Fear of childbirth from the perspective of midwives working in hospitals in Norway: A qualitative study

Abstract

Aim To illuminate the perceptions of hospital‐based midwives who support women suffering from moderate to severe fear of childbirth during an expected vaginal birth. Design A qualitative descriptive and explorative study. Methods Focus group interviews were conducted with 18 midwives representing four different hospitals in Norway. Results Encountering fear of childbirth evoked the desire to protect and help, although the ability to provide optimal support was dependent on several circumstances, several of which were beyond the midwives̕ control. The main theme “Midwives finding their own strength when encountering the vulnerability of women with fear of childbirth” consisted of two themes: “Being present” and “Being alone.” The midwives described being present as a prerequisite for continuity of care and affirmation. The emphasis on continuity of care could give rise to a sense of loneliness and guilt during and after demanding situations in the birthing room.

Tokophobia and Domestic Violence: The Pathological Fear of Pregnancy and Childbirth

“…This may involve offering continuous counseling during the antenatal period and building trust with health care professionals in outpatient settings. 7 In conclusion, the fear of childbirth, known as Tokophobia, leads to anxiety during pregnancy, longer labors, and increased use of epidural anesthesia and elective cesarean surgeries. Therefore, efforts to prevent domestic violence should prioritize the promotion of healthy relationships, especially for children and youth, and take into account cultural factors.…”

“…Moreover, providing care during childbirth helps to alleviate fear and anxiety, thus reducing complications. This may involve offering continuous counseling during the antenatal period and building trust with health care professionals in outpatient settings 7…”