Provision of mental health support and Caesarean birth for women with fear of childbirth: a national survey

O’Brien, Stephen; Garbett, Hollie; Burden, Christy; Winter, Cathy; Siassakos, Dimitrios

doi:10.1016/j.ejogrb.2016.10.047

Cited by 4 publications

(2 citation statements)

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“…In the United Kingdom, present recommendations include identifying depression and general anxiety during pregnancy [19]. There is currently no routine pathway to ask specifically about women’s fears of childbirth in the United Kingdom and provision of support varies [20, 21]. Furthermore, the dominance of tools developed in Scandinavian populations [17] has led to frequent use of measurement tools that hold uncertain utility for other populations where the focus of fear may vary [22, 23] or where translation into English renders the interpretation of items ambiguous [23, 24].…”

Section: Introductionmentioning

confidence: 99%

Establishing a valid construct of fear of childbirth: findings from in-depth interviews with women and midwives

Slade

Balling

Sheen

et al. 2019

BMC Pregnancy Childbirth

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BackgroundFear of childbirth (FOC) can have a negative impact on a woman’s psychological wellbeing during pregnancy and her experience of birth. It has also been associated with adverse obstetric outcomes and postpartum mental health difficulties. However the FOC construct is itself poorly defined. This study aimed to systematically identify the key elements of FOC as reported by women themselves.MethodsSemi-structured interviews with pregnant women (n = 10) who reported to be fearful of childbirth and telephone interviews with consultant midwives (n = 13) who regularly work with women who are fearful of childbirth were conducted. Interviews were analysed using thematic analysis for each group independently to provide two sources of information. Findings were reviewed in conjunction with a third source, a recently published meta-synthesis of existing literature of women’s own accounts of FOC. The key elements of FOC were determined via presence in two out of the three sources at least one of which was from women themselves, i.e. the reports of the women interviewed or the meta-synthesis.ResultsSeven themes were identified by the women and the consultant midwives: Fear of not knowing and not being able to plan for the unpredictable, Fear of harm or stress to the baby, Fear of inability to cope with the pain, Fear of harm to self in labour and postnatally, Fear of being ‘done to’, Fear of not having a voice in decision making and Fear of being abandoned and alone. One further theme was generated by the women and supported by the reports included the meta-synthesis: Fear about my body’s ability to give birth. Two further themes were generated by the consultant midwives and were present also in the meta-synthesis: Fear of internal loss of control and Terrified of birth and not knowing why.ConclusionsTen key elements in women’s FOC were identified. These can now be used to inform development of measurement tools with verified content validity to identify women experiencing FOC, to support timely access to support during pregnancy.Electronic supplementary materialThe online version of this article (10.1186/s12884-019-2241-7) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Establishing a valid construct of fear of childbirth: findings from in-depth interviews with women and midwives

Slade

Balling

Sheen

et al. 2019

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…No routine requirements to ask women about their fears for birth exist in current UK pathways, and provisions for women who fear birth vary (O'Brien, Garbett, Burden, Winter, & Siassakos, 2016;Richens, Hindley, & Lavender, 2015). Current UK antenatal and perinatal mental health guidelines recommend enquiring about general anxiety and depression (National Institute for Health and Care Excellence [NICE], 2014); however, these enquiries are unlikely to identify all women experiencing FOC (Størksen, Eberhard-Gran, Garthus-Niegel, & Eskild, 2012).…”

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confidence: 99%

Examining the content and moderators of women's fears for giving birth: A meta‐synthesis

Sheen

Slade

2018

Journal of Clinical Nursing

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Endometritis por Morganella morganii: reporte de caso

Arias-Muñoz

Ospina²,

Beltrán-Montoya

2021

Acta Colombiana de Cuidado Intensivo

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Provision of mental health support and Caesarean birth for women with fear of childbirth: a national survey

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Cited by 4 publications

References 5 publications

Establishing a valid construct of fear of childbirth: findings from in-depth interviews with women and midwives

Establishing a valid construct of fear of childbirth: findings from in-depth interviews with women and midwives

Examining the content and moderators of women's fears for giving birth: A meta‐synthesis

Endometritis por Morganella morganii: reporte de caso

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