TY  - JOUR
T1  - Factors Affecting Pregnant Women’s Fear of Birth Levels during Labour and Effects of the Fear of Birth on Birth Pain, Birth Trauma Perception and Mood: An Analytical-Cross-Sectional Study
TT  - Doğum Eylemindeki Gebelerin Doğum Korkusu Düzeyini Etkileyen Faktörler ve Doğum Korkusunun, Doğum Ağrısı, Doğum Travması Algısı ve Duygulanım Düzeyine Etkisi:Analitik Kesitsel Çalışma
AU  - Balçık Çolak, Melek
AU  - Öztürk Can, Hafize
AU  - Yolcu, Büşra
AU  - Kalkan, Sare Cansu
AU  - Ünlü Bıdık, Nazlı
PY  - 2025
DA  - September
Y2  - 2025
DO  - 10.26453/otjhs.1727509
JF  - Online Turkish Journal of Health Sciences
JO  - OTSBD
PB  - Oğuz KARABAY
WT  - DergiPark
SN  - 2459-1467
SP  - 304
EP  - 311
VL  - 10
IS  - 3
LA  - en
AB  - Objective: This study aimed to investigate the factors influencing pregnant women's fear of childbirth during labour when they arrived at the hospital for delivery.Materials and Methods: This was an analytical, cross-sectional study conducted with 244 pregnant women admitted to the Obstetrics Clinic of Sakarya Training and Research Hospital. Data were collected using a Descriptive Information Form, the Delivery Fear Scale, the Visual Analogue Scale, the City Birth Trauma Scale and the Labour Agentry Scale.Results: Participants' mean childbirth fear scale scores were found to be below the moderate level. Fear levels were significantly correlated with participation in childbirth education and delivery method (p0.05).Fear was negatively correlated with perceived control and positively correlated with birth trauma scores (p
KW  - Fear of birth
KW  - midwifery
KW  - mood
KW  - pain
KW  - trauma
N2  - Amaç: Bu çalışmanın amacı, gebe kadınların doğum için hastaneye geldiklerinde, doğum sırasında yaşadıkları korkuyu etkileyen faktörleri araştırmaktır.Materyal ve Metot: Bu çalışma, Sakarya Eğitim ve Araştırma Hastanesi Kadın Doğum Kliniği’ne başvuran 244 gebe ile yapılan analitik, kesitsel bir araştırmadır. Veriler Tanımlayıcı Bilgi Formu, Doğum Korkusu Ölçeği, Görsel Analog Ölçeği, City Doğum Travması Ölçeği ve Doğum Duygulanım Ölçeği kullanılarak toplanmıştır. Araştırma SPPS 25.0 programı kullanılarak analiz edilmiştir.Bulgular: Katılımcıların doğum korkusu ölçek puan ortalaması orta düzeyin altında bulunmuştur. Korku düzeyleri, doğuma hazırlık eğitimine katılım ve doğum şekliyle önemli ölçüde ilişkili bulunurken (p0,05). Korku, algılanan kontrol ile negatif, doğum travması puanlarıyla pozitif korelasyon göstermiştir (p
CR  - Serçekuş P, İsbir GG, İnci FH. Reliability and validity of the delivery fear scale. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2017;10(4):179-185.
CR  - do Souto SPA, da Silva RCG, Prata AP, Guerra MJ, Couto C, de Albuquerque RS. Midwives’ interventions for reducing fear of childbirth in pregnant women: a scoping review. JBI Evidence Synthesis. 2022;20(12):2867-935. doi:10.11124/JBIES-21-00382
CR  - İsbir GG, Serçekuş P, Yenal K, et al. The prevalence and associated factors of fear of childbirth among Turkish pregnant women. J Reprod Infant Psychol. 2024;42(1):62-77. doi:10.1080/02646838.2022.2057938
CR  - Bilge Ç, Dönmez S, Olgaç Z, Pirinççi F. Fear of labour during pregnancy and factors affecting. Sağlık Bilimlerinde Değer. 2022;12(2):330-5. doi:10.33631/sabd.1067958
CR  - Grundström H, Malmquist A, Ivarsson A, Torbjörnsson E, Walz M, Nieminen K. Fear of childbirth postpartum and its correlation with post-traumatic stress symptoms and quality of life among women with birth complications-A cross-sectional study. Archives of Women's Mental Health. 2022;25(2):485-91. doi:10.1007/s00737-022-01289-7
CR  - Balçık Çolak M, Öztürk Can H, Denizci Zirek Z. Annelerin doğumda duygulanım düzeyi ve etkileyen faktörler. Balıkesir Sağlık Bilimleri Dergisi. 2021;10(2): 180-185. doi:10.53424/balikesirsbd.773611
CR  - Hildingsson I, Rubertsson C. Postpartum bonding and association with depressive symptoms and prenatal attachment in women with fear of birth. BMC Pregnancy and Childbirth. 2022;22(1):1-9. doi:10.1186/s12884-021-04197-3
CR  - Asselmann E, Garthus-Niegel S, Martini J. Personality impacts fear of childbirth and subjective birth experiences: A prospective-longitudinal study. PloS One. 2021;16(11):e0258696. doi:10.1371/journal.pone.0258696
CR  - Hendrix YM, Baas MA, Vanhommerig JW, de Jongh A, Van Pampus MG. Fear of childbirth in nulliparous women. Frontiers in Psychology. 2022;13:923819. doi:10.3389/fpsyg.2022.923819
CR  - Bıyık İ, Aslan MM. The effect of education during pregnancy on fear of labour and caesarean section rates. Kocaeli Medical Journal. 2020;9(2):77-82. doi:10.5505/ktd.2020.37097
CR  - O'Connell MA, Leahy‐Warren P, Khashan AS, Kenny LC, O'Neill SM. Worldwide prevalence of tocophobia in pregnant women: systematic review and meta‐analysis. Acta Obstetricia et Gynecologica Scandinavica. 2017;96(8):907-20. doi:10.1111/aogs.13138
CR  - Wijma K, Alehagen S, Wijma B. Development of the delivery fear scale. Journal of Psychosomatic Obstetrics & Gynecology. 2002;23(2):97-107. doi:10.3109/01674820209042791
CR  - Sakorntanun W, Chatchawan U, Hongrattana K. The characteristics of labour pain during the active phase of primipara. Journal of Medical Technology and Physical Therapy. 2012;24(2):191-200.
