Dissatisfaction with the husband support increases childbirth fear among Indonesian primigravida

Marcelina, Lina Ayu; Rachmawati, Imami Nur; Ungsianik, Titin

doi:10.1016/j.enfcli.2019.04.047

Cited by 17 publications

(21 citation statements)

References 22 publications

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“…Some studies investigated the association of different sources of support and FOC. Women's satisfaction with husband's support [28], family support [11], intrapartum support [26], informational support [24], and couple adjustment [27] have been found to be predictors of FOC in previous studies. In a study conducted in Istanbul, there were signi cant but weak correlations between FOC scores and the two factors of being pleased with pregnancy and accepting the motherhood role [5].…”

Section: Discussionmentioning

confidence: 84%

“…Several other variables have been associated with different levels of FOC. Being illiterate and unemployed [22], antenatal anxiety and depression [25,27,28,30], low nancial status and lack of knowledge and understanding of the delivery process [11,28,30], previous birth mode [1], and having postnatal depressive symptoms [23] were associated with high to severe FOC. Although one study indicated that satisfaction with marital life was not associated with FOC [30], another study found that marital relationship could predict pregnancy anxiety [31] which is in turn strongly correlated with FOC according to several studies [25,27,28,30].…”

Section: Discussionmentioning

confidence: 99%

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Predictors of Fear of Childbirth and Normal Delivery Among Iranian Postpartum Women: A Cross-Sectional Study

Mortazavi

Mehrabadi

2021

Preprint

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Background: Fear of childbirth (FOC) may contribute to postpartum depression, impaired maternal-infant relation, and preference for cesarean in future pregnancies. The mode of delivery may have a role in postpartum FOC. We aimed to investigate predictors of FOC and normal vaginal delivery (NVD) among postpartum women who had planned for NVD. Methods: This cross-sectional study was conducted in 2019 on postpartum women during the first 24 hours after the delivery. A sample of 662 women, selected using convenient sampling method, filled out the questionnaire composed of socio-demographic and obstetric questions and the Wijma Delivery-Expectancy Questionnaire (W-DEQ). We used univariate and multivariate logistic regression analyses to determine predictors of FOC and NVD.Results: The percentage of women with mild (scores ≤ 37), moderate (38-65), high (66-84), severe (scores 85-99) and intense (scores ≥ 100) FOC were 7.9%, 19.5%, 40.9%, 21.1%, and 10.6% respectively. Predictors of severe FOC were a low level of satisfaction with husband’s support and a low level of satisfaction with pregnancy. Predictors of intense FOC were age < 30, primiparity, low maternal satisfaction with pregnancy, and a low level of perceived marital satisfaction. Overall, 21.8% of women gave birth by cesarean. Predictors of NVD were birth weight < 4kg, spontaneous labor pain, mother’s age < 30, term pregnancy, having a doula, multiparity, satisfaction with husband's support, and satisfaction with pregnancy. FOC was not a predictor of NVD. Conclusions: The rate of severe and intense FOC among this group of postpartum women is high. Our findings highlight modifiable factors for reducing FOC and increasing NVD. In designing programs to increase the rate of NVD, the following factors should be considered: limiting induced labor, encouraging women to recruit a doula to help them at labor, facilitate husband’s attendance throughout antenatal/intrapartum and postnatal care to support his wife, consultation with couples to increase husband’s support, and other steps to make pregnancy pleasant and memorable. According to our findings, factors that can contribute to the reduction of the rate of FOC were consultation with couples to increase husband support and marital satisfaction and also finding ways to make pregnancy a pleasant experience.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Predictors of Fear of Childbirth and Normal Delivery Among Iranian Postpartum Women: A Cross-Sectional Study

Mortazavi

Mehrabadi

2021

Preprint

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“…In nulliparous women, we found a significant relationship between fear of childbirth and concerns about pregnancy-related knowledge, body changes, and pain during childbirth. Nulliparous women had no previous experience in pregnancy and childbirth; hence, good preparation with adequate knowledge helped them be confident during pregnancy, thereby reducing the fear of childbirth [ 29 ]. On the other hand, pregnancy and childbirth are painful processes and significantly affect the physical health of a pregnant woman.…”

