Fear of Childbirth: Predictors and Temporal Changes Among Nulliparous Women in the Danish National Birth Cohort

Laursen, Maja; Hedegaard, M; Johansen, Christoffer

doi:10.1097/01.aoa.0000350598.82205.a1

Cited by 39 publications

(62 citation statements)

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“…All four studies included parous women, some of whom had previously had a caesarean section, and nulliparous women with medical and obstetric risk factors, and no adjustment was made for weight, height or weight gain, which are associated with fear of childbirth and with emergency caesarean section. 23,24 We would have expected the studies to have found stronger associations than ours, but the sample sizes of two of them were possibly too small to detect a true association. 6,9 This study was based on a cohort of Danish women.…”

Section: Discussionmentioning

confidence: 66%

“…20 We found previously that the women who dropped out of the study more often feared childbirth than those who continued. 23 If women with fear who dropped out had a higher risk of emergency caesarean section than those with fear who were included, the found association between fear of childbirth and emergency caesarean section in the study has been underestimated.…”

Section: Discussionmentioning

confidence: 96%

“…We conducted logistic regression analyses with emergency caesarean section as the outcome and fear of childbirth at interview I, II or both interviews as the dependent variable. The analyses were conducted as univariate and then adjusted for educational level, maternal age, height, prepregnancy BMI, residential area, size of residence and smoking status, which were possible confounders found to be associated with fear of childbirth in a previous study of the cohort, 23 and also for weight gain, birthweight, head circumference and duration of pregnancy, which were found to be important variables for emergency caesarean section in the same cohort. 24 We then performed logistic regression analyses with dystocia or protracted labour and suspected fetal distress as the outcomes, univariate and adjusted for the same variables as above mentioned.…”

Section: Statistical Analysesmentioning

confidence: 99%

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Fear of childbirth and risk for birth complications in nulliparous women in the Danish National Birth Cohort

Laursen

Johansen

Hedegaard

2009

BJOG

137

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Objectives To examine the associations between fear of childbirth and emergency caesarean section and between fear of childbirth and dystocia or protracted labour and fetal distress.Design Prospective cohort study.Setting Danish National Birth Cohort.Population A total of 25 297 healthy nulliparous women in spontaneous labour with a single fetus in cephalic presentation at term following an uncomplicated pregnancy.Methods Data were collected during 1997-2003 from computerassisted telephone interviews twice in pregnancy linked with national health registers.Main outcome measures Risk for emergency caesarean section of women who feared childbirth; risk for dystocia/protracted labour or fetal distress of women who feared childbirth.Results Fear of childbirth in early (16 weeks, 6 ± 29 days) and late (31 weeks, 4 ± 21 days) pregnancy was associated with emergency caesarean section: OR, 1.23 (1.05-1.47) and 1.32 (1.13-1.55), respectively. When fear of childbirth was expressed at both interviews, the OR was 1.43 (1.13-1.80). Women who feared childbirth had an increased risk for dystocia or protracted labour (OR, 1.33; 1.15-1.54), but not for fetal distress (OR, 0.94; 0.72-1.23).Conclusions Fear of childbirth during pregnancy was associated with dystocia and emergency caesarean section but not with fetal distress.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 96%

Section: Statistical Analysesmentioning

confidence: 99%

See 1 more Smart Citation

Fear of childbirth and risk for birth complications in nulliparous women in the Danish National Birth Cohort

Laursen

Johansen

Hedegaard

2009

BJOG

137

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“…Although, a cross-sectional study among 30 480 pregnant women found that young age was one of the risk factors for fear of childbirth. 45 In regard with level of literacy, participants with different levels of education have been included in the study. The findings showed that probably a high level of education would not guarantee a childbirth process without psychological trauma.…”

Section: Discussionmentioning

confidence: 99%

“…Another study accentuated the significant relationship between unspecified educational status and childbirth fear. 45 Despite educational status, the degree of awareness regarding a childbirth process might be beneficial for the prevention of psychological birth trauma. Bryanton et al's findings are in line with the results of this study, in which he emphasized that degree of awareness about childbirth events can be considered as one the most important predictors of childbirth experiences.…”

Section: Discussionmentioning

confidence: 99%

Iranian mothers' perceptions of the impact of the environment on psychological birth trauma: A qualitative study

Taghizadeh

Arbabi

Kazemnejad

et al. 2014

Int J of Nursing Practice

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Childbirth is a unique experience in women's life. Various factors including human and non-human environment are involved in shaping the experience of childbirth.This study investigated the role of the environment on the psychological birth trauma from the perceptions of Iranian mothers. A qualitative descriptive study was conducted from September 2011 to February 2012, using audiotaped interviews with 23 Iranian women recruited from Tehran and Isfahan. The interviews were transcribed verbatim and analysed using the content analysis. Two themes were extracted from the data: human and non-human environment; and several categories also emerged from the data, which are communication with mother, awareness of mother's needs, support for mother, medical clinical competence, professional responsibility, hospital's physical structure, hospital's equipment, routine care in hospital and rules governing the hospital's environment, respectively. Considering the significant role of environment in psychological birth trauma of the mother, an appropriate intervention must be developed to enhance both human and non-human environment in order to reduce the psychological birth trauma.

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W291 Relation Between Depression, Anxiety, Self‐esteem, Marital Satisfaction, Demographical Factor and Maternal Complications With Fear of Childbirth in Nulliparous Women

Akhlaghi¹,

Mokhber²,

Shakeri³

et al. 2012

Intl J Gynecology & Obste

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Fear of Childbirth: Predictors and Temporal Changes Among Nulliparous Women in the Danish National Birth Cohort

Cited by 39 publications

References 0 publications

Fear of childbirth and risk for birth complications in nulliparous women in the Danish National Birth Cohort

Fear of childbirth and risk for birth complications in nulliparous women in the Danish National Birth Cohort

Iranian mothers' perceptions of the impact of the environment on psychological birth trauma: A qualitative study

W291 Relation Between Depression, Anxiety, Self‐esteem, Marital Satisfaction, Demographical Factor and Maternal Complications With Fear of Childbirth in Nulliparous Women

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