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肯尼亚孕妇及其配偶产前对分娩的恐惧。

Prenatal fear of childbirth among pregnant women and their spouses in Kenya.

作者信息

Onchonga David

机构信息

Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Hungary.

出版信息

Sex Reprod Healthc. 2021 Feb;27:100593. doi: 10.1016/j.srhc.2020.100593. Epub 2021 Jan 3.

Abstract

OBJECTIVE

The study sought to explore the prenatal fear of childbirth and its contributing factors among pregnant women and their spouses in Kenya.

METHODS

254 pregnant women and their spouses participated in this cross-sectional analytical study. A researcher-developed questionnaire was used alongside the Fear of Birth Scale (FOBS) for data collection.

RESULTS

58.6% of pregnant women and 45.7% of their spouses reported high fear of childbirth with primiparous spouses having high fear of childbirth compared to multiparous spouses. Also, the findings revealed a significant relationship between fear of childbirth among pregnant women and variables such as level of education (p = 0.022), parity (p < 0.001), previous mode of childbirth (p < 0.001), going for a routine prenatal check-up (p < 0.001), and having a positive feeling about the expected delivery (p < 0.001). For the spouses, the level of education (p < 0.001), the previous childbirth experience (p < 0.001), and feelings about the forthcoming childbirth (p < 0.001), were significantly associated with prenatal fear of childbirth. Spearman's correlation test results indicated a significant positive correlation between prenatal fear of childbirth among pregnant women and their spouses (r = 0.182, p < 0.001).

CONCLUSION

The study found a significant positive correlation between the fear of childbirth among pregnant women and their spouses. There is a need to address the fear of childbirth not only among pregnant women but also their spouses. This might help to reduce the fear of childbirth, considering the significant role men play in supporting their spouses in the family as well as agents of change.

摘要

目的

本研究旨在探讨肯尼亚孕妇及其配偶产前对分娩的恐惧及其影响因素。

方法

254名孕妇及其配偶参与了这项横断面分析研究。研究人员编制的问卷与分娩恐惧量表(FOBS)一起用于数据收集。

结果

58.6%的孕妇及其45.7%的配偶报告对分娩高度恐惧,初产妇配偶比经产妇配偶对分娩的恐惧更高。此外,研究结果显示孕妇对分娩的恐惧与教育程度(p = 0.022)、产次(p < 0.001)、既往分娩方式(p < 0.001)、进行常规产前检查(p < 0.001)以及对预期分娩有积极感受(p < 0.001)等变量之间存在显著关系。对于配偶而言,教育程度(p < 0.001)、既往分娩经历(p < 0.001)以及对即将到来的分娩的感受(p < 0.001)与产前对分娩的恐惧显著相关。斯皮尔曼相关性检验结果表明,孕妇及其配偶产前对分娩的恐惧之间存在显著正相关(r = 0.182,p < 0.001)。

结论

该研究发现孕妇及其配偶对分娩的恐惧之间存在显著正相关。不仅有必要解决孕妇对分娩的恐惧,也有必要解决其配偶的恐惧。鉴于男性在家庭中支持配偶以及作为变革推动者所发挥的重要作用,这可能有助于减轻对分娩的恐惧。

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