Department of Nursing Science, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.
Obstetrics and Gynecology Department, University College Hospital, Ibadan, Nigeria.
Pan Afr Med J. 2021 Aug 31;39:282. doi: 10.11604/pamj.2021.39.282.27229. eCollection 2021.
while pregnancy is a very beautiful and memorable experience for most women, some women may experience apathy towards childbirth and have feelings of fear and anxiety (tocophobia). Tocophobia can be far reaching with adverse physiologic and emotional consequences for mothers, infants and families. This study therefore explored tocophobia experiences among primigravid women and explored its influence on birth choices among antenatal women.
the study employed a qualitative exploratory research design. Participants who were primigravida (women who had never experienced childbirth), were selected using purposive sampling technique on antenatal clinic days. Data was obtained using semi-structured interview questions. Data was analyzed using content analysis approach and thematic categorization.
results showed that few of the women experienced tocophobia and these fears were not strong enough to make them opt for caesarian section. Reasons attributed to tocophobia experience among the participants included "horror stories" told in the neighborhood, "past experiences" of close acquaintance and "entertainment videos" broadcast. Furthermore, all the participants preferred to have vaginal delivery.
few of the primigravid women in Ekiti State, Nigeria, experience tocophobia and this experience does not influence their choice of delivery option, as all participant´s preferred vaginal delivery to caesarian section. It is important for midwives to be aware of their role in counselling and identifying women with tocophobia in order to promote good and safe transition from pregnancy to motherhood.
虽然怀孕对大多数女性来说是一段非常美好且值得纪念的经历，但有些女性可能会对分娩感到冷漠，并产生恐惧和焦虑（分娩恐惧症）。分娩恐惧症可能会对母亲、婴儿和家庭产生深远的负面影响，包括生理和情绪方面的后果。因此，本研究旨在探讨初产妇的分娩恐惧症经历，并探讨其对产前妇女分娩选择的影响。
本研究采用定性探索性研究设计。采用目的抽样技术，在产前检查日选择初产妇（从未经历过分娩的女性）作为研究对象。使用半结构式访谈问题获取数据。采用内容分析法和主题分类进行数据分析。
结果表明，只有少数女性经历了分娩恐惧症，而且这些恐惧不足以使她们选择剖腹产。参与者归因于分娩恐惧症的原因包括邻居们讲的“恐怖故事”、熟人的“过去经历”和播放的“娱乐视频”。此外，所有参与者都更喜欢阴道分娩。
在尼日利亚埃基蒂州，少数初产妇经历了分娩恐惧症，这种经历并没有影响她们的分娩方式选择，因为所有参与者都更喜欢阴道分娩而不是剖腹产。助产士应该意识到自己在咨询和识别分娩恐惧症女性方面的作用，以促进从怀孕到母亲身份的良好和安全过渡。
