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Previous birth experience in women with intense fear of childbirth
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
Högskolan i Borås.
Sahlgrenska akademin.
2010 (English)In: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 3, no 39, 298-309 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To describe the meaning of previous experiences of childbirth in pregnant women who have exhibited intense fear of childbirth such that it has an impact on their daily lives.

Design: A descriptive phenomenological study.

Setting: A maternity clinic for women with fear of childbirth in the western part of Sweden.

Participants: Nine women with intense fear of childbirth who were pregnant with their second child and considered their previous birth experiences negative.

Methods: Interviews that were transcribed verbatim and analyzed with a reflective life-world approach.

Results: The essential meanings that emerged were a sense of not being present in the delivery room and an incomplete childbirth experience. The women felt as if they had no place there, that they were unable to take their place, and that even if the midwife was present, she did not provide support. The experience remained etched in the women's minds and gave rise to feelings of fear, loneliness, and lack of faith in their ability to give birth and diminished trust in maternity care. These experiences contrasted with brief moments that made sense.

Conclusions: Previous childbirth experiences for pregnant women with intense fear of childbirth have a deep influence and can be related to suffering and birth trauma. The implication is to provide maternity care where the nurse/midwife is present and supports women during birth in a way that enables them to be present and take their place during birth.

Place, publisher, year, edition, pages
2010. Vol. 3, no 39, 298-309 p.
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-20468DOI: 10.1111/j.1552-6909.2010.01139.xOAI: oai:DiVA.org:lnu-20468DiVA: diva2:537222
Available from: 2012-06-26 Created: 2012-06-26 Last updated: 2012-11-08Bibliographically approved
In thesis
1. Förlossningsrädsla: med fokus på kvinnors upplevelser av att föda barn
Open this publication in new window or tab >>Förlossningsrädsla: med fokus på kvinnors upplevelser av att föda barn
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Fear of childbirth : with a focus on women´s experiences of giving birth
Abstract [en]

Aim: The overall aim of this study is to describe experiences of, and the association between, fear of childbirth and birth experiences of women with fear ofchildbirth.

Methods: In studies I, II, and IV, a reflective lifeworld approach based on phenomenological philosophy was used to describe women’s experiences of fear of childbirth (I), previous birth experiences (II), and fear of childbirth and of birth experience in a long-term perspective (IV). In study III, differences between women who reported fear of childbirth and those who did not were calculated using risk ratios with a 95 % confidence interval and multivariate logistic regression analysis. Data were collected from interviews with eight (I) and nine (II) pregnant women with intense fear of childbirth, and with six women who had sought care for intense fear of childbirth 7 to 11 years prior to the interview (IV), and via questionnaire from a sample of 763 women during pregnancy and again one year following birth (III).

Findings: Fear of childbirth was described as “to lose oneself as a woman into loneliness” (I). Previous birth experience was described as “a sense of not being present in the delivery room and an incomplete childbirth experience” (II). Fear of childbirth was associated with a previous negative birth experience and a previous emergency caesarean section (III). From a long-term perspective, fear of childbirth and birth experience was described as “an effort to make all the pieces come together” (IV).

Conclusions: This thesis generates evidence on the importance of previous birth experience for women with fear of childbirth, from both qualitative and quantitative perspectives. These perspectives illustrate the complexity where women´s experiences in the delivery room are central. To avoid creating fear of childbirth, it is important that maternity care services focus on women’s birth experiences and critically evaluate care in relation to childbirth.

Place, publisher, year, edition, pages
Växjö, Kalmar: Linnaeus University Press, 2012. 76 p.
Series
Linnaeus University Dissertations, 92/2012
Keyword
Fear of childbirth, Negative birth experience, Phenomenology, Childbirth, Birth trauma, Suffering, Midwifery, Support, Long-term, Birth narrative, Lived experice
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-18750 (URN)978-91-86983-65-9 (ISBN)
Public defence
2012-06-08, Myrdal, Växjö, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2012-11-08 Created: 2012-05-22 Last updated: 2017-02-14Bibliographically approved

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Citation style
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