a Doctoral School of Health Sciences, Faculty of Health Sciences , University of Pécs , Pecs , Hungary.
b Department of Midwifery, School of Medicine , Sabzevar University of Medical Sciences , Sabzevar , Iran.
Psychol Health Med. 2019 Aug;24(7):879-889. doi: 10.1080/13548506.2019.1572904. Epub 2019 Jan 29.
This study aimed to assess fear of childbirth (FOB) among Hungarian pregnant women and determine predictors based on WDEQ-A subscales. This cross-sectional study was conducted among 423 healthy pregnant women during their third trimester. A socio-demographic and obstetrics characteristics, the Hungarian version of WDEQ-A, Beck Depression Inventory-Short Form and Beck Anxiety Inventory were used. The analysis was performed using multivariate linear regression. Among four WDEQ-A subscales, Fear (19%) and Lack of positive emotion (13%) obtained the largest and smallest percentages of cases with severe FOB. The nulliparous obtained significantly higher mean score in subscales Isolation and Lack of positive emotion compared to the multiparous. Anxiety was the most common predictor for all subscales in both groups. In the nulliparous group, significant predictors included economic hardship for Moment of birth, being a housewife for Fear, and wanted pregnancy for Lack of positive emotion. In the multiparous women, the strongest significant predictors were being married, previous elective caesarean section and being a housewife for subscales Isolation, Moment of birth, and Fear, respectively. Assessing FOB using WDEQ-A among Hungarian women revealed different mean scores and predisposing factors for each subscale. The topic should be further explored relative to its constituent factors.
本研究旨在评估匈牙利孕妇的分娩恐惧(FOB),并根据 WDEQ-A 子量表确定预测因素。这是一项横断面研究,在 423 名健康孕妇的孕晚期进行。使用了社会人口统计学和产科特征、匈牙利版 WDEQ-A、贝克抑郁量表-短式和贝克焦虑量表。使用多元线性回归进行分析。在 WDEQ-A 的四个子量表中,恐惧(19%)和缺乏积极情绪(13%)获得了严重 FOB 病例的最大和最小百分比。与经产妇相比,初产妇在隔离和缺乏积极情绪子量表上的平均得分显著更高。焦虑是两组所有子量表的最常见预测因素。在初产妇组中,经济困难是分娩时刻的显著预测因素,害怕是家庭主妇,缺乏积极情绪是想要怀孕。在经产妇中,分别有婚姻、先前选择性剖宫产和家庭主妇是隔离、分娩时刻和恐惧子量表的最强显著预测因素。在匈牙利女性中使用 WDEQ-A 评估 FOB 显示,每个子量表的平均分数和诱发因素不同。应进一步探讨其组成因素。