Shadab Parisa, Heydarpour Sousan, Heydarpour Fatemeh, Barkhordari Mahsa
Department of Midwifery, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
BMC Pregnancy Childbirth. 2025 Feb 14;25(1):160. doi: 10.1186/s12884-025-07273-0.
Fear of natural childbirth has become a common concern among women. One of the most important risk factors for fear of childbirth is gestational diabetes. The present study aimed to determine the relationship between self-compassion and fear of childbirth in pregnant women with gestational diabetes.
This cross-sectional study was conducted on 75 primiparous pregnant women with gestational diabetes referred to health centers in Kermanshah city, Iran in 2023, who were selected through multi-stage random sampling. Data collection was performed from May to October 2023. Data were collected using a demographic form, the Wijma Delivery Expectancy/Experience Questionnaire Version A and the Self-Compassion Scale, and were analyzed using SPSS version 25 with Kruskal Wallis test, ANOVA, Spearman's correlation coefficient, and the multiple linear regression analysis.
The mean fear of childbirth score in pregnant women with diabetes was 89.77 ± 32.99. 7 participants (9.3%) had moderate fear (score 38-65), 12 participants (16%) had severe fear (score 66-84), and 47 participants (62.7%) had clinical fear (score 85 or higher) of childbirth. According to the study results, there was a significant negative correlation between the total fear of childbirth score and the total self-compassion score, as well as its subscales including self-kindness, self-judgment, common humanity, isolation, mindfulness, and over-identification.
The present study demonstrated a significant negative relationship between fear of childbirth and self-compassion. Therefore, specific interventions or training for providers to help women build self-compassion, and culturally tailored interventions are recommended.
对自然分娩的恐惧已成为女性普遍关注的问题。分娩恐惧最重要的风险因素之一是妊娠期糖尿病。本研究旨在确定妊娠期糖尿病孕妇的自我同情与分娩恐惧之间的关系。
本横断面研究于2023年对伊朗克尔曼沙阿市健康中心转诊的75例初产妊娠期糖尿病孕妇进行,通过多阶段随机抽样选取。数据收集于2023年5月至10月进行。使用人口统计学表格、Wijma分娩期望/体验问卷A版和自我同情量表收集数据,并使用SPSS 25版进行Kruskal Wallis检验、方差分析、Spearman相关系数和多元线性回归分析。
糖尿病孕妇的平均分娩恐惧评分为89.77±32.99。7名参与者(9.3%)有中度恐惧(评分38 - 65),12名参与者(16%)有重度恐惧(评分66 - 84),47名参与者(62.7%)有临床分娩恐惧(评分85或更高)。根据研究结果,分娩恐惧总分与自我同情总分及其包括自我友善、自我评判、共通人性、孤立、正念和过度认同的子量表之间存在显著负相关。
本研究表明分娩恐惧与自我同情之间存在显著负相关。因此,建议为医护人员提供特定干预或培训以帮助女性建立自我同情,并进行文化适应的干预。