School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China.
Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China.
Women Birth. 2020 Mar;33(2):e136-e141. doi: 10.1016/j.wombi.2019.04.005. Epub 2019 May 10.
Few studies have focused on the fear of childbirth (FOC) in China. This study aimed to explore the status of FOC and its associated factors among nulliparous women in China.
Using a cross-sectional study design, 1039 nulliparous women with singleton pregnancies were recruited from four public hospitals in four cities of China. FOC was evaluated using the Chinese version of the Childbirth Attitude Questionnaire scale. Associations of demographic, obstetric and social-psychological factors with the levels of FOC among nulliparous women were investigated.
The average score on the Childbirth Attitude Questionnaire scale was 31.30 (standard deviation = 8.43). Generalized linear regression analysis revealed that low self-rated health status (β = 2.26, P = 0.003), higher educational levels (β = 2.06, P = 0.010), lower levels of self-efficacy (β = -0.79, P < 0.001), and use of pregnancy-related smartphone applications (β = 2.42, P < 0.001) were associated with higher levels of FOC.
The Childbirth Attitude Questionnaire scale is an appropriate tool to measure FOC. Education levels, self-rated health status, self-efficacy levels, and use of pregnancy-related smartphone applications were predictors of FOC among pregnant women in China. Healthcare professionals should identify the Chinese pregnant women with FOC and implement targeted interventions focused on the above factors.
鲜有研究聚焦于中国产妇分娩恐惧（Fear of childbirth，FOC）。本研究旨在探讨中国初产妇的 FOC 现状及其相关因素。
采用横断面研究设计，选取中国四个城市的四家公立医院的 1039 名单胎初产妇。采用中文版分娩态度问卷评估 FOC。调查初产妇人口学、产科及社会心理因素与 FOC 水平的相关性。
分娩态度问卷平均得分为 31.30（标准差=8.43）。广义线性回归分析显示，自我报告健康状况较差（β=2.26，P=0.003）、文化程度较高（β=2.06，P=0.010）、自我效能感较低（β=-0.79，P<0.001）、使用与妊娠相关的智能手机应用（β=2.42，P<0.001）与 FOC 水平升高有关。
分娩态度问卷是评估 FOC 的适宜工具。文化程度、自我报告健康状况、自我效能感和使用与妊娠相关的智能手机应用是中国孕妇 FOC 的预测因素。医护人员应识别有 FOC 的中国孕妇，并针对上述因素实施针对性干预措施。
