The reasons for delivery: Related fear and associated factors in western Turkey
,
Abstract
Background & Aim: Childbirth related fear (CRF) causes pregnant women to select cesarean section (CS) without a medical reason. The purpose of this study was to determine reasons for delivery related fear and associated factors in pregnant women.
Methods & Materials: A descriptive, cross-sectional study was conducted on 315 pregnant wom- en who were in the last trimester. Participants were randomly recruited from an outpatient clinic of a state hospital in Çanakkale, Turkey, between March and May 2012. Data were collected using a socio-demographic information form and CRF information questionnaire. Descriptive statistics and chi-square test were performed to identify the frequency of delivery related fear and associat- ed factors. Data were analyzed with mean, standard deviation, frequency, and chi-square test using SPSS version 16.
Results: The mean age of the pregnant women was 26.67 ± 5.62 years and the mean gestational week of the women was 34.02 ± 4.22. Of 315 women, 53.7% had CS, 30.8% had vaginal birth, 34% had prenatal education, 69.8% had knowledge about birth, 66% were influenced by prenataleducation positively, 62.5% had delivery-related fear, and 27% of them stated that this fear was related to loss of their babies. About 40% of the women talked to their mothers about childbirth and 70.2% of these women were affected positively by these conversations, 24.1% of the women heard about bad birth experiences, and 69.7% of the women were affected negatively by these experiences. There was a significant relationship between delivery related fear and age, education, income, the number of pregnancies, problems in pregnancy, planning of pregnancy, prenatal health monitoring visits, getting information related to birth, being influenced by this information, talking about birth with people, and hearing about bad birth experiences (P < 0.050).
Conclusion: Based on the results of this study, it can be concluded that pregnant women need to get appropriate information from health professionals to deal with CRF.
Geissbuehler V, Eberhard J. Fear of child- birth during pregnancy: a study of more than 8000 pregnant women. J Psychosom Obstet Gynaecol 2002; 23(4): 229-35.
Howarth AM, Swain N, Treharne GJ. Tak- ing personal responsibility for well-being increases birth satisfaction of first time mothers. J Health Psychol 2011; 16(8): 1221-30.
Hofberg K, Brockington I. Tokophobia: an unreasoning dread of childbirth. A series of 26 cases. Br J Psychiatry 2000; 176: 83-5.
Saisto T, Halmesmaki E. Fear of childbirth: a neglected dilemma. Acta Obstet Gynecol Scand 2003; 82(3): 201-8.
Kjærgaard H, Wijma K, Dykes AK, Aleha- gen S. Fear of childbirth in obstetrically low-risk nulliparous women in Sweden and Denmark. Journal of Reproductive and In- fant Psychology 2008; 26(4): 340-50.
Wijma K. Why focus on 'fear of childbirth'? J Psychosom Obstet Gynaecol 2003; 24(3): 141-3.
Waldenstrom U, Hildingsson I, Ryding EL. Antenatal fear of childbirth and its associa- tion with subsequent caesarean section and experience of childbirth. BJOG 2006; 113(6): 638-46.
Laursen M, Johansen C, Hedegaard M. Fear of childbirth and risk for birth complications in nulliparous women in the Danish National Birth Cohort. BJOG 2009; 116(10): 1350-5.
Storksen HT, Eberhard-Gran M, Garthus- Niegel S, Eskild A. Fear of childbirth; the relation to anxiety and depression. Acta Ob- stet Gynecol Scand 2012; 91(2): 237-42.
Hall WA, Hauck YL, Carty EM, Hutton EK, Fenwick J, Stoll K. Childbirth fear, anxiety, fatigue, and sleep deprivation in pregnant women. J Obstet Gynecol Neonatal Nurs 2009; 38(5): 567-76.
Hofberg K, Ward M. Fear of pregnancy and childbirth. Postgrad Med J 2003; 79(935): 505-10.
Zar M, Wijma K, Wijma B. Pre- and post- partum fear of childbirth in nulliparous and parous women. Scandinavian Journal of Be- haviour Therapy 2010; 30(2): 75-84.
Alehagen S, Wijma K, Wijma B. Fear dur- ing labor. Acta Obstet Gynecol Scand 2001; 80(4): 315-20.
Saisto T, Salmela-Aro K, Nurmi JE, Halmesmaki E. Psychosocial characteristics of women and their partners fearing vaginal childbirth. BJOG 2001; 108(5): 492-8.
