Acta obstetricia et gynecologica Scandinavica · 2013
The impact of previous birth experiences on maternal fear of childbirth.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Størksen Hege Therese, Garthus-Niegel Susan, Vangen Siri, Eberhard-Gran Malin
Аннотация
OBJECTIVES: This study aimed to assess the relation between fear of childbirth and previous birth experiences.
DESIGN: A prospective study of pregnant women.
SETTING: Akershus University Hospital, Norway.
POPULATION: Parous women (n = 1357) scheduled to give birth at Akershus University Hospital in Norway during 2009-2011.
METHODS: Data were collected using two self-completed questionnaires at pregnancy weeks 17 and 32. Fear of childbirth was assessed by the Wijma Delivery Expectancy Questionnaire. Previous overall birth experience was measured using a numeric rating scale, and previous obstetric complications were assessed using an index of seven obstetric complications: emergency cesarean section, instrumental vaginal delivery, extensive blood loss, retained placenta, serious maternal infection during labor, thrombosis, and anal sphincter tears.
MAIN OUTCOME MEASURE: Fear of childbirth.
RESULTS: The odds ratio of fear of childbirth was 4.8 (95% confidence interval (CI) 2.8-8.3) for a previous negative overall birth experience, 1.9 (95% CI 1.2-3.1) for one obstetric complication and 2.6 (95% CI 1.2-5.5) for two or more complications. The estimates were adjusted for mental health, labor pain, time since last delivery, age, and education. Almost 80% of women who experienced obstetric complications neither considered the birth a negative overall experience nor developed a fear of childbirth.
CONCLUSIONS: The association between a previous subjectively negative birth experience and fear of childbirth was high and was greater than the association between previous obstetric complications and fear of childbirth.
DESIGN: A prospective study of pregnant women.
SETTING: Akershus University Hospital, Norway.
POPULATION: Parous women (n = 1357) scheduled to give birth at Akershus University Hospital in Norway during 2009-2011.
METHODS: Data were collected using two self-completed questionnaires at pregnancy weeks 17 and 32. Fear of childbirth was assessed by the Wijma Delivery Expectancy Questionnaire. Previous overall birth experience was measured using a numeric rating scale, and previous obstetric complications were assessed using an index of seven obstetric complications: emergency cesarean section, instrumental vaginal delivery, extensive blood loss, retained placenta, serious maternal infection during labor, thrombosis, and anal sphincter tears.
MAIN OUTCOME MEASURE: Fear of childbirth.
RESULTS: The odds ratio of fear of childbirth was 4.8 (95% confidence interval (CI) 2.8-8.3) for a previous negative overall birth experience, 1.9 (95% CI 1.2-3.1) for one obstetric complication and 2.6 (95% CI 1.2-5.5) for two or more complications. The estimates were adjusted for mental health, labor pain, time since last delivery, age, and education. Almost 80% of women who experienced obstetric complications neither considered the birth a negative overall experience nor developed a fear of childbirth.
CONCLUSIONS: The association between a previous subjectively negative birth experience and fear of childbirth was high and was greater than the association between previous obstetric complications and fear of childbirth.