Gökçe İsbir Gözde, Serçekuş Pınar, Yenal Kerziban, Okumuş Hülya, Durgun Ozan Yeter, Karabulut Özlem, Abbasoğlu Döne, Gönenç İlknur Münevver, Sarı Esra, Aktaş Songül, Erdoğan Semra
School of Health, Midwifery Department, Mersin University, Mersin, Turkey.
Faculty of Nursing, Pamukkale University, Denizli, Turkey.
J Reprod Infant Psychol. 2024 Jan;42(1):62-77. doi: 10.1080/02646838.2022.2057938. Epub 2022 Mar 28.
This study was conducted to determine the prevalence of fear of childbirth and affecting factors in pregnant women in Turkey.
This was a cross-sectional study and included a total of 2025. Pregnant Women Assessment, some variables related to previous and current perinatal processes and Wijma Delivery Expectancy/Experience Questionnaire (version A) were used for data collection.
In this sample, 42.4% of the women reported fear of childbirth. What the women were afraid of most was the development of unwanted conditions at childbirth, obscurity/uncertainty, and negative attitudes of health professionals. The factors causing fear of childbirth were the low education level, unemployment status, low financial status, stillbirth, unplanned pregnancy, indecisiveness about the type of delivery, not attending prenatal education programs, negative effects of other people, insufficient social support, confiding in the healthcare centre and health professional, negative, and indecisive birth perceptions, prior negative birth experiences and not feeling ready for childbirth (p < 0.001).
The prevalence of fear of childbirth in this Turkish sample, especially in the multipara is higher than in Western countries. Causes of fear of childbirth can vary with countries and even with each region of a country.
本研究旨在确定土耳其孕妇中分娩恐惧的患病率及其影响因素。
这是一项横断面研究，共纳入2025名孕妇。采用孕妇评估、一些与既往和当前围产期过程相关的变量以及Wijma分娩期望/体验问卷（A版）收集数据。
在该样本中，42.4%的女性报告有分娩恐惧。女性最害怕的是分娩时出现不良情况、情况不明/不确定以及医护人员的消极态度。导致分娩恐惧的因素包括教育水平低、失业状况、经济状况差、死产、意外怀孕、对分娩方式犹豫不决、未参加产前教育课程、他人的负面影响、社会支持不足、对医疗中心和医护人员缺乏信任、消极和犹豫不决的分娩观念、既往负面分娩经历以及感觉未做好分娩准备（p<0.001）。
在这个土耳其样本中，尤其是经产妇，分娩恐惧的患病率高于西方国家。分娩恐惧的原因可能因国家甚至一个国家的不同地区而异。
