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Self reported fear of childbirth and its association with women´s birth experience and mode of delivery: a longitudinal population-based study.
Högskolan i Borås, Institutionen för Vårdvetenskap.
2012 (Engelska)Ingår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 25, nr 3, s. 114-121Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
Elsevier BV , 2012. Vol. 25, nr 3, s. 114-121
Nyckelord [en]
fear of childbirth, birth experience, mode of delivery, pregnancy, midwifery
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:hb:diva-3242DOI: 10.1016/j.wombi.2011.06.001ISI: 000315740900011PubMedID: 21764400Scopus ID: 2-s2.0-84865342349Lokalt ID: 2320/9823OAI: oai:DiVA.org:hb-3242DiVA, id: diva2:871339
Tillgänglig från: 2015-11-13 Skapad: 2015-11-13 Senast uppdaterad: 2018-04-20Bibliografiskt granskad

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Nilsson, Christina

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