Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Hungary.
Department of Midwifery, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran; Non-Communicable Diseases Research Centre, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Sex Reprod Healthc. 2020 Jun;24:100510. doi: 10.1016/j.srhc.2020.100510. Epub 2020 Mar 20.
The aim of the study was to determine the prevalence of fear of childbirth (FOC) using a sample of gravida women in Kenya, a developing country where it is not fully acknowledged.
This were a cross-sectional study on gravida women visiting health facilities to receive routine antenatal care. The study applied multistage sampling to enrol eligible expectant women. A researcher-developed questionnaire was used alongside Wijma Delivery Expectancy/Experience Questionnaire (version A) to collect respondents' demographic characteristics and to measure their fear of childbirth levels, respectively.
Approximately 29.5% had low, 40.4% moderate, 22.1% high, and 8% recorded severe FOC levels. Comparing by parity, the prevalence of severe FOC was higher on primigravida at 13.8% than multigravida, 8.0%. The results revealed a significant relationship between marital status (p = 0.045), parity (p = 0.000), literacy status (p = 0.000), regular check-up of pregnancy at health facilities (p = 0.003), having trust in healthcare providers (p = 0.000), and physical activity for gravida women with fear of childbirth (p = 0.000).
From the findings, special attention on the identified predictors of fear of childbirth during prenatal sessions would help in managing fear of childbirth before they give birth.
本研究旨在通过肯尼亚孕妇样本确定分娩恐惧(FOC)的流行率,肯尼亚是一个发展中国家,尚未充分认识到这一问题。
这是一项针对前往医疗机构接受常规产前护理的孕妇的横断面研究。该研究采用多阶段抽样方法招募符合条件的孕妇。研究人员开发的问卷与 Wijma 分娩期望/体验问卷(A 版)一起使用,分别收集受访者的人口统计学特征和测量其分娩恐惧水平。
约 29.5%的孕妇分娩恐惧程度较低,40.4%的孕妇分娩恐惧程度中等,22.1%的孕妇分娩恐惧程度较高,8%的孕妇分娩恐惧程度严重。按产次比较,初产妇严重分娩恐惧的患病率为 13.8%,高于经产妇的 8.0%。结果表明,婚姻状况(p=0.045)、产次(p=0.000)、文化程度(p=0.000)、在医疗机构定期检查妊娠情况(p=0.003)、对医疗保健提供者的信任(p=0.000)以及孕妇的身体活动与分娩恐惧之间存在显著关系(p=0.000)。
根据研究结果,在产前课程中特别关注分娩恐惧的已知预测因素,有助于在分娩前管理分娩恐惧。