dc.contributor.author | Ryding, Elsa Lena | en_US |
dc.contributor.author | Lukasse, Mirjam | en_US |
dc.contributor.author | Van Parys, An-Sofie | en_US |
dc.contributor.author | Karro, Helle | en_US |
dc.contributor.author | Kristjansdottir, Hildur | en_US |
dc.contributor.author | Schroll, Anne-Mette | en_US |
dc.contributor.author | Schei, Berit | en_US |
dc.contributor.author | Temmerman, Marleen | en_US |
dc.contributor.author | Steingrimsdottir, Thora | en_US |
dc.contributor.author | Tabor, Ann | en_US |
dc.contributor.author | Laanpere, Made | en_US |
dc.date.accessioned | 2016-03-09T10:39:34Z | |
dc.date.available | 2016-03-09T10:39:34Z | |
dc.date.issued | 2015-02-13 | en_US |
dc.identifier.citation | Schroll, A. M., Karro, H., Lukasse, M., Van Parys, A. S., Wangel, A. M., Schei, B., ... & Kristjansdottir, H. (2014). Fear of childbirth and risk of caesarean section: a cohort study in six European countries. | en_US |
dc.identifier.issn | 0730-7659 | en_US |
dc.identifier.other | FRIDAID 1229565 | en_US |
dc.identifier.uri | https://hdl.handle.net/10642/3121 | |
dc.description.abstract | Background
:
Few studies have examined mode of
birth
among women with
fear of
childbirth
, and the results are conflicting
.
The objective o
f this study was to
assess the association
between
fear of childbirth
and
c
esarean section
in North European women.
Methods
:
A longitudinal
cohort study was conducted of 6,422 unselected pregnant women from Belgium, Iceland, Denmark,
Estonia, Norw
ay, 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 chi
ldbirth
were more likely to give
birth by elective
c
esarean
,
Odds Ratio (
OR
)
1.66 (1.05
–
2.61). Among 3,233 multiparous women,
severe
fear of childbirth
increased the risk of elective
cesarean
, OR 1.87 (1.30
–
2.69). Reporting lack
of positive ant
icipation, one of six dimensions of
fear
of childbirth
, was most strongly associated with
elective
cesarean
, OR 2.02 (1.52
–
2.68). A dose
-
effect pattern was observed between level of fear and
risk of emergency
cesarean
in both p
rimiparous and multiparous women. Indications for
cesarean
were
more likely to be reported as
‘non
-
medical’
among those with severe
fear of childbirth
; 16.7% vs 4.6%
in primiparous women, and 31.7% vs 17.5% in multiparous women.
Conclusion
:
Having sev
ere
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
.
Counseling for
women who do not look forward to vaginal
birth
should
be
further
evaluated. | en_US |
dc.description.sponsorship | The Bidens study was funded by the Daphne II Program, European Commission for Freedom, Security, and Justice, Brussels, Belgium (Grant no. JLS / 2006 / DAP-1 / 242 / W30-CE-0120887 / 00-87). Mirjam Lukasse received a postdoctoral fellowship from the Norwegian Research Council, Grant no. 204292. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Wiley | en_US |
dc.subject | Fear of childbirth | en_US |
dc.subject | Multi-country | en_US |
dc.subject | Cesarean section | en_US |
dc.subject | Bidens | en_US |
dc.title | Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries | en_US |
dc.type | Journal article | en_US |
dc.description.version | This is the accepted version of the following article: Schroll, A. M., Karro, H., Lukasse, M., Van Parys, A. S., Wangel, A. M., Schei, B., ... & Kristjansdottir, H. (2014). Fear of childbirth and risk of caesarean section: a cohort study in six European countries., which has been published in final form at http://dx.doi.org/10.1111/birt.12147. | en_US |
dc.identifier.doi | http://dx.doi.org/10.1111/birt.12147 | |