Effectiveness of Antenatal Nursing Intervention on Childbirth's Fears, Psychological -Wellbeing and Pregnancy Outcomes in Primipara's Women (original) (raw)
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The effect of individual counseling program by a midwife on fear of childbirth in primiparous women
Journal of Education and Health Promotion, 2017
INTRODUCTION: Fear of childbirth is a common problem in pregnant women, which in many cases leads to maternal requested cesarean. A midwife, as a responsible person, plays an important role in providing advice and giving care to mothers during pregnancy, delivery, and the postpartum period. The present study was conducted with the aim of determining the effect of individual counseling program by a midwife on fear of childbirth in primiparous women. MATERIALS AND METHODS: This clinical trial was conducted in 2015-16, on ninety primiparous women with gestational ages of 28-30 weeks, who presented themselves at health-care centers in Mashhad. The individuals were randomly divided into two groups: intervention and control. The intervention group received the counseling program individually during three sessions, and the routine care was given to the control group. Data collection tools the Wijma Delivery Expectancy/Experience Questionnaire. The data were collected at recruitment during 34-36 weeks of pregnancy and were analyzed using SPSS 16 software and the statistical tests: Chi-square and t-test, and P < 0.05 was considered to be significant. RESULTS: During weeks 34-36 of pregnancy, the mean scores for fear of childbirth in the intervention group and control group were 39.733 ± 17.085 and 65.666 ± 15.019, respectively, and there was a significant difference between the two groups (P < 0.001). CONCLUSION: The individual counseling program provided by the midwife to the primiparous women during pregnancy resulted in reduced fear of childbirth.
Fear from Childbirth among Pregnant Women
OALib
Background: Pregnancy and childbirth are a long time journey associated with physiological and psychological changes that may cause positive or negative impact on the woman's life, the baby, and her family. Fear of childbirth is one of the most factors that affect directly or indirectly on labor Process. Aim: Aim of the study was to; measure the level of fear from childbirth among pregnant women in Port Said city. Subjects and Methods: A descriptive study design was used to conduct the study at antenatal clinics in 5 primary health care centers in Port Said city. The study subjects consisted of 200 pregnant women. Tow tools used to collect the necessary data consisted of; structured interviewee sheet, and Wijma delivery expectancy questionnaire (W-DEQ). Results: The current study revealed that about the more than half of the studied women (55.33%) have high level of fear. A significant relation was found between fear of childbirth and sociodemographic characteristics among pregnant women. Conclusion: There was a statistically significant relationship between fear of childbirth from the studied women and their sociodemographic characteristics in the areas of educational level and their obstetric history in the areas of complications related to previous delivery. Recommendations: Designing and applying childbirth preparation classes in the third trimester of pregnancy particularly for primigravidas to promote their self-control and their self-confidence during labor leads to a more satisfactory birthing experience.
Pregnancy is а standout amongst the most vital periods in а lady’s life, as it brings along various changes, in the physical aspects, as well as socially and psychologically. Fear of unknown, stress, rootless feeling and everyday issues associated with physical and hormonal changes can much of the time prompt antenatal anxiety. Anxiety is common among pregnant women. Be that as it may, inquire about consideration in the territory of conceptive mental wellbeing has mainly focused on postpartum depression in past decades. Given unfavorable results of antenatal anxiety, there is а dire need to fill the exploration holes.
Full title: Managing the fear of childbirth, developing a care program: a multi-method study
Background: Despite the importance of fear of childbirth and the necessity of implementing appropriate care methods to increase women's willingness to childbearing and their more tendency to perform natural childbirth, there is no clear process in this field in the care programs of the country's health system. The present study was designed with the aim of developing a guideline for managing the fear of childbirth in the current context. Methods: This is a multi-method study which was conducted in five stages within the framework of the National Institute for Health and Care Excellence (NICE) guideline. A research committee consisting of five focal and 16 secondary members was formed. The stages included determining the scope of the study, developing guideline (a qualitative study and a systematic review, triangulation of the data, and producing a preliminary draft), consultation stage (validation of the protocol Using nominal group method), as well as revision and publicati...
