Soltani Farzaneh, Eskandari Zahra, Khodakarami Batoul, Parsa Parisa, Roshanaei Ghodratollah
Ph.D. of Reproductive Health, Assistant Professor, Department of Midwifery, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
M.Sc. of Midwifery, Department of Midwifery, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Electron Physician. 2017 Jul 25;9(7):4725-4731. doi: 10.19082/4725. eCollection 2017 Jul.
Fear of childbirth is a considerable mental, social, and physiological phenomenon among women as well as their families, which can be effective in choosing cesarean section for delivery.
To determine some factors contributing to the fear of childbirth among pregnant women.
This cross-sectional study was conducted on 335 pregnant women referred to health centers in Toyserkan in 2016. Pregnant women with the gestational age of 16-40 weeks filled out Harman's Childbirth Attitude Questionnaire (CAQ) as well as stating demographic and obstetrics characteristics. Data were analyzed by Software SPSS/19 through chi-square, ANOVA, and Pearson's correlation tests.
The mean age and mean gestational age of the pregnant women were 26.5±4.9 years old and 26.52 weeks, respectively; 89.3% of the women reported fear of childbirth. There was a significant difference among the mean scores of the women's fear of childbirth and education level, household income adequacy, gravidity, being familiar with the delivery process, and pre-pregnancy cares (p<0.05).
The present study found the relationship between women's fear of childbirth and their education level, household income, gravidity, familiarity with delivery process, and pre-pregnancy cares. It is necessary for health caregivers to take into consideration the vulnerable groups, especially nulliparous women during pre-pregnancy care as well as the social, and cultural status of women in order to identify the pregnant women exposed to fear of childbirth and reduce the chance of choosing cesarean section by providing appropriate services.
分娩恐惧是女性及其家庭中一种相当严重的心理、社会和生理现象，这可能会影响她们选择剖宫产分娩。
确定一些导致孕妇分娩恐惧的因素。
这项横断面研究于2016年对转诊至托伊塞尔坎各健康中心的335名孕妇进行。孕周为16 - 40周的孕妇填写了哈曼分娩态度问卷（CAQ），并说明了人口统计学和产科特征。数据通过SPSS/19软件进行卡方检验、方差分析和皮尔逊相关检验。
孕妇的平均年龄和平均孕周分别为26.5±4.9岁和26.52周；89.3%的女性表示有分娩恐惧。女性分娩恐惧的平均得分与教育水平、家庭收入充足程度、妊娠次数、对分娩过程的熟悉程度以及孕前护理之间存在显著差异（p<0.05）。
本研究发现女性分娩恐惧与她们的教育水平、家庭收入、妊娠次数、对分娩过程的熟悉程度以及孕前护理之间存在关联。医护人员有必要在孕前护理中考虑弱势群体，尤其是初产妇，以及女性的社会和文化地位，以便识别出有分娩恐惧的孕妇，并通过提供适当服务来减少选择剖宫产的几率。
