Childbirth Fear, Anxiety, Fatigue, and Sleep Deprivation in Pregnant Women

Hall, Wendy A.; Hauck, Yvonne; Carty, Elaine; Hutton, Eileen K.; Fenwick, Jennifer; Stoll, Kathrin

doi:10.1111/j.1552-6909.2009.01054.x

Cited by 230 publications

(193 citation statements)

References 37 publications

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“…Although other recent studies , Hall et al, 2009) have reported similar results, it remains unclear whether causation or selection processes are at work. The first implies that the type of care giver is one of the determinants of fear of childbirth, while the latter means that more fearful women-or in the Dutch case, women referred to obstetric care on indication of fear of childbirth-may have chosen obstetric care instead of midwifery care to feel safer.…”

Section: Discussionsupporting

confidence: 66%

“…However, we do not argue that fear of childbirth is a multidimensional concept. Although it does seem rather likely from a theoretical point of view, other data (see recent studies: Nieminen et al, 2009;Lyberg & Severinsson, 2010, Hall et al, 2009, Waldenström et al, 2006 and research techniques are needed to claim multi-dimensionality of the concept itself.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

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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“…Depression, anxiety and stress scores were positively but weakly associated with fear scores across samples, a relationship that has also been demonstrated among pregnant women (2,6,(44)(45)(46). The short version of the Depression-Anxiety Stress Scale was a reliable measure across student samples, adding to a growing body of evidence that supports use of the scale in non-clinical samples (41,42).…”

Section: Discussionmentioning

confidence: 64%

“…Childbirth fear is reported by 2.5% -78% of pregnant women, depending on the instrument used to measure fear and the level of severity (1)(2)(3)(4)(5). Severe fear of childbirth affects 2.5% of nulliparas and 4.5% of multiparas (6) and is characterized by nightmares, physical complaints, and difficulties concentrating on work or family activities.…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy

Stoll

Hauck

Downe

et al. 2016

Sexual & Reproductive Healthcare

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Background: Assessment of childbirth fear, in advance of pregnancy, and early identification of modifiable factors contributing to fear can inform public health initiatives and/or school-based educational programming for the next generation of maternity care consumers. We developed and evaluated a short fear of birth scale that incorporates the most common dimensions of fear reported by men and women prior to pregnancy, fear of: labour pain, being out of control and unable to cope with labour and birth, complications, and irreversible physical damage.Methods: University students in six countries (Australia, Canada, England, Germany, Iceland, and the United States, n=2240) participated in an online survey to assess their fears and attitudes about birth. We report internal consistency reliability, corrected-itemto-total correlations, factor loadings and convergent and discriminant validity of the new scale. Results:The Childbirth Fear -Prior to Pregnancy (CFPP) scale showed high internal consistency across samples (α >0.86). All corrected-item-to total correlations exceeded 0.45, supporting the uni-dimensionality of the scale. Construct validity of the CFPP was supported by a high correlation between the new scale and a two-item visual analog scale that measures fear of birth (r >0.6 across samples). Weak correlations of the CFPP with 2 scores on measures that assess related psychological states (anxiety, depression and stress) support the discriminant validity of the scale. Conclusion:The CFPP is a short, reliable and valid measure of childbirth fear among young women and men in six countries who plan to have children. Highlights• Fear of childbirth can precede pregnancy and is associated with preferences for cesarean section among young men and women who plan to have children in the future.• Assessing fear of birth and associated factors for young adults in different countries is an important first step in understanding why some young women and men are afraid of childbirth and how this issue might be addressed.• We developed a 10-item fear of birth scale that incorporates the main dimensions of fear reported by young adults in the literature, including fear of: labour pain, bodily damage, and complications.• The Childbirth Fear -Prior to Pregnancy (CFPP) scale had high internal consistency reliability across samples, measured one underlying construct, was highly correlated with another measure of childbirth fear, and was weakly correlated with measures of depression, anxiety and stress.

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“…All pregnant Chinese women (N=300) interviewed reported some degree of fear (Tsui et al, 2006). Among 650 women residing in British Columbia 54% reported a moderate level of fear with 21% and 25% of women reporting low and high fear levels respectively (Hall et al, 2009). In Western countries approximately one in five pregnant women has been shown to experience considerable fear of childbirth (Salomonsson, Bertero, & Alehagen, 2013).…”

Section: Prevalence Of Childbirth Fearmentioning

confidence: 99%

Childbirth related fears and psychological birth trauma in younger and older age adolescents

Anderson

Gill

2014

Applied Nursing Research

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Childbirth Fear, Anxiety, Fatigue, and Sleep Deprivation in Pregnant Women

Cited by 230 publications

References 37 publications

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

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

Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy

Childbirth related fears and psychological birth trauma in younger and older age adolescents

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