Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
J Psychosom Obstet Gynaecol. 2020 Sep;41(3):205-214. doi: 10.1080/0167482X.2019.1634047. Epub 2019 Jun 27.
Although women with fear of birth often report negative birth experiences, few studies have focused on their experiences in the long term. The aim of this study was to compare birth experiences a year after childbirth in two groups of women receiving treatment for experiencing fear of birth during pregnancy. As part of the U-CARE: Pregnancy Trial, a prospective multicenter randomized controlled trial comparing the effects of internet-based cognitive behavioral therapy (iCBT) and standard care among pregnant women with fear of birth. Women were recruited at three Swedish hospitals following a screening procedure that assessed their fear of birth. Data were collected online with the Childbirth Experience Questionnaire (CEQ), one question about the overall birth experience, and questions about personal background, collected before randomization. A total of 181 women responded to the follow-up questionnaire a year after childbirth. Approximately half of participants reported a less positive birth experience. Preferred mode of birth, actual mode of birth, marital status and psychiatric history were associated with the domains of the CEQ. However, no statistically significant differences emerged between the treatment groups. Being randomized to receive iCBT or counseling with midwives for fear of birth was not associated with perceptions of the birth experience assessed a year after birth. Most participants reported less-than-positive birth experiences and scored low on the domain of the CEQ reflecting . In response, additional research remains necessary to identify the best model of care that might facilitate positive experiences with giving birth among women with fear of birth.
尽管害怕分娩的女性经常报告负面的分娩经历，但很少有研究关注她们在长期内的经历。本研究旨在比较两组在怀孕期间接受治疗以应对分娩恐惧的女性在分娩一年后的分娩经历。作为 U-CARE：妊娠试验的一部分，这是一项前瞻性多中心随机对照试验，比较了互联网认知行为疗法（iCBT）和标准护理对分娩恐惧孕妇的影响。在经过评估其分娩恐惧的筛选程序后，在瑞典的三家医院招募了女性。数据通过在线收集，使用分娩体验问卷（CEQ）进行收集，CEQ 包括一个关于整体分娩体验的问题和一些关于个人背景的问题，这些问题在随机分组之前收集。共有 181 名女性在分娩一年后回复了随访问卷。大约一半的参与者报告说分娩体验不太积极。首选的分娩方式、实际的分娩方式、婚姻状况和精神病史与 CEQ 的各个领域相关。然而，治疗组之间没有出现统计学上的显著差异。随机分配接受 iCBT 或与助产士一起接受咨询以治疗分娩恐惧，与一年后评估的分娩体验感知无关。大多数参与者报告说分娩体验不那么积极，CEQ 的反映领域得分较低。因此，仍需要进一步研究以确定最适合的护理模式，以促进有分娩恐惧的女性积极分娩体验。
