Northern Älvsborg County Hospital, NU-Hospital Group Trollhättan/Uddevalla, Västra Götaland Regional Council, 461 73 Trollhättan, Sweden.
Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Allegatan 1, 501 90 Borås, Sweden; Institute of Health and Care Sciences, The Sahlgrenska Academy at the University of Gothenburg, Box 100, 405 30 Gothenburg, Sweden.
Sex Reprod Healthc. 2019 Mar;19:24-30. doi: 10.1016/j.srhc.2018.12.001. Epub 2018 Dec 3.
Fear of childbirth is a well-known problem affecting women's wellbeing and health. The prevalence of intense fear varies across countries from 4.8 to 14.8%. During the past 25 years in Sweden women with intense fear of childbirth have been offered counselling at specialised clinics staffed by midwives. Although the counselling demonstrates positive results, the training, education, supervision and organisation differ between clinics. It is still unclear which approaches and practices are the most beneficial. The aim was to explore and describe the counselling of women with intense fear of childbirth from the viewpoint of midwives who provide counselling in specialised fear of childbirth clinics in one region of Sweden.
A qualitative study of 13 midwives using focus group interviews and inductive content analysis.
The midwives' counselling of women with intense fear of childbirth is described as 'striving to create a safe place for exploring fear of childbirth', comprising the following categories: Providing a reliable relationship; Investigating previous and present fears; and A strong dedication to the women.
Although there are no guidelines for the counselling the midwives described similar frameworks. Some approaches were general, while others were specific and related to the individual woman's parity. The midwives achieved professional and personal development through counselling experiences. The findings add to the existing literature on counselling and can be used to inform the development of midwife-led interventions for women with intense fear of childbirth and previous traumatic births, as well as for the formal education of midwives.
分娩恐惧是一个众所周知的问题，影响着女性的健康和幸福感。不同国家强烈恐惧的患病率从 4.8%到 14.8%不等。在过去的 25 年中，瑞典为强烈恐惧分娩的女性在由助产士组成的专门诊所提供咨询服务。尽管咨询服务显示出积极的效果，但不同诊所的培训、教育、监督和组织方式存在差异。目前仍不清楚哪些方法和实践最有益。本研究旨在从瑞典一个地区专门提供分娩恐惧咨询服务的助产士的角度，探讨和描述对强烈恐惧分娩的女性的咨询服务。
对 13 名助产士进行了一项定性研究，采用焦点小组访谈和归纳内容分析。
助产士对强烈恐惧分娩的女性的咨询服务被描述为“努力为探索分娩恐惧创造一个安全的地方”，包括以下几个类别：提供可靠的关系；调查以前和现在的恐惧；以及对女性的强烈奉献精神。
尽管咨询服务没有指南，但助产士描述了类似的框架。一些方法是普遍的，而另一些则是具体的，与个别女性的产次有关。助产士通过咨询经验实现了专业和个人发展。研究结果增加了关于咨询的现有文献，并可用于为强烈恐惧分娩和以往创伤性分娩的女性提供以助产士为主导的干预措施以及助产士的正规教育提供信息。
