Department of Anaesthesiology, Hanoi Medical University, Hanoi 100000, Vietnam.
Department of Global Public Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
Int J Environ Res Public Health. 2021 May 18;18(10):5382. doi: 10.3390/ijerph18105382.
This study aimed to examine fear of childbirth and willingness to pay for fear-prevention services in pregnant women. A multicenter, cross-sectional study was conducted on pregnant women in two obstetric hospitals in Vietnam. The Fear of Birth Scale was utilized to evaluate fear of childbirth. Multivariable, generalized linear regression and logistic regression models were performed to identify associated factors with fear of childbirth, demand, and willingness to pay for prevention services. Of 900 pregnant women, fear of childbirth was moderately high with a mean score of 18.1 (SD = 2.3). Age of partner; ever having complications of pregnancy; attitudes toward different aspects of childbirth delivery; satisfactions with friends, parents, and siblings' care; and information support were associated with fear of childbirth. Only 33.8% participants had a demand for the prevention service, and 43.7% were willing to pay for this service with an average amount of $US 10.0 per month (SD = 72.0). Our study suggested that individualized psychological counseling and information-seeking guidance should be provided appropriately and differently for multiparous and nulliparous women for reducing fear and improving the acceptability of the prevention services.
本研究旨在调查产妇对分娩恐惧和对预防服务付费意愿。在越南的两家产科医院进行了一项多中心、横断面研究。采用分娩恐惧量表评估分娩恐惧。采用多变量、广义线性回归和逻辑回归模型来确定与分娩恐惧、需求和预防服务付费意愿相关的因素。在 900 名孕妇中，分娩恐惧程度中等偏高，平均得分为 18.1（SD=2.3）。伴侣年龄；妊娠并发症史；对分娩不同方面的态度；对朋友、父母和兄弟姐妹照顾的满意度；以及信息支持与分娩恐惧相关。只有 33.8%的参与者有预防服务需求，43.7%愿意每月为此服务支付 10 美元（SD=72.0）。我们的研究表明，应根据多产妇和初产妇的不同情况，提供适当的个体化心理咨询和信息寻求指导，以减轻恐惧并提高预防服务的可接受性。
