OBJECTIVE: Most pregnant women are anxious about the delivery and up to 30% develop varying degrees of fear of childbirth (FOC). Secondary FOC occurs in parous women who have experienced a traumatic delivery. The aim of this study was to investigate the time to subsequent delivery and delivery outcome in women with secondary FOC, compared with a reference group. SETTING: Southeast Sweden. SAMPLE: 356 parous pregnant women with secondary FOC and a reference group of 634 parous women without FOC. DESIGN: Descriptive, retrospective case-control study. MAIN OUTCOME MEASURES: Time to next pregnancy and delivery outcome. RESULTS: More women with secondary FOC had a longer interval to subsequent delivery compared with parous women without FOC (p = 0.005). Women with secondary FOC had 5.2 times higher probability of having a cesarean section than the reference group. Women with secondary FOC also had on average a 40-minute longer duration of active labor than women without FOC (p < 0.001). CONCLUSIONS: Secondary fear of childbirth prolongs the time to subsequent delivery and the active phase of labor itself, and increases the risk for cesarean section.
OBJECTIVE: Most pregnant women are anxious about the delivery and up to 30% develop varying degrees of fear of childbirth (FOC). Secondary FOC occurs in parous women who have experienced a traumatic delivery. The aim of this study was to investigate the time to subsequent delivery and delivery outcome in women with secondary FOC, compared with a reference group. SETTING: Southeast Sweden. SAMPLE: 356 parous pregnant women with secondary FOC and a reference group of 634 parous women without FOC. DESIGN: Descriptive, retrospective case-control study. MAIN OUTCOME MEASURES: Time to next pregnancy and delivery outcome. RESULTS: More women with secondary FOC had a longer interval to subsequent delivery compared with parous women without FOC (p = 0.005). Women with secondary FOC had 5.2 times higher probability of having a cesarean section than the reference group. Women with secondary FOC also had on average a 40-minute longer duration of active labor than women without FOC (p < 0.001). CONCLUSIONS: Secondary fear of childbirth prolongs the time to subsequent delivery and the active phase of labor itself, and increases the risk for cesarean section.
Authors: C Nilsson; E Hessman; H Sjöblom; A Dencker; E Jangsten; M Mollberg; H Patel; C Sparud-Lundin; H Wigert; C Begley Journal: BMC Pregnancy Childbirth Date: 2018-01-12 Impact factor: 3.007
Authors: Elisabet Rondung; Elin Ternström; Ingegerd Hildingsson; Helen M Haines; Örjan Sundin; Johanna Ekdahl; Annika Karlström; Birgitta Larsson; Birgitta Segeblad; Rebecca Baylis; Christine Rubertsson Journal: JMIR Ment Health Date: 2018-08-10