Department of Women's and Children's Health, Uppsala University Hospital, 751 85 Uppsala, Sweden.
Department of Psychology, Mid Sweden University, Östersund, Sweden.
Women Birth. 2020 May;33(3):e227-e233. doi: 10.1016/j.wombi.2019.05.006. Epub 2019 May 31.
Fear of Birth is common in pregnant women and associated with negative physical and mental health. There is a clear comorbidity with anxiety and depression. Internet-delivered Cognitive Behaviour Therapy has been suggested as a treatment option for Fear of Birth and a randomized controlled trial comparing internet-delivered Cognitive Behaviour Therapy with midwifery led counselling as standard care has been conducted.
The aim of this study was to describe women's experiences of guided internet-delivered Cognitive Behaviour Therapy for Fear of Birth and to describe the content of their fear.
The present study is a qualitative, follow-up interview study following the randomized controlled trial, the U-CARE Pregnancy Trial. In total 19 women allocated to internet-delivered Cognitive Behaviour Therapy for Fear of Birth were interviewed by telephone. A semi-structured interview guide was used and the transcripts were analyzed with thematic analysis.
The women's descriptions of Fear of Birth differed, however their fear was most often associated with fear of losing control, fear for the baby's life or health or own life threatening events. The experiences of internet-delivered Cognitive Behaviour Therapy for Fear of Birth varied, some women were positive to its flexibility although most women preferred a face-to face meeting. The treatment did not pin-point their fears, it was challenging to maintain motivation and to work with the treatment in solitude.
Women's descriptions of Fear of Birth varied. Most women undergoing internet-delivered Cognitive Behaviour Therapy would have preferred a face-to-face meeting which they imagined would have soothed their fear. Internet-delivered Cognitive Behaviour Therapy for Fear of Birth may be an alternative for some women.
孕妇中普遍存在分娩恐惧，且与负面的身心健康有关。它与焦虑和抑郁有明显的共病。互联网提供的认知行为疗法已被提议作为分娩恐惧的治疗选择，并且已经进行了一项将互联网提供的认知行为疗法与以助产士为主导的咨询作为标准护理进行比较的随机对照试验。
本研究旨在描述接受互联网提供的认知行为疗法治疗分娩恐惧的女性的体验，并描述其恐惧的内容。
本研究是一项在随机对照试验（U-CARE 妊娠试验）之后进行的定性随访访谈研究。共有 19 名接受互联网提供的认知行为疗法治疗分娩恐惧的女性通过电话接受了访谈。使用半结构化访谈指南，对转录本进行主题分析。
女性对分娩恐惧的描述有所不同，但她们的恐惧通常与失去控制、担心婴儿的生命或健康或自身生命受到威胁有关。接受互联网提供的认知行为疗法治疗分娩恐惧的体验各不相同，一些女性对其灵活性持积极态度，尽管大多数女性更喜欢面对面的会面。该治疗方法并未明确指出她们的恐惧，保持动力和独自进行治疗具有挑战性。
女性对分娩恐惧的描述各不相同。大多数接受互联网提供的认知行为疗法治疗的女性更希望进行面对面的会面，她们认为这可以缓解她们的恐惧。互联网提供的认知行为疗法治疗分娩恐惧可能是一些女性的替代选择。
