Hildingsson Ingegerd, Haines Helen, Johansson Margareta, Rubertsson Christine, Fenwick Jennifer
Mid Sweden University, Department of Nursing, Holmgatan 10, SE-85170 Sundsvall, Sweden; Uppsala University, Department of Women's and Children's Health, Uppsala, Sweden; Karolinska Institutet, Department of Women's and Children's Health, Sweden.
Uppsala University, Department of Women's and Children's Health, Uppsala, Sweden; Melbourne Medical School, Rural Health Academic Centre, The University of Melbourne, Australia; Northeast Health Wangaratta, Education and Research Unit, Australia.
Midwifery. 2014 Feb;30(2):248-54. doi: 10.1016/j.midw.2013.12.012. Epub 2013 Dec 27.
to compare self-rated health and perceived difficulties during pregnancy as well as antenatal attendance, birth experience and parental stress in fathers with and without childbirth related fear.
a longitudinal regional survey. Data were collected by three questionnaires.
three hospitals in the middle-north part of Sweden.
1047 expectant fathers recruited in mid-pregnancy and followed up at two months and one year after birth.
childbirth fear was assessed using the Fear of Birth Scale (FOBS). Self-rated physical and mental health and perceived difficulties were assessed in mid pregnancy. Two months after birth antenatal attendance, mode of birth and the birth experience were investigated. Parental stress was measured using the Swedish Parental Stress Questionnaire (SPSQ). Crude and adjusted odds ratios were calculated between expectant fathers who scored 50 and above (childbirth fear) and those that did not (no fear).
expectant fathers with childbirth related fear (13.6%) reported poorer physical (OR 1.8; 95% CI 1.2-2.8) and mental (OR 3.0; 1.8-5.1) health than their non-fearful counterparts. The fearful fathers were more likely to perceive difficulties in pregnancy (OR 2.1; 1.4-3.0), and the forthcoming birth (OR 4.3; 2.9-6.3) compared to fathers without childbirth fear. First-time fathers with fear attended fewer antenatal classes. Fathers with high fear reported higher mean scores in four of the five subscales of the SPSQ. Childbirth related fear was not associated with mode of birth or fathers' birth experience.
expectant fathers with childbirth related fear had poorer health, viewed the pregnancy, birth and the forthcoming parenthood with more difficulties. They were less often present during antenatal classes and had higher parental stress.
this study provides insight into the health of expectant fathers during pregnancy and highlights the importance of understanding how childbirth fear may affect expectant fathers in both the short and longer term.
比较有或没有分娩相关恐惧的准父亲在孕期的自评健康状况、感知到的困难，以及产前检查、分娩经历和父母压力。
一项纵向区域调查。通过三份问卷收集数据。
瑞典中北部的三家医院。
1047名在孕中期招募的准父亲，并在产后两个月和一年进行随访。
使用分娩恐惧量表（FOBS）评估分娩恐惧。在孕中期评估自评身心健康和感知到的困难。产后两个月调查产前检查情况、分娩方式和分娩经历。使用瑞典父母压力问卷（SPSQ）测量父母压力。计算得分50分及以上（分娩恐惧）和未得分50分及以上（无恐惧）的准父亲之间的粗比值比和调整比值比。
有分娩相关恐惧的准父亲（13.6%）报告的身体（比值比1.8；95%置信区间1.2 - 2.8）和心理健康状况（比值比3.0；1.8 - 5.1）比无恐惧的准父亲差。与无分娩恐惧的父亲相比，恐惧的父亲更有可能在孕期感知到困难（比值比2.1；1.4 - 3.0），以及即将到来的分娩（比值比4.3；2.9 - 6.3）。有恐惧的初为人父者参加产前课程的次数较少。恐惧程度高的父亲在SPSQ五个子量表中的四个子量表上报告的平均得分更高。分娩相关恐惧与分娩方式或父亲的分娩经历无关。
有分娩相关恐惧的准父亲健康状况较差，在看待孕期、分娩和即将为人父母的过程中困难更多。他们参加产前课程的频率较低，父母压力较高。
本研究深入了解了准父亲在孕期的健康状况，并强调了理解分娩恐惧如何在短期和长期影响准父亲的重要性。