Saisto T, Toivanen R, Salmela-Aro K, Halmesmaki E. Therapeutic group psy- choeducation and relaxation in treating fear of childbirth. Acta Obstet Gynecol Scand 2006; 85(11): 1315-9.
Cowan CP, Cowan PA. When partners be- come parents: the big life change for couples. London, UK: Routledge; 1999. P. 150-3.
Gagnon AJ, Sandall J. Individual or group antenatal education for childbirth or parenthood, or both. Cochrane Database Syst Rev 2007; (3): CD002869.
Ryding EL, Persson A, Onell C, Kvist L. An evaluation of midwives' counseling of preg- nant women in fear of childbirth. Acta Ob- stet Gynecol Scand 2003; 82(1): 10-7.
Sluijs AM, Cleiren MP, Scherjon SA, Wijma K. No relationship between fear of childbirth and pregnancy-/delivery-outcome in a low-risk Dutch pregnancy cohort deliv- ering at home or in hospital. J Psychosom Obstet Gynaecol 2012; 33(3): 99-105.
Hacettepe University Institute of Population Studies. Turkey demographic and health survey TDHS-2008. Available at: http://www.hips.hacettepe.edu.tr/eng/tdhs08/ . Accessed August 17, 2008.
Melender HL. Experiences of fears associat- ed with pregnancy and childbirth: a study of 329 pregnant women. Birth 2002; 29(2): 101-11.
Storksen HT, Garthus-Niegel S, Vangen S, Eberhard-Gran M. The impact of previous birth experiences on maternal fear of child- birth. Acta Obstet Gynecol Scand 2013; 92(3): 318-24.
Ryding EL, Wijma B, Wijma K, Rydhstrom H. Fear of childbirth during pregnancy may increase the risk of emergency cesarean sec- tion. Acta Obstet Gynecol Scand 1998; 77(5): 542-7.
Sydsjo G, Angerbjorn L, Palmquist S, Bladh M, Sydsjo A, Josefsson A. Secondary fear of childbirth prolongs the time to subsequent delivery. Acta Obstet Gynecol Scand 2013; 92(2): 210-4.
Salmela-Aro K, Read S, Rouhe H, Halmesmaki E, Toivanen RM, Tokola MI, et al. Promoting positive motherhood among nulliparous pregnant women with an intense fear of childbirth: RCT intervention. J Health Psychol 2012; 17(4): 520-34.
Sercekus P, Okumus H. Fears associated with childbirth among nulliparous women in Turkey. Midwifery 2009; 25(2): 155-62.
Hildingsson I, Radestad I, Rubertsson C, Waldenstrom U. Few women wish to be de- livered by caesarean section. BJOG 2002; 109(6): 618-23.
Nieminen K, Stephansson O, Ryding EL. Women's fear of childbirth and preference for cesarean section--a cross-sectional study at various stages of pregnancy in Sweden. Acta Obstet Gynecol Scand 2009; 88(7): 807-13.
Haines H, Pallant JF, Karlstrom A, Hildingsson I. Cross-cultural comparison of levels of childbirth-related fear in an Aus- tralian and Swedish sample. Midwifery 2011; 27(4): 560-7.
Zar M, Wijma K, Wijma B. Relations be- tween anxiety disorders and fear of childbirth during late pregnancy. Clinical Psychology & Psychotherapy 2002; 9(2): 122-30.
Johnson RC, Slade P. Obstetric complica- tions and anxiety during pregnancy: is there a relationship? J Psychosom Obstet Gynae- col 2003; 24(1): 1-14.
Fisher C, Hauck Y, Fenwick J. How social context impacts on women's fears of child- birth: a Western Australian example. Soc Sci Med 2006; 63(1): 64-75.
Stoll K, Hall W. Vicarious birth experiences and childbirth fear: does it matter how young canadian women learn about birth? J Perinat Educ 2013; 22(4): 226-33.
Sercekus P, Mete S. Turkish women's per- ceptions of antenatal education. Int Nurs Rev 2010; 57(3): 395-401.
| Files | ||
| Issue | Vol 2 No 1 (2015): Winter | |
| Section | Original Article(s) | |
| Keywords | ||
| fear labor cesarean delivery type vaginal birth | ||
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