Hildingsson Ingegerd, Nilsson Christina, Karlström Annika, Lundgren Ingela
Mid Sweden University, Universitetsallén 26, Sundsvall, Sweden.
J Obstet Gynecol Neonatal Nurs. 2011 Sep-Oct;40(5):532-43. doi: 10.1111/j.1552-6909.2011.01274.x.
To investigate the prevalence of childbirth-related fear from pregnancy to one year after childbirth and to identify factors associated with being cured of childbirth-related fear.
A longitudinal regional survey.
Three hospitals in a northern part of Sweden.
Six hundred ninety-seven (697) women who completed four questionnaires.
Data were collected by questionnaires in mid and late pregnancy and at 2 months and one year after birth. Childbirth related fear was measured 3 times.
There was a statistically significant increase in childbirth fear from 12.4% in mid-pregnancy to 15.1% one year after childbirth (p < .001). Women who were cured of childbirth fear reported a better birth experience and would prefer a vaginal birth in a subsequent pregnancy. These women were also more likely to experience a feeling of control during birth and were more satisfied with information about the progress of labor, but there was no difference in prenatal counseling or having an elective cesarean between the groups.
Women with prenatal fear of childbirth may be cured of this fear by having a better birth experience. If women feel in control of their bodies and are well informed about the progress of labor, the chances of being cured will increase. Prenatal counseling or having an elective cesarean birth does not seem to be a solution for relieving childbirth fear.
调查从孕期至产后一年与分娩相关恐惧的发生率，并确定与分娩相关恐惧得以消除的相关因素。
一项纵向区域调查。
瑞典北部的三家医院。
697名完成了四份问卷的女性。
通过在孕中期和晚期以及产后2个月和1年进行问卷调查收集数据。对与分娩相关的恐惧进行了3次测量。
分娩恐惧从孕中期的12.4%显著增加至产后一年的15.1%（p <.001）。分娩恐惧得以消除的女性报告了更好的分娩体验，并且在后续妊娠中更倾向于顺产。这些女性在分娩期间也更有可能体验到掌控感，并且对产程信息更满意，但两组在产前咨询或选择性剖宫产方面没有差异。
产前有分娩恐惧的女性可能通过拥有更好的分娩体验来消除这种恐惧。如果女性感觉能够掌控自己的身体并且充分了解产程进展，恐惧得以消除的几率将会增加。产前咨询或选择性剖宫产似乎并不是缓解分娩恐惧的解决办法。
