Heimstad Runa, Dahloe Raija, Laache Ingebjorg, Skogvoll Eirik, Schei Berit
Department of Obstetrics and Gynecology, St. Olav's University Hospital, Trondheim, Norway.
Acta Obstet Gynecol Scand. 2006;85(4):435-40. doi: 10.1080/00016340500432507.
The aim of this study was to assess the prevalence of fear of childbirth, and to find possible associations to selected sociodemographic factors and important life events. A secondary aim was to explore the relationship between these factors and pregnancy outcome.
Questionnaire booklets were sent to 2680 women at 18 weeks of gestation, of whom 1452 women (54%) responded. The questionnaire included background factors (marital status, education, history of abuse, current pregnancy), W-DEQ (measurement of fear of childbirth), and STAI (measurement of subjective anxiety). Pregnancy outcome information was recorded.
The prevalence of serious fear of childbirth (W-DEQ > 100) was 5.5%. The W-DEQ and STAI scores were positively correlated (r = 0.44, p < 0.001). Among the anxious women, a trend towards more frequent operative vaginal delivery (12.1% versus 6.9%, p = 0.07) was noted, but not for emergency cesarean section (10.6% versus 7.6%, p = 0.34). Women who reported being exposed to physical or sexual abuse in childhood had a higher W-DEQ score (71, SD 31 and 69, SD 27) than did the non-abused (61, SD 23, p < 0.01). Only half of women sexually or physically abused in childhood (54% and 57% respectively) had uncomplicated vaginal delivery at term versus 75% among non-abused (p < 0.001).
The prevalence of serious fear of childbirth was 5.5%. Fear of childbirth was not associated with mode of delivery, whereas sexual or physical abuse in childhood influenced negatively mode of delivery.
本研究旨在评估分娩恐惧的患病率，并找出与选定的社会人口学因素和重要生活事件之间可能存在的关联。次要目的是探讨这些因素与妊娠结局之间的关系。
在妊娠18周时向2680名女性发送问卷手册，其中1452名女性（54%）做出了回应。问卷包括背景因素（婚姻状况、教育程度、虐待史、本次妊娠情况）、W-DEQ（分娩恐惧测量）和STAI（主观焦虑测量）。记录妊娠结局信息。
严重分娩恐惧（W-DEQ>100）的患病率为5.5%。W-DEQ和STAI评分呈正相关（r = 0.44，p < 0.001）。在焦虑的女性中，观察到手术阴道分娩更频繁的趋势（12.1%对6.9%，p = 0.07），但急诊剖宫产并非如此（10.6%对7.6%，p = 0.34）。报告童年遭受身体或性虐待的女性W-DEQ评分（分别为71，标准差31和69，标准差27）高于未受虐待的女性（61，标准差23，p < 0.01）。童年遭受性或身体虐待的女性中，只有一半（分别为54%和57%）足月时顺产，而未受虐待的女性中这一比例为75%（p < 0.001）。
严重分娩恐惧的患病率为5.5%。分娩恐惧与分娩方式无关，而童年时期的性或身体虐待对分娩方式有负面影响。