Journal of Health Research, 2020
PurposeFear of birth may cause perinatal complication, increased risk of intervention and need for analgesia, delayed mother–infant attachment process and deterioration of spouse relationship. The purpose of this study was to determine the affecting factors and childbirth fears of Turkish pregnant women.Design/methodology/approachThis is a descriptive research type. The sample of this study consisted of 78 pregnant women who met the inclusion criteria and agreed to participate in this study. This study was carried out in a family health center and university hospital in a city in Turkey. Data were collected with Personal Information Form and Wijma Expectancy/Experience Scale-A Version (W-DEQ A).FindingsThe mean scores of pregnant women from W-DEQ A version were 75.60 ± 9.48. In 65.4% of pregnant women, fear of severe birth, 20.5% fear of clinical birth and 14.1% of children had a fear of moderate birth. W-DEQ A version, the third trimester, unplanned pregnancies, lack of knowledge o...
Annals of Medical and Health Sciences Research, 2015
Background: Due to the painful nature of childbirth and its maternal and neonatal complications, the woman needs support in this phase of their life. Increased knowledge and skills during pregnancy prepares pregnant mothers for labor and leads to promoted health. Aim: This study was designed to evaluate the effectiveness of "prenatal education" on the process of childbirth. Subjects and Methods: This clinical trial was conducted on 195 pregnant women, that is, control group (N = 132) and case group (N = 63) attending health centers in Amol-Iran from 20 weeks of gestation age during 2012. Case group members attended in "prenatal education" class and the control group only received routine care. Data were collected through demographic questionnaire, standard hospital anxiety questionnaire, and a checklist related to childbirth information, and intensity of pain based on visual analogue scale and McGill scales. The data were analyzed by Statistical Package for the Social Sciences software using t-test and Chi-square test. Results: The result of this study showed that the parent with a high level of education was more interested to participant in prenatal classes. The anxiety level in case group (who received education) was 14.47 (4.69) and in control group it was 16 (4.86), (P < 0.001) the pain intensity in case group was 85.68 (1.85) and in control group was 90.99 (14.72) (P = 0.03), intervention on labor such episiotomy was 39 %66.1 (39/63) in case group and 80 %72.8 (80/132) in control group (P = 0.01) and cesarean section was 13 %17.1 (13/63) in case group and 58 %32.2 (58/132) in control group (P = 0.01). Conclusions: According to findings of this study, the prenatal education and psychological support are beneficial for mothers during pregnancy and labor. Therefore, it is recommended for educating all the pregnant women.
Childbirth and Postpartum Period Fear in Pregnant Women and the Affecting Factors
Para citar este artículo / To reference this article / Para citar este artigo Egelioğlu Cetişli N., Denizci Zirek Z. Y Bakılan Abalı F. Childbirth and postpartum period fear in pregnant women and the affecting factors. ABSTRACT Objective: The aim of this study was to identify the anxiety pregnant women feel about childbirth and the postpartum period and to determine the affecting factors. Methods: A descriptive design was used in the study, which was conducted with pregnant women at two obstetric polyclinics of a university hospital in Turkey from January 2014 to July 2014. The population consisted of 143 pregnant women. The data were collected using an individual identification form and the Fear Childbirth and Postpartum Anxiety Scale. The percentage, Kruskall Wallis, Mann-Whitney U and Independent Sample t tests were used to evaluate the differences between the variables. Results: The results of the study reveal that pregnant women are quite fearful of childbirth and the postpartum period. Conclusions: It is necessary to decrease fear of childbirth, because of its negative effects.
