Systematic Birth Preparation Programs Positively Influence the Childbirth Fear: A cross-sectional study
Abstract
Objective: The primary target of birth preparation program is guiding women to realistic expectations for the birth experience. The aim of the present study is to evaluate the influence of a systematic multidisciplinary birth preparation program on delivery expectation, childbirth fear, mode of delivery and neonatal outcomes.
Methods: 159 nulliparous pregnant women in their 3rd trimester were enrolled in this cross-sectional cohort study between January 2018 and March 2020. Women who participated to the systematic birth preparation program were grouped as Group A (n = 80) and those who refused to participate were considered Group B (n = 79). Fear of childbirth was scanned by Wijma Delivery Expectancy Questionnaire Version-A; socio-demographic and obstetric features were assessed through a self-developed survey by face-to-face interview. The mode of delivery, labor induction needs, cesarean indications, birth weights, APGAR scores, newborns hospitalization requirements if any were noted.
Results: The Wijma-A mean score was 44.60 ± 19.63 in those who attended the systematic birth preparation program and 72.05 ± 24.82 in those who did not (p<0.001). Childbirth fear was significantly lower in attended group when pregnant women were evaluated according to the four different level childbirth fear categories (p<0.001). The birth weights were significantly higher in attended group (p=0.017). There was no significant difference between the two groups in terms of mode of delivery, APGAR scores, neonatal hospitalization and labor induction requirements (p>0.05).
Conclusion: The present study shows that systematic and multidisciplinary birth preparation program may positively influence the childbirth fear and increase the birth weights of neonates.
Keywords
systematic birth preparation program , pregnancy , vaginal delivery , childbirth fear , Wijma-A delivery expectancy questionnaire.
References
- 1. Koc AE, Colak S, Colak GV, Pusuroglu M, Hocaoglu C. Investigating fear of childbirth in pregnant women and its relationship between anxiety sensitivity and somatosensory amplification. Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 2020 Apr 21:1-7. PubMed PMID: 32314633.
- 2. Sercekus P, Vardar O, Ozkan S. Fear of childbirth among pregnant women and their partners in Turkey. Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives. 2020 Jun;24:100501. PubMed PMID: 32066117.
- 3. Silverman ME, Reichenberg A, Savitz DA, et al. The risk factors for postpartum depression: A population-based study. Depression and anxiety. 2017 Feb;34(2):178-87. PubMed PMID: 28098957. Pubmed Central PMCID: 5462547.
- 4. Soltani F, Eskandari Z, Khodakarami B, Parsa P, Roshanaei G. Factors contributing to fear of childbirth among pregnant women in Hamadan (Iran) in 2016. Electronic physician. 2017 Jul;9(7):4725-31. PubMed PMID: 28894527. Pubmed Central PMCID: 5586985.
- 5. Sydsjo G, Sydsjo A, Gunnervik C, Bladh M, Josefsson A. Obstetric outcome for women who received individualized treatment for fear of childbirth during pregnancy. Acta obstetricia et gynecologica Scandinavica. 2012 Jan;91(1):44-9. PubMed PMID: 21787365.
- 6. Haines H, Pallant JF, Karlstrom A, Hildingsson I. Cross-cultural comparison of levels of childbirth-related fear in an Australian and Swedish sample. Midwifery. 2011 Aug;27(4):560-7. PubMed PMID: 20598787.
- 7. Akca A, Corbacioglu Esmer A, Ozyurek ES, et al. The influence of the systematic birth preparation program on childbirth satisfaction. Archives of gynecology and obstetrics. 2017 May;295(5):1127-33. PubMed PMID: 28303340.
- 8. Miquelutti MA, Cecatti JG, Makuch MY. Developing strategies to be added to the protocol for antenatal care: an exercise and birth preparation program. Clinics. 2015 Apr;70(4):231-6. PubMed PMID: 26017787. Pubmed Central PMCID: 4418303.
- 9. Ozdemir ME, Cilingir IU, Ilhan G, Yildiz E, Ohanoglu K. The effect of the systematic birth preparation program on fear of vaginal delivery and quality of life. Archives of gynecology and obstetrics. 2018 Sep;298(3):561-5. PubMed PMID: 29961135.
- 10. Wijma K, Wijma B, Zar M. Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth. Journal of psychosomatic obstetrics and gynaecology. 1998 Jun;19(2):84-97. PubMed PMID: 9638601.