnaire of our own design was used to measure the components of child-related fear. Correlation analysis, ANOVA, and linear regression were employed. Results: The average intensity of child-related fear in the research sample was 68.8 (± 11.6), extreme fear was identified among 9.6% of pregnant women. Child-related fear and age were significantly negatively correlated (R = -0.16; p = 0.05). Results of ANOVA showed significant differences in intensity of fear according to delivery history (F = 4.58; p = 0.005). In the linear regression model, parity and delivery history were shown to be significant predictors of fear of childbirth. The most prevalent components of childbirth-related fear were pain (21.2%), prolonged labor (19.2%), and use of forceps or vacuum extraction (17.6%). Conclusion: Being a primipara, or perceiving a previous labor as complicated were significant factors influencing the fear of childbirth in our sample. The identification of the components and related factors of childbirth-related fear is important in planning effective intervention strategies aimed at anxiety prevention during pregnancy, and contributes to improvement in the quality of life of pregnant women.

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“…Pathological "disabling" fear of childbirth [7] is felt in about 6%-10% of the pregnant women [4,5,[8][9][10][11]. Studies have shown that fear of childbirth has a significant impact on delivery outcome [12], resulting in a dramatic increase of cesarean births [8,[13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Tokophobia (fear of childbirth): prevalence and risk factors

Demšar

Svetina

Verdenik

et al. 2018

Journal of Perinatal Medicine

101

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Objective: To identify the prevalence of and to determine the risk factors for developing a fear of childbirth (tokophobia). Methods: We evaluated 191 pregnant women during Parenting and Childbirth Classes. Participants were approached when attending Parenting and Childbirth Classes between June 2014 and September 2014 and were asked to complete several questionnaires related to depression (CES-D), anxiety (STAI X1 and X2), satisfaction with life (SWLS), delivery expectation/experience (W-DEQ), and specific fears. Results: Most (90%) of the responders were nulliparous. As many as 75% of the participants reported low to moderate tokophobia, whereas 25% exhibited high or very high fear of childbirth. Pathological fear occurred in 1.6% of the participants. The most significant was the fear of having an episiotomy followed by fear of having no control on the situation and fear of pain. An association exists between a preferred elective cesarean birth and tokophobia. Conclusions:The results draw attention to the need for early detection and treatment of fear of childbirth. The data may help identifying women at risk that require prenatal psychological intervention.

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Women's preference on mode of delivery in Southern Italy

Abstract: A high rate of women wish to give birth by cesarean section. This is probably an expression of the changes in society's attitudes. However, more careful attention to the psychological aspects and more personalized information about pregnancy and delivery could reduce this maternal demand.

Cited by 43 publications

References 19 publications

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

Factors associated with fear of childbirth: It’s effect on women’s preference for elective cesarean section

Factors Associated With Childbirth - Related Fear Among Slovak Women

Tokophobia (fear of childbirth): prevalence and risk factors

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