Factors contributing to fear of childbirth among pregnant women in Hamadan (Iran) in 2016
Electronic Physician
Background: Fear of childbirth is a considerable mental, social, and physiological phenomenon among women as well as their families, which can be effective in choosing cesarean section for delivery. Aim: To determine some factors contributing to the fear of childbirth among pregnant women. Method: This cross-sectional study was conducted on 335 pregnant women referred to health centers in Toyserkan in 2016. Pregnant women with the gestational age of 16-40 weeks filled out Harman's Childbirth Attitude Questionnaire (CAQ) as well as stating demographic and obstetrics characteristics. Data were analyzed by Software SPSS/19 through chi-square, ANOVA, and Pearson's correlation tests. Results: The mean age and mean gestational age of the pregnant women were 26.5±4.9 years old and 26.52 weeks, respectively; 89.3% of the women reported fear of childbirth. There was a significant difference among the mean scores of the women's fear of childbirth and education level, household income adequacy, gravidity, being familiar with the delivery process, and pre-pregnancy cares (p<0.05). Conclusion: The present study found the relationship between women's fear of childbirth and their education level, household income, gravidity, familiarity with delivery process, and pre-pregnancy cares. It is necessary for health caregivers to take into consideration the vulnerable groups, especially nulliparous women during prepregnancy care as well as the social, and cultural status of women in order to identify the pregnant women exposed to fear of childbirth and reduce the chance of choosing cesarean section by providing appropriate services.
Childbirth Fear and Associated Factors in a Sample of Pregnant Iranian Women
2018
Objectives: Fear of childbirth is common during pregnancy and may contribute to several adverse outcomes. We aimed to investigate childbirth fear and associated factors in a sample of pregnant Iranian women. Methods: This cross-sectional study was conducted on 525 pregnant women in Sabzevar, Iran from December 2016 to March 2017. The Wijma Delivery Expectancy/Experience Questionnaires (W-DEQ) was used to investigate fear of childbirth. Results: The mean W-DEQ score was 67.6±23.5. Of 525 women, 19.6% and 6.1% experienced moderate (mean W-DEQ score ≥ 85) and severe (mean W-DEQ score ≥ 100) fear of childbirth, respectively. W-DEQ scores were not different in the categories of gestational age, parity, maternal age, educational level, body mass index, and employment status (p > 0.050). The mean score of childbirth fear was significantly higher in multiparas who preferred cesarean in comparison to those who preferred vaginal delivery (p < 0.032). The mean score of childbirth fear was significantly higher in nulliparas with a lower family income compared to those with a higher family income (p < 0.011). In nulliparas, predictors of moderate and severe childbirth fear were women’s description of their present pregnancy (odds ratio (OR) = 2.600; 95% confidence interval (CI): 1.323–5.112), and receiving a low level of emotional support from their husband (OR = 4.450; 95% CI: 1.349–14.674), respectively. In multiparas, predictors of childbirth fear were unwanted pregnancy (OR = 2.930; 95% CI: 1.549– 3.541), experiencing moderate to severe dyspareunia in the first intercourse (OR = 2.829; 95% CI: 1.479–5.414), having a low level of physical activity (OR = 1.942; 95% CI: 1.014–3.716), and perceived a low level of health (OR = 3.415; 95% CI: 1.172–9.950). Conclusions: We observed a relatively high prevalence of childbirth fear in pregnant women in Iran. Interventions should be implemented in high-risk women considering psychological variables.
Psychosocial predictors of the fear of childbirth in Turkish pregnant women
Journal of Psychosomatic Obstetrics & Gynecology, 2020
Introduction: Fear of childbirth (FOC) affects women's emotional health, preparation for birth, and outcomes of birth. Identifying the predictors of FOC can aid in identifying strategies for reducing women's FOC. Objective: This descriptive, cross-sectional study was aimed at determining the psychosocial predictors of FOC in pregnant women. Methods: The participants were 624 nulliparous and multiparous pregnant women in their last trimester. Data were collected using a personal information form, Wijma Delivery Expectancy/ Experience Questionnaire A, Childbirth Self-Efficacy Inventory, Multidimensional Scale of Perceived Social Support, State-Trait Anxiety Inventory, and Prenatal Self-Evaluation Questionnaire. Hierarchical regression analysis was performed to determine the predictors of FOC. Results: FOC was high among this study's participants and severe for one fifth of them. The psychosocial variables predicting FOC were self-efficacy and trait anxiety level, and spousal support was found to be a mediator variable in the relationship between self-efficacy and FOC. Conclusion: The findings suggest that psychosocial variables are key to predicting FOC.