Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries
Abstract Background Few studies have examined the mode of birth among women with fear of childbirth, and the results are conflicting. The objective of this study was to assess the association between fear of childbirth and cesarean delivery in North European women. Methods A longitudinal cohort stud...
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Online Access: | http://dx.doi.org/10.1111/birt.12147 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fbirt.12147 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12147 |
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crwiley:10.1111/birt.12147 2024-10-13T14:08:29+00:00 Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries Ryding, Elsa Lena Lukasse, Mirjam Parys, An‐Sophie Van Wangel, Anne‐Marie Karro, Helle Kristjansdottir, Hildur Schroll, Anne‐Mette Schei, Berit European commision for freedon , security nd justice, Brussels 2015 http://dx.doi.org/10.1111/birt.12147 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fbirt.12147 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12147 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Birth volume 42, issue 1, page 48-55 ISSN 0730-7659 1523-536X journal-article 2015 crwiley https://doi.org/10.1111/birt.12147 2024-09-17T04:44:58Z Abstract Background Few studies have examined the mode of birth among women with fear of childbirth, and the results are conflicting. The objective of this study was to assess the association between fear of childbirth and cesarean delivery in North European women. Methods A longitudinal cohort study was conducted among 6,422 pregnant women from Belgium, Iceland, Denmark, Estonia, Norway, and Sweden. Fear of childbirth was measured by the Wijma Delivery Expectancy Questionnaire during pregnancy and linked to obstetric information from hospital records. Results Among 3,189 primiparous women, those reporting severe fear of childbirth were more likely to give birth by elective cesarean, ( OR , 1.66 [95% CI 1.05–2.61]). Among 3,233 multiparous women, severe fear of childbirth increased the risk of elective cesarean ( OR 1.87 [95% CI 1.30–2.69]). Reporting lack of positive anticipation, one of six dimensions of fear of childbirth, was most strongly associated with elective cesarean ( OR 2.02 [95% CI 1.52–2.68]). A dose–effect pattern was observed between level of fear and risk of emergency cesarean in both primiparous and multiparous women. Indications for cesarean were more likely to be reported as “nonmedical” among those with severe fear of childbirth; 16.7 versus 4.6 percent in primiparous women, and 31.7 versus 17.5 percent in multiparous women. Conclusion Having severe fear of childbirth increases the risk of elective cesarean, especially among multiparous women. Lack of positive anticipation of the upcoming childbirth seems to be an important dimension of fear associated with cesarean delivery. Counseling for women who do not look forward to vaginal birth should be further evaluated. Article in Journal/Newspaper Iceland Wiley Online Library Norway Birth 42 1 48 55 |
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Wiley Online Library |
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English |
description |
Abstract Background Few studies have examined the mode of birth among women with fear of childbirth, and the results are conflicting. The objective of this study was to assess the association between fear of childbirth and cesarean delivery in North European women. Methods A longitudinal cohort study was conducted among 6,422 pregnant women from Belgium, Iceland, Denmark, Estonia, Norway, and Sweden. Fear of childbirth was measured by the Wijma Delivery Expectancy Questionnaire during pregnancy and linked to obstetric information from hospital records. Results Among 3,189 primiparous women, those reporting severe fear of childbirth were more likely to give birth by elective cesarean, ( OR , 1.66 [95% CI 1.05–2.61]). Among 3,233 multiparous women, severe fear of childbirth increased the risk of elective cesarean ( OR 1.87 [95% CI 1.30–2.69]). Reporting lack of positive anticipation, one of six dimensions of fear of childbirth, was most strongly associated with elective cesarean ( OR 2.02 [95% CI 1.52–2.68]). A dose–effect pattern was observed between level of fear and risk of emergency cesarean in both primiparous and multiparous women. Indications for cesarean were more likely to be reported as “nonmedical” among those with severe fear of childbirth; 16.7 versus 4.6 percent in primiparous women, and 31.7 versus 17.5 percent in multiparous women. Conclusion Having severe fear of childbirth increases the risk of elective cesarean, especially among multiparous women. Lack of positive anticipation of the upcoming childbirth seems to be an important dimension of fear associated with cesarean delivery. Counseling for women who do not look forward to vaginal birth should be further evaluated. |
author2 |
European commision for freedon , security nd justice, Brussels |
format |
Article in Journal/Newspaper |
author |
Ryding, Elsa Lena Lukasse, Mirjam Parys, An‐Sophie Van Wangel, Anne‐Marie Karro, Helle Kristjansdottir, Hildur Schroll, Anne‐Mette Schei, Berit |
spellingShingle |
Ryding, Elsa Lena Lukasse, Mirjam Parys, An‐Sophie Van Wangel, Anne‐Marie Karro, Helle Kristjansdottir, Hildur Schroll, Anne‐Mette Schei, Berit Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries |
author_facet |
Ryding, Elsa Lena Lukasse, Mirjam Parys, An‐Sophie Van Wangel, Anne‐Marie Karro, Helle Kristjansdottir, Hildur Schroll, Anne‐Mette Schei, Berit |
author_sort |
Ryding, Elsa Lena |
title |
Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries |
title_short |
Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries |
title_full |
Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries |
title_fullStr |
Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries |
title_full_unstemmed |
Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries |
title_sort |
fear of childbirth and risk of cesarean delivery: a cohort study in six european countries |
publisher |
Wiley |
publishDate |
2015 |
url |
http://dx.doi.org/10.1111/birt.12147 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fbirt.12147 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12147 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Birth volume 42, issue 1, page 48-55 ISSN 0730-7659 1523-536X |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/birt.12147 |
container_title |
Birth |
container_volume |
42 |
container_issue |
1 |
container_start_page |
48 |
op_container_end_page |
55 |
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1812815169011580928 |