Department of Psychology, Catholic University of the Sacred Heart , Milan, Italy.
J Reprod Infant Psychol. 2020 Sep;38(4):436-454. doi: 10.1080/02646838.2019.1636216. Epub 2019 Jul 4.
Fear of childbirth is a common feeling among expectant mothers. Although it represents a physiological expression of women's concerns, it can become a clinical condition compromising the woman's daily activities as well as her coping strategies during labour and delivery. Research has focused on adverse intrapartum and postpartum outcomes of fear of childbirth. As regards intrapartum outcomes, some studies have investigated the association between fear of childbirth and type of delivery, with contrasting results.
This study aimed at reviewing the literature on the association between fear of childbirth and emergency caesarean section delivery.
This systematic review was based on an electronic search of English-language published studies through 31 December 2018. Following the search process, 14 studies were included. Studies were analysed specifically considering the sample parity and tools for evaluating fears.
These studies revealed that both sample characteristics and assessment instruments are not criteria for explaining the different result.
The importance of distinguishing between fear and severe fear was highlighted because the effect of fear on the type of delivery was present only for clinical fear. However, the different cut-off values did not make it possible to reach a clear result, making further investigation necessary.
FOC - Fear of Childbirth; ECS - Emergency Cesarean Section.
分娩恐惧是孕妇中常见的一种感觉。尽管它代表了女性对分娩的担忧的生理表达，但它可能成为一种临床状况，影响女性在分娩和分娩期间的日常活动和应对策略。研究集中在分娩恐惧对分娩和产后不良结果的影响。就分娩结果而言，一些研究调查了分娩恐惧与分娩方式之间的关联，结果存在差异。
本研究旨在回顾有关分娩恐惧与急诊剖宫产之间关联的文献。
本系统评价基于 2018 年 12 月 31 日之前通过电子搜索发表的英文研究。在搜索过程之后，共纳入了 14 项研究。这些研究专门分析了样本配对和评估恐惧的工具。
这些研究表明，样本特征和评估工具都不是解释不同结果的标准。
强调区分恐惧和严重恐惧的重要性，因为只有临床恐惧对分娩方式有影响。然而，不同的截断值无法得出明确的结果，因此需要进一步研究。
FOC-分娩恐惧；ECS-急诊剖宫产。