CR  - Ayers S, Wright DB, Thornton A. Development of a measure of postpartum PTSD: the city birth trauma scale. Frontiers in Psychiatry. 2018;9:409. doi:10.3389/fpsyt.2018.00409
CR  - Bayrı Bingöl F, Bal MD, Dişsiz M, Sormageç MT, Yildiz PD. Validity and reliability of the Turkish version of the City Birth Trauma Scale (CityBiTS). Journal of Obstetrics and Gynaecology. 2021;41(7):1023-31. doi:10.1080/01443615.2020.1821354
CR  - Hodnett ED, Simmons‐Tropea DA. The labour agentry scale: psychometric properties of an instrument measuring control during childbirth. Research in Nursing & Health. 1987;10(5):301-10. doi:10.1002/nur.4770100503
CR  - Gençalp, NS. Doğum eyleminde anneye verilen destekleyici hemşirelik bakımının doğum sürecine etkisi. T.C. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü Doğum-Kadın Hastalıkları Hemşireliği Programı. Doktora Tezi. Ankara, Türkiye. 1998.
CR  - Conrad MS, Trachtenberg E. Personality traits, childbirth expectations, and childbirth experiences: a prospective study. Journal of Reproductive and Infant Psychology. 2023;41(4):403-16. doi:10.1080/02646838.2021.2009451
CR  - Kanbur A, Özlem K. Investigation of the level of fear of childbirth and related variables in pregnant women. Mersin University Faculty of Medicine Lokman Hekim Journal of History of Medicine and Folkloric Medicine. 2023;13(1):188-95. doi:10.31020/mutftd.1162395
CR  - Rúger-Navarrete A, Vázquez-Lara JM, Antúnez-Calvente I, et al. Antenatal fear of childbirth as a risk factor for a bad childbirth experience.  Healthcare. 2023;18;11(3):297 doi:10.3390/healthcare11030297
CR  - Mandar O, Idrees MB, Ahmed A, ALhabardi N, Hassan B, Adam I. Prevalence and associated factors of fear for childbirth among pregnant women in eastern Sudan. Journal of Reproductive and Infant Psychology. 2023;41(3):319-29. doi:10.1080/02646838.2021.1995598
CR  - Lewis-Jones B, Nielsen TC, Svensson J, et al. Cross-sectional survey of antenatal education attendance among nulliparous pregnant women in Sydney, Australia. Women and Birth. 2023;36(2):e276-e82. doi:10.1016/j.wombi.2022.08.003
CR  - Vaajala M, Liukkonen R, Kuitunen I, Ponkilainen V, Mattila VM, Kekki M. Factors associated with fear of childbirth in a subsequent pregnancy: a nationwide case–control analysis in Finland. BMC Women's Health. 2023;23(1):1-8. doi:10.1186/s12905-023-02185-7
CR  - Jenabi E, Khazaei S, Bashirian S, Aghababaei S, Matinnia N. Reasons for elective cesarean section on maternal request: a systematic review. The Journal of Maternal-Fetal & Neonatal Medicine. 2020;33(22):3867-72. doi:10.1080/14767058.2019.1587407
CR  - Ilska M, Brandt-Salmeri A, Kołodziej-Zaleska A, Banaś E, Gelner H, Cnota W. Factors associated with fear of childbirth among Polish pregnant women. Scientific Reports. 2021;11(1):4397. doi:10.1038/s41598-021-83915-5
CR  - Simpson M, Catling C. Understanding psychological traumatic birth experiences: A literature review. Women and birth: journal of the Australian College of Midwives. 2016;29(3):203–7. doi:10.1016/j.wombi.2015.10.009
CR  - Place K, Rahkonen L, Adler K, Kruit H. Women’s subjective perceptions and background factors associated with poor maternal childbirth experience among induced and spontaneous onset of labour: a two-year tertiary hospital cohort study. BMC Pregnancy and Childbirth. 2023;23(1):349. doi:10.1186/s12884-023-05665-8
CR  - Reshef S, Mouadeb D, Sela Y, Weiniger FC, Freedman SA. Childbirth, trauma and family relationships. European Journal of Psychotraumatology. 2023;14(1):2157481. doi:10.1080/20008066.2022.2157481
CR  - Pop-Jordanova N, Jakovska-Maretti T, Zorcec T. Perceived birth trauma in Macedonian women. PRILOZI. 2023;44(1):37-46. doi:10.2478/prilozi-2023-0005
CR  - Fenaroli V, Molgora S, Dodaro S, et al. The childbirth experience: obstetric and psychological predictors in Italian primiparous women. BMC Pregnancy and Childbirth. 2019;19(1):1-7. doi:10.1186/s12884-019-2561-7
UR  - https://doi.org/10.26453/otjhs.1727509
L1  - https://dergipark.org.tr/tr/download/article-file/4992054
ER  -