lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Self reported fear of childbirth and its association with women´s birth experience and mode of delivery: a longitudinal population-based study
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
Sahlgrenska akademin, Göteborgs universitet.
Mittuniversitetet.
Mittuniversitetet och Karolinska institutet.
2012 (English)In: Women and Birth, ISSN 1871-5192, Vol. 25, no 3, 114-121 p.Article in journal (Refereed) Published
Abstract [en]

Objective

To explore fear of childbirth (FOC) during pregnancy and one year after birth and its association to birth experience and mode of delivery.

Design

A longitudinal population-based study.

Population

Pregnant women who were listed for a routine ultrasound at three hospitals in the middle-north part of Sweden.

Method

Differences between women who reported FOC and who did not were calculated using risk ratios with a 95% confidence interval. In order to explain which factors were most strongly associated to suffer from FOC during pregnancy and one year after childbirth, multivariate logistic regression analyses were used.

Results

FOC during pregnancy in multiparous women was associated with a previous negative birth experience (RR 5.1, CI 2.5–10.4) and a previous emergency caesarean section (RR 2.5, CI 1.2–5.4). Associated factors for FOC one year after childbirth were: a negative birth experience (RR 10.3, CI 5.1–20.7), fear of childbirth during pregnancy (RR 7.1, CI 4.4–11.7), emergency caesarean section (RR 2.4, CI 1.2–4.5) and primiparity (RR 1.9, CI 1.2–3.1).

Conclusion

FOC was associated with negative birth experiences. Women still perceived the birth experience as negative a year after the event. Women's perception of the overall birth experience as negative seems to be more important for explaining subsequent FOC than mode of delivery. Maternity care should focus on women's experiences of childbirth. Staff at antenatal clinics should ask multiparous women about their previous experience of childbirth. So that FOC is minimized, research on factors that create a positive birth experience for women is required.

Place, publisher, year, edition, pages
2012. Vol. 25, no 3, 114-121 p.
Keyword [en]
Fear of childbirth, Birth experience, Mode of delivery, Pregnancy, Midwifery
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-20471DOI: 10.1016/j.wombi.2011.06.001PubMedID: 1764400OAI: oai:DiVA.org:lnu-20471DiVA: diva2:537238
Available from: 2012-06-26 Created: 2012-06-26 Last updated: 2013-06-04Bibliographically 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

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Nilsson, Christina
By organisation
School of Health and Caring Sciences
In the same journal
Women and Birth
Nursing

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 415 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf