Causes and outcomes in studies of fear of childbirth: A systematic review

Dencker, Anna; Nilsson, Christína; Begley, Cecily; Jangsten, Elisabeth; Mollberg, Margareta; Patel, Harshida; Wigert, Helena; Hessman, Eva; Sjöblom, Helen; Sparud-Lundin, Carina

doi:10.1016/j.wombi.2018.07.004

Cited by 267 publications

(235 citation statements)

References 45 publications

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“…Several important factors influence the overall birth experience [35], including: compassion and understanding (addressed in the domain professional support); competency (addressed in the domain perceived safety); privacy, dignity, and respect (addressed in the domain professional support); receiving information and involvement in decision-making (addressed in the domain participation). A positive experience of perceived safety is central, specifically for primiparous women, in order to avoid the development of negative memories and fear of a future pregnancy and birth [5,6,10]. The domain of own capacity reflects women's assessment of their own agency, strengths, emotions, and bodily sensations during birth, rather than their experiences of the treatment received in their encounters with health care professionals [1,32,36].…”

Section: Discussionmentioning

confidence: 99%

“…Experienced labour pain is complex, and difficult to explicitly relate to childbirth experience, as many women who experience high levels of pain may still report a positive birthing experience [48]. Conversely, reporting a very high level of pain a month or more following childbirth is often related to a negative experience [48], and constitutes a risk factor for having experienced birth trauma, as well as an increased risk for developing fear of childbirth [10].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…A negative birth experience [6] has been identified as an important factor in delaying or avoiding subsequent pregnancies, and in requesting an elective caesarean [7][8][9]. Furthermore, reports of traumatic birth experiences have been related to the development of post-partum depression (PPD), post-traumatic stress disorder (PTSD), anxiety, and fear of childbirth (FOC) [10][11][12][13], as well as problematic bonding between mother and infant, leading to the development of disorganised attachment in the child [14].…”

Section: Introductionmentioning

confidence: 99%

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Measuring women’s experiences of decision-making and aspects of midwifery support: a confirmatory factor analysis of the revised Childbirth Experience Questionnaire

Dencker

Bergqvist

Berg

et al. 2020

BMC Pregnancy Childbirth

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Background: Women's experiences of labour and birth can have both short-and long-term effects on their physical and psychological health. The original Swedish version of the Childbirth Experience Questionnaire (CEQ) has shown to have good psychometric quality and ability to differentiate between groups known to differ in childbirth experience. Two subscales were revised in order to include new items with more relevant content about decision-making and aspects of midwifery support. The aim of the study was to develop new items in two subscales and to test construct validity and reliability of the revised version of CEQ, called CEQ2. Method: A total of 11 new items (Professional Support and Participation) and 14 original items from the first CEQ (Own capacity and Perceived safety), were answered by 682 women with spontaneous onset of labour. Confirmatory factor analysis was used to analyse model fit.Results: The hypothesised four-factor model showed good fit (CMIN = 2.79; RMR = 0.33; GFI = 0.94; CFI = 0.94; TLI = 0.93; RMSEA = 0.054 and PCLOSE = 0.12) Cronbach's alpha was good for all subscales (0.82, 0.83, 0.76 and 0.73) and for the total scale (0.91). Conclusions: CEQ2, like the first CEQ, yields four important aspects of experience during labour and birth showing good psychometric performance, including decision-making and aspects of midwifery support, in both primiparous and multiparous women.

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Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Measuring women’s experiences of decision-making and aspects of midwifery support: a confirmatory factor analysis of the revised Childbirth Experience Questionnaire

Dencker

Bergqvist

Berg

et al. 2020

BMC Pregnancy Childbirth

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“…This is borne out in the literature, where clinicians have noted that women request CS for a variety of reasons including a previous poor birth experience or fear of labour as well as for social and cultural factors or body image . In general, obstetricians are seen as more likely than midwives to agree to a women's request for CS .…”

Section: Sdm In Maternity Carementioning

confidence: 99%

“…And I certainly feel that as long as it's an informed consent, I would be very agreeable to obliging either way (training obstetrician 3)." 1(p1194) This is borne out in the literature, where clinicians have noted that women request CS for a variety of reasons including a previous poor birth experience 15,16 or fear of labour 16,17 as well as for social and cultural factors or body image. 15,17,18 In general, obstetricians are seen as more likely than midwives to agree to a women's request for CS.…”

