Richens Yana, Smith Debbie M, Lavender Dame Tina
University College Hospital London, Elizabeth Garrett Anderson Wing, 1st Floor Antenatal Clinic, 235 Euston Road, London, United Kingdom.
Division of Psychology and Mental Health, The University of Manchester, United Kingdom(1); School of Social and Health Sciences, Leeds Trinity University, United Kingdom(2).
Sex Reprod Healthc. 2018 Jun;16:98-112. doi: 10.1016/j.srhc.2018.02.010. Epub 2018 Feb 21.
To identify measurement tools which screen for the presence of fear of birth (FOB) and to determine the most effective tool/s for use in clinical practice. Fear or birth (FOB) is internationally recognised as a cause for increasing concern, despite a lack of consensus on a definition or optimal measure of assessment. There is a wide array of FOB measurement tools, however little clarity on which tool should be used to screen for FOB in clinical practice. This review explores the use of tools that are used to screen for FOB and discusses the perceived effectiveness of such tools. A structured literature review was undertaken. Electronic databases were searched in July 2017 and manuscripts reviewed for quality. The review included 46 papers. The majority of studies were undertaken in Scandinavia (n = 29) and a range of tools were used to measure FOB. The most widely used tool was the Wijma Delivery Expectancy Experience Questionnaire' (W-DEQ). Inconsistencies were found in the way this tool was used, including variations in assessment cut-off points, implementation and use across a range of cultural settings and women of varying gestations. Moreover, the tool may be too lengthy to use in clinical practice. The Fear of Birth Scale (FOBS) has been shown to be as effective as W-DEQ but has the advantage of being short and easy to administer. The inconsistencies in tools reflect the difficulties in defining FOB. A clear consensus definition of FOB would aid comparisons across practice and research. The W-DEQ is not used in clinical practice; this may be due to its length and complexity. The FOBS is likely to be a more versatile tool that can be used in clinical practice.
识别用于筛查分娩恐惧（FOB）的测量工具，并确定临床实践中最有效的工具。尽管在分娩恐惧的定义或最佳评估方法上缺乏共识，但分娩恐惧在国际上已被公认为一个日益受到关注的问题。有大量的分娩恐惧测量工具，但对于在临床实践中应使用哪种工具来筛查分娩恐惧，却不太明确。本综述探讨了用于筛查分娩恐惧的工具的使用情况，并讨论了这些工具的感知有效性。进行了一项结构化文献综述。2017年7月检索了电子数据库，并对稿件质量进行了审查。该综述纳入了46篇论文。大多数研究在斯堪的纳维亚进行（n = 29），并使用了一系列工具来测量分娩恐惧。使用最广泛的工具是“维伊玛分娩预期体验问卷”（W - DEQ）。发现该工具的使用方式存在不一致之处，包括评估截止点、在一系列文化背景和不同孕周女性中的实施和使用存在差异。此外，该工具在临床实践中使用可能过于冗长。分娩恐惧量表（FOBS）已被证明与W - DEQ一样有效，但具有简短且易于实施的优点。工具的不一致反映了定义分娩恐惧的困难。对分娩恐惧给出一个明确的共识定义将有助于跨实践和研究进行比较。W - DEQ未在临床实践中使用；这可能是由于其长度和复杂性。FOBS可能是一种更通用的工具，可用于临床实践。
