Fear of childbirth during pregnancy: a study of more than 8000 pregnant women

Fear of childbirth during pregnancy: a study of more than 8000 pregnant women
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DOI:
10.3109/01674820209074677
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发表时间:
2002-12-01
影响因子:
3.1
通讯作者:
Eberhard, J
Eberhard, J
中科院分区:
医学3区
文献类型:
--
作者:
Geissbuehler, V;Eberhard, J

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在现代产科中,围产期母婴的发病率和死亡率已非常罕见。尽管有这些进步,孕妇仍然害怕生育吗?如果是的话,她们的恐惧是什么?这些恐惧是否受到以前分娩经验和分娩准备课程的影响?从8000多名孕妇(通过产前问卷调查,1991年11月1日和1999年10月31日之间分发整理)的数据进行了评估。本研究探讨和讨论的答案有关的数量和质量的分娩有关的恐惧之间的妇女的不同的奇偶性及其可能的关系参加生育准备班。在采用现代产科和替代分娩方法的医院分娩的妇女最常提到的恐惧是担心孩子的健康(50%)和害怕疼痛(40%)。对医疗干预的恐惧,如手术麻醉、神经阻滞和产科的摆布,都在12%左右。很难确定分娩准备课程在减少分娩恐惧方面的明确好处。
In today's modem obstetrics, perinatal morbidity and mortality of mother and neonate have become extremely rare. Despite these advances, are pregnant women still afraid of childbearing and, if so, what - and how intense - are their fears? Are these fears influenced by previous birthing experiences and by birth preparation classes? Data from more than 8000 expectant mothers (collated via a prenatal questionnaire distributed between Novemeber 1, 1991 and October 31, 1999) are evaluated. This study examines and discusses the answers concerning quantity and quality of childbirth-related fear among women of differing parity and its possible relation to attended birth preparation classes. The women delivered in a hospital setting that practices modem obstetrics combined with alternative delivery methods.The most frequent fears mentioned are fear for the child's health (50%) and fear of pain (40%). Fears dealing with medical intervention, such as operative deliver) anesthesia, nerve blockage and of being at the mercy of obstetrics all lie at around 12%. It is difficult to establish a clear-cut benefit of birth preparation classes in reducing childbirth fears.