AlDardeir Nashwa F, Shafei Jumana A, Abdulaziz Hadel H, Edrees Ghalia W, Jifri Reyof A, AlShehri Sara H, Srouji Aya F, AlHujaili Naseem A
Department of Obstetrics and Gynecology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
J Family Med Prim Care. 2025 Jun;14(6):2407-2415. doi: 10.4103/jfmpc.jfmpc_1828_24. Epub 2025 Jun 30.
Though both the woman and the fetus are healthy, fear and anxiety of childbirth have led to the cesarean section (CS) of many women in recent years.
To investigate the level of antenatal fear of childbirth at various gestational ages and factors associated with intense fear among pregnant women.
A cross-sectional study was conducted at King Abdulaziz University Hospital from February 2024 to April 2024, on women of reproductive age, who requested a CS without a medical reason, excluding women with medical indications for CS, high-risk pregnancy, or refusal to participate. A questionnaire was used, which included participants' demographics, obstetric history, the Childbirth Attitude Questionnaire (CAQ), and the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ).
There were 48.1% of the participants with ages 25-34 years, 97.2% were married, 74.1% had a university degree, 42.5% were housewives, and 27.4% had chronic conditions. Only 1.4% suffered from anxiety, and 0.5% had depression. 34.4% of respondents reported having 3-4 previous pregnancies, and 87.3% and 65.1% had never experienced fetal death and/or abortions, respectively. Of them, 24.1% had two spontaneous vaginal deliveries, 30.2% had delivery complications, 66.5% attended regular follow-up antenatal appointments, and 97.6% had husband's support during pregnancies. The primary fears included the fear of the baby being injured during delivery, fear of something being wrong with the baby, fear of needing a CS, and fear of experiencing tearing during birth (episiotomy). Older age, having an abortion, or having a vaginal birth were significantly associated with increased childbirth fears.
In order to maximize the goals of pregnant moms, lessen anxiety, and ultimately enhance maternal wellbeing, prenatal healthcare providers should be equipped to handle these fears and provide comprehensive support and therapies. This will reduce anxiety, increase women's trust in their healthcare providers, and enhance their birth experience.
尽管产妇和胎儿均健康，但近年来，对分娩的恐惧和焦虑导致许多产妇选择剖宫产。
调查不同孕周孕妇产前对分娩的恐惧程度以及与强烈恐惧相关的因素。
2024年2月至2024年4月，在阿卜杜勒阿齐兹国王大学医院对有剖宫产需求但无医学原因的育龄妇女进行了一项横断面研究，排除有剖宫产医学指征、高危妊娠或拒绝参与的妇女。采用了一份问卷，其中包括参与者的人口统计学信息、产科病史、分娩态度问卷（CAQ）和维伊玛分娩预期/经历问卷（W-DEQ）。
参与者中，年龄在25至34岁的占48.1%，已婚者占97.2%，拥有大学学位者占74.1%，家庭主妇占42.5%，患有慢性病者占27.4%。仅有1.4%的人患有焦虑症，0.5%的人患有抑郁症。34.4%的受访者表示之前有过3至4次怀孕经历，87.3%和65.1%的人分别从未经历过胎儿死亡和/或流产。其中，24.1%的人有过两次自然阴道分娩经历，30.2%的人有分娩并发症，66.5%的人定期参加产前检查，97.6%的人在孕期得到丈夫的支持。主要恐惧包括担心婴儿在分娩过程中受伤、担心婴儿有问题、担心需要剖宫产以及担心分娩时会阴撕裂（侧切）。年龄较大、有流产经历或有阴道分娩经历与分娩恐惧增加显著相关。
为了最大限度地实现孕妇的目标，减轻焦虑，并最终提高产妇的幸福感，产前医疗保健提供者应具备应对这些恐惧的能力，并提供全面的支持和治疗。这将减少焦虑，增强女性对医疗保健提供者的信任，并改善她们的分娩体验。
