School of Nursing, Wuhan University, No. 115, Donghu Road, Wuchang, Wuhan 430071, Hubei, China; Department of International Medical Services, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
School of Nursing, Wuhan University, No. 115, Donghu Road, Wuchang, Wuhan 430071, Hubei, China.
Midwifery. 2024 Oct;137:104117. doi: 10.1016/j.midw.2024.104117. Epub 2024 Jul 22.
Fear of childbirth is a common concern in pregnant women and their spouses due to the unpredictability of the process and outcome of a delivery, which results in adverse effects on mental health, birth outcomes and family intimacy. However, there is a lack of studies that explore the influencing factors of fear of childbirth among expectant couples from a dyadic perspective. The aim of this study is to explore the correlation of dyadic coping, resilience and fear of childbirth in pregnant couples and to construct an actor-partner interdependence model to verify dyadic effects.
This cross-sectional survey included 420 couples and was conducted between November 2022 and March 2023 in the obstetric department at two hospitals in China. Convenience sampling and an actor-partner interdependence model was used.
The prevalence of fear of childbirth among pregnant women and their spouses is 37.4 % and 33.1 %, respectively. Women's resilience and dyadic coping had a partner effect on spouses' fear of childbirth, in addition to an actor effect on their own fear of childbirth. Spouses' resilience and dyadic coping had only actor effects on themselves, and no partner effect was found on the pregnant women.
Women's fear of childbirth was positively associated with spouses' fear of childbirth. Interventions for fear of childbirth should include improving resilience and enhancing dyadic stress support and coping. This study provides empirical evidence for future clinical research and interventions on the psychological status of pregnant women and their partners during pregnancy.
由于分娩过程和结果的不可预测性，产妇及其配偶普遍担心分娩，这对心理健康、分娩结局和家庭亲密关系产生不良影响。然而，目前缺乏从对偶视角探讨准父母对分娩恐惧的影响因素的研究。本研究旨在探讨孕妇及其配偶的对偶应对、韧性和分娩恐惧之间的相关性，并构建一个主体-同伴互倚模型来验证对偶效应。
本横断面调查于 2022 年 11 月至 2023 年 3 月在中国两家医院的产科进行，共纳入 420 对夫妇。采用便利抽样和主体-同伴互倚模型。
孕妇及其配偶的分娩恐惧发生率分别为 37.4%和 33.1%。女性的韧性和对偶应对对配偶的分娩恐惧有同伴效应，除了对自身分娩恐惧的主体效应。配偶的韧性和对偶应对仅对自身有主体效应，对孕妇没有同伴效应。
女性的分娩恐惧与配偶的分娩恐惧呈正相关。针对分娩恐惧的干预措施应包括提高韧性和增强对偶压力支持和应对。本研究为未来妊娠期间孕妇及其伴侣心理状况的临床研究和干预提供了实证依据。