Section: Discussionmentioning

confidence: 99%

Fear of Childbirth and Preferences for Prevention Services among Urban Pregnant Women in a Developing Country: A Multicenter, Cross-Sectional Study

Nguyen

Ninh³

et al. 2021

IJERPH

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This study aimed to examine fear of childbirth and willingness to pay for fear-prevention services in pregnant women. A multicenter, cross-sectional study was conducted on pregnant women in two obstetric hospitals in Vietnam. The Fear of Birth Scale was utilized to evaluate fear of childbirth. Multivariable, generalized linear regression and logistic regression models were performed to identify associated factors with fear of childbirth, demand, and willingness to pay for prevention services. Of 900 pregnant women, fear of childbirth was moderately high with a mean score of 18.1 (SD = 2.3). Age of partner; ever having complications of pregnancy; attitudes toward different aspects of childbirth delivery; satisfactions with friends, parents, and siblings’ care; and information support were associated with fear of childbirth. Only 33.8% participants had a demand for the prevention service, and 43.7% were willing to pay for this service with an average amount of $US 10.0 per month (SD = 72.0). Our study suggested that individualized psychological counseling and information-seeking guidance should be provided appropriately and differently for multiparous and nulliparous women for reducing fear and improving the acceptability of the prevention services.

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“…Besides, satisfaction with the husband reduces childbirth-related anxiety and fear [22,23]. In contrast, a low level of satisfaction with the husband can increase the childbirth-related fear, thereby causing a negative experience of childbirth [24]. Given the high importance of having satisfaction with the husband in acquiring a positive experience of childbirth, the caregivers should try to facilitate involvement and support of the husband throughout pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Adaptation of short version of questionnaire for assessing the childbirth experience (QACE) to the Iranian culture

Mirghafourvand

Jafarabadi

Ghanbari‐Homayi

2020

BMC Pregnancy Childbirth

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Background Given the importance of the childbirth experience, its effects on women’s life and society, and the need for its assessment by accurate instruments, this study aimed to determine the psychometric properties of the Questionnaire for Assessing the Childbirth Experience (QACE) in an Iranian women population. Methods The validity of the Farsi edition of the questionnaire was assessed using the opinions of eight experts. Its construct validity was assessed by studying 530 mothers, at 1–4-month postpartum, who delivered in health centers of Tabriz, Iran. The exploratory factor analysis (EFA) was performed to identify its factors. Then, the confirmatory factor analysis (CFA) was performed for the structural assessment of the extracted factors. Spearman’s correlation coefficient was used to investigate the correlation between factors. Cronbach’s alpha and intraclass correlation coefficient (ICC) were used to obtain the internal consistency and test-retest reliability. Results In total, four factors were extracted from the EFA: “relationship with staff” (4 questions), “first moments with the newborn” (3 questions), “feelings at one-month postpartum” (3 questions), and “emotional status” (3 questions). According to the CFA, the model achieved desired fit level (RMSEA < 0.08, GFI, CFI, IFI > 0.90, and x2/df < 5.0). Cronbach’s alpha (0.77–0.82) and intraclass correlation coefficient index (0.83–0.98) were desirable for all factors. Conclusion The short edition of the QACE, as a standard tool, can be used by future studies to measure the experience of Iranian women.

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Dissatisfaction with the husband support increases childbirth fear among Indonesian primigravida

Cited by 17 publications

References 22 publications

Predictors of Fear of Childbirth and Normal Delivery Among Iranian Postpartum Women: A Cross-Sectional Study

Predictors of Fear of Childbirth and Normal Delivery Among Iranian Postpartum Women: A Cross-Sectional Study

Fear of Childbirth and Preferences for Prevention Services among Urban Pregnant Women in a Developing Country: A Multicenter, Cross-Sectional Study

Adaptation of short version of questionnaire for assessing the childbirth experience (QACE) to the Iranian culture

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