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The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis

Cilt: 33 Sayı: 4 31 Ağustos 2023
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The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis

Öz

Aim: This systematic review and meta-analysis study aimed to investigate the effects of psychoeducation on fear of childbirth and postpartum outcomes. Methods: Literature search was conducted in PubMed, CINAHL, Scopus and Science Citation Index (Web of Science) until December 2022. This work is based on the recommendations of the Cochrane guidelines. The data were analyzed using the Review Manager computer program (Version 5.3). Results: Eight randomized controlled trials were included in the meta-analysis: all 8 studies were combined for fear of childbirth. In the meta-analysis, it was seen that psychoeducation decreased the fear of birth (MD: 10.18 95% CI: 9.32 to 11.05, Z = 23.09, p < 0.00001) in pregnant women, when the anxiety and depression rate (SMD: -0.36 95% CI: -0.57 to -0.15, Z = 3.34, p=0.0008) were examined, it was seen that there was no difference in depression, it decreased the cesarean section (SMD: -0.35 95% CI: -0.49 to -0.22, Z = 5.19, p<0.00001) rate and increased the self-efficacy (SMD: 0.38 95% CI:0.25 to 0.51, Z =5.58 p <0.00001) rate. Conclusion: This study provides sufficient evidence that psychoeducation is effective in reducing fear of childbirth, anxiety, and cesarean section rates, while increasing self-efficacy.

Anahtar Kelimeler

Tokophobia, psycho-education, primiparous, meta-analysis, systematic review

Proje Numarası

CRD42022379561

Kaynakça

  1. Demšar K, Svetina M, Verdenik I, Tul N, Blickstein I, Globevnik Velikonja V. Tokophobia (fear of childbirth): prevalence and risk factors. Journal of Perinatal Medicine 2018;46(2): 151-154. https://doi.org/10.1515/jpm-2016-0282
  2. Dencker A, Nilsson C, Begley C, et al. Causes and outcomes in studies of fear of childbirth: A systematic review. Women Birth 2019;32(2):99-111. doi:10.1016/j.wombi.2018.07.004
  3. Eide KT, Morken NH, Bærøe K. Maternal reasons for requesting planned cesarean section in Norway: a qualitative study. BMC Pregnancy Childbirth 2019;19(1):102. Published 2019 Mar 29. doi:10.1186/s12884-019-2250-6
  4. Fairbrother N, Thordarson DS, Stoll K. Fine tuning fear of childbirth: the relationship between Childbirth Fear Questionnaire subscales and demographic and reproductive variables. J Reprod Infant Psychol 2018;36(1):15-29. doi:10.1080/02646838.2017.1396300
  5. Gluck O, Pinchas-Cohen T, Hiaev Z, Rubinstein H, Bar J, Kovo M. The impact of childbirth education classes on delivery outcome. Int J Gynaecol Obstet 2020;148(3):300-304. doi:10.1002/ijgo.13016Henriksen L, Grimsrud E, Schei B, Lukasse M. Factors related to a negative birth experience – a mixed method study. Midwifery 2017;51:33–9.
  6. Karabulutlu O, Yesil Cicek Calik K, Akar N. Fear of childbirth and related obstetric variables. Nurs Pract Today 2016;3(4):161–70.
  7. Larsson B, Hildingsson I, Rubertsson C, Ternström E, Karlström A. Women’s experience of midwife-led counselling and its influence on childbirth fear – a qualitative study. Women Birth 2019;32:e88–94.
  8. Larsson B, Karlström A, Rubertsson C, Ternström E, Ekdahl J, Segebladh B, et al. Birth preference in women undergoing treatment for childbirth fear: a randomised controlled trial. Women Birth 2017;30:460–7.
  9. Logtenberg SLM, Verhoeven CJ, Oude Rengerink K, Sluijs A-M, Freeman LM, Schellevis FG, et al. Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study. BMC Pregnancy Childbirth. 2018;18(1):347. https://doi.org/10.1186/s12884-018-1986-8.
  10. Lukasse M, Schei B, Ryding EL; Bidens Study Group. Prevalence and associated factors of fear of childbirth in six European countries. Sex Reprod Healthc. 2014;5(3):99‐106.

Kaynak Göster

APA
Yıldız Karaahmet, A., Turan, A., & Nuralıyeva, Z. (2023). The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis. Genel Tıp Dergisi, 33(4), 399-411. https://doi.org/10.54005/geneltip.1227723
AMA
1.Yıldız Karaahmet A, Turan A, Nuralıyeva Z. The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis. Genel Tıp Derg. 2023;33(4):399-411. doi:10.54005/geneltip.1227723
Chicago
Yıldız Karaahmet, Aysu, Ayşenur Turan, ve Zulfıyya Nuralıyeva. 2023. “The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis”. Genel Tıp Dergisi 33 (4): 399-411. https://doi.org/10.54005/geneltip.1227723.
EndNote
Yıldız Karaahmet A, Turan A, Nuralıyeva Z (01 Ağustos 2023) The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis. Genel Tıp Dergisi 33 4 399–411.
IEEE
[1]A. Yıldız Karaahmet, A. Turan, ve Z. Nuralıyeva, “The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis”, Genel Tıp Derg, c. 33, sy 4, ss. 399–411, Ağu. 2023, doi: 10.54005/geneltip.1227723.
ISNAD
Yıldız Karaahmet, Aysu - Turan, Ayşenur - Nuralıyeva, Zulfıyya. “The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis”. Genel Tıp Dergisi 33/4 (01 Ağustos 2023): 399-411. https://doi.org/10.54005/geneltip.1227723.
JAMA
1.Yıldız Karaahmet A, Turan A, Nuralıyeva Z. The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis. Genel Tıp Derg. 2023;33:399–411.
MLA
Yıldız Karaahmet, Aysu, vd. “The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis”. Genel Tıp Dergisi, c. 33, sy 4, Ağustos 2023, ss. 399-11, doi:10.54005/geneltip.1227723.
Vancouver
1.Aysu Yıldız Karaahmet, Ayşenur Turan, Zulfıyya Nuralıyeva. The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis. Genel Tıp Derg. 01 Ağustos 2023;33(4):399-411. doi:10.54005/geneltip.1227723