Determinants of Fear of Childbirth in Pregnant Women with a History of Cesarean Delivery

Abstract

Objectives: In this study, it was aimed to examine the fear of childbirth (FOC) and the factors associated with FOC in pregnant women who had a history of cesarean section in their previous pregnancies. Materials and Methods: The study included pregnant women who were followed up in the pregnant outpatient clinic, had a history of previous cesarean section, and were between the 24th and 40th weeks of their current pregnancies. A sociodemographic and clinical information form, which included information about age, education level, current pregnancy and previous pregnancies, psychiatric and internal disease history, and sexual functions, was filled in for all pregnant women in the study. All pregnant women completed the Beck depression inventory (BDI) and Beck anxiety inventory (BAI). Results: One hundred and thirty-one pregnant women were included in the study and 74.4% of them declared that they experienced significant FOC. It was determined that the pregnant women with FOC experienced statistically significantly more fear during vaginal examination, reported pain/contraction during sexual intercourse, expressed fear that they would experience pain/contraction during sexual intercourse and higher scores of BDI, BAI. In logistic regression analysis, it was found that education level, fear in vaginal examination, and fear of pain during sexual intercourse predicted the FOC. Conclusion: A high rate of FOC is also seen in pregnant women with a history of cesarean section, and vaginismus is an important risk factor for FOC in these women. Questioning vaginismus in all pregnant women will contribute to both pregnancy follow-ups and decreasing the rates of elective cesarean section.

Keywords

• Cesarean Section
• Fear Of Childbirth
• Pregnancy
• Vaginismus

Sezaryen Doğum Öyküsü Olan Gebelerde Doğum Korkusunun Belirleyicileri

Abstract

Amaç: Bu çalışmada önceki gebeliklerinde sezaryen doğum öyküsü olan gebelerdeki doğum korkusu ve doğum korkusu ile ilişkili etkenlerin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışmaya gebe polikliniğinde takip edilen, daha önce sezaryen doğum öyküsü olan ve şimdiki gebeliklerinin 24.-40. haftaları arasında olan gebeler dahil edildi. Çalışmaya dahil edilen tüm gebeler için yaş, eğitim düzeyi, şimdiki gebelik ve önceki gebelikler ile ilgili bilgiler, psikiyatrik ve dahili hastalık öyküsü, cinsel işlevlerle ilgili bilgilerin olduğu sosyodemografik bilgi formu dolduruldu ve klinik bilgileri kaydedildi. Tüm gebeler Beck depresyon ölçeği (BDÖ), Beck anksiyete ölçeğini (BAÖ) doldurdular. Bulgular: Çalışmaya 131 gebe dahil edildi ve %74,4’ü doğum korkusu yaşadıklarını beyan etti. Doğum korkusu yaşayan gebelerin istatistiksel olarak anlamlı oranda daha fazla vajinal muayene sırasında korku yaşadığı, cinsel ilişki sırasında ağrı/kasılma bildirdiği ve cinsel ilişki sırasında ağrı/kasılma yaşayacağına dair korku ifade ettiği; BDÖ ve BAÖ puanlarının daha yüksek olduğu saptandı. Lojistik regresyon analizinde eğitim düzeyi, vajinal muayenede korku, cinsel ilişki sırasındaki ağrı korkusunun doğum korkusunu predikte ettiği bulundu. Sonuç: Sezaryen öyküsü olan gebelerde de yüksek oranda doğum görülmektedir ve bu gebelerde vajinismus doğum korkusu açısından önemli bir risk faktörüdür. Vajinismusun tüm gebelerde sorgulanması hem gebelik takipleri hem de elektif sezaryen oranlarının düşürülmesine katkıda bulunacaktır.

Keywords

• Sezaryen Doğum
• Doğum Korkusu
• Gebelik
• Vajinismus

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