Section: Sdm In Maternity Carementioning

confidence: 99%

Shared decision‐making in maternity care: Acknowledging and overcoming epistemic defeaters

Begley

Daly

Panda

et al. 2019

Evaluation Clinical Practice

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Shared decision‐making involves health professionals and patients/clients working together to achieve true person‐centred health care. However, this goal is infrequently realized, and most barriers are unknown. Discussion between philosophers, clinicians, and researchers can assist in confronting the epistemic and moral basis of health care, with benefits to all. The aim of this paper is to describe what shared decision‐making is, discuss its necessary conditions, and develop a definition that can be used in practice to support excellence in maternity care. Discussion between the authors, with backgrounds in philosophy, clinical maternity care, health care management, and maternity care research, assisted the team to confront established norms in maternity care and challenge the epistemic and moral basis of decision‐making for caesarean section. The team concluded that shared decision‐making must start in pregnancy and continue throughout labour and birth, with equality in discourse facilitated by the clinician. Clinicians have a duty of care for the adequacy of women's knowledge, which can only be fulfilled when relevant knowledge is offered freely and when personal beliefs and biases that may impinge on decision‐making (defeaters) are disclosed. Informed consent is not shared decision‐making. Key barriers include existing cultural norms of “the doctor knows best” and “patient acquiescence” that prevent defeaters being acknowledged and discussed and can lead to legal challenges, overuse of medical intervention and, in some areas, obstetric violence. Shared decision‐making in maternity care can thus be defined as an enquiry by clinician and expectant woman aimed at deciding upon a course of care or none, which takes the form of a dialogue within which the clinician fulfils their duty of care to the client's knowledge by making available their complete knowledge (based on all types of evidence) and expertise, including an exposition of any relevant and recognized potential defeaters. Research to develop measurement tools is required.

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Womenʼs perspectives on the quality of maternal and newborn care in childbirth during the COVID‐19 pandemic in Latvia: Results from the IMAgiNE EURO study on 40 WHO standards‐based quality measures

Pumpure

Jakovicka

Mariani

et al. 2022

Intl J Gynecology & Obste

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Objective To investigate women's perspectives on the quality of maternal and newborn care (QMNC) around the time of childbirth during the COVID‐19 pandemic in Latvia, comparing the years 2020 and 2021, among women who went into labor or had a prelabor cesarean. Methods Women giving birth in healthcare facilities in Latvia from March 1, 2020, to October 28, 2021, answered an online questionnaire including 40 WHO standards‐based quality measures. Descriptive and multivariate quantile regression analyses were performed to compare QMNC in 2020 and 2021. Results 2079 women were included in the analysis: 1860 women who went into labor (group 1) and 219 with prelabor cesarean (group 2). Among group 1, 66.4% (n = 99/149) of women received fundal pressure in an instrumental vaginal birth, 43.5% (n = 810) lacked involvement in choices, 17.4% (n = 317) reported suffering abuse, 32.7% (n = 609) reported inadequate breastfeeding support while 5.2% (n = 96) lack of early breastfeeding. A significant reduction in QMNC due to the COVID‐19 pandemic was reported by 29.5% (n = 219) and 25.0% (n = 270) of respondents in 2020 and 2021, respectively (P = 0.045). Multivariate analyses highlighted a significantly lower QMNC index for 2020 compared with 2021 (P < 0.001). Conclusion This first study investigating QMNC in Latvia showed significant gaps in QMNC perceived by respondents, with slightly better results in 2021. Appropriate healthcare strategies to improve health care for women and newborns in Latvia are required. http://clinicaltrials.gov Identifier:NCT04847336.

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Causes and outcomes in studies of fear of childbirth: A systematic review

Cited by 267 publications

References 45 publications

Measuring women’s experiences of decision-making and aspects of midwifery support: a confirmatory factor analysis of the revised Childbirth Experience Questionnaire

Measuring women’s experiences of decision-making and aspects of midwifery support: a confirmatory factor analysis of the revised Childbirth Experience Questionnaire

Shared decision‐making in maternity care: Acknowledging and overcoming epistemic defeaters

Womenʼs perspectives on the quality of maternal and newborn care in childbirth during the COVID‐19 pandemic in Latvia: Results from the IMAgiNE EURO study on 40 WHO standards‐based quality measures

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