Ringler M, Pavelka R
Z Geburtshilfe Perinatol. 1982 Feb;186(1):55-7.
Fear of childbirth was described on the basis of an analysis of fear-inducing situations spontaneously written by 40 pregnant women, and on the basis of the analysis of questionaires concerning anxieties before parturition and answered by 80 additional gravidae, at 12 weeks before and some days before the expected date of delivery. The following factors of anxiety before parturition were found: fear of injury of the mother or of the newborn, fear of efforts in labour, and their concomitant traumas and symptoms, fear of complications during delivery, fear of feeling to be helpless, fear to lose control of coping with labour, and fear of the unknown. The focus of the anxieties varied during the course of pregnancy. 12 weeks before term the main contribution to fear was given by the anxiety of injury, whereas some days before delivery anxiety of efforts in labour and their concomitant symptoms dominated. An offer of different courses of preparations for childbirth in our department should help the pregnant women to cope with her anxieties before parturition or fear of childbirth.
基于对40名孕妇自发写下的引发恐惧情况的分析，以及对另外80名孕妇在预产期前12周和预期分娩日期前几天填写的关于产前焦虑的问卷的分析，对分娩恐惧进行了描述。发现了以下产前焦虑因素：对母亲或新生儿受伤的恐惧、对分娩用力的恐惧及其伴随的创伤和症状、对分娩期间并发症的恐惧、对感到无助的恐惧、对失去应对分娩控制的恐惧以及对未知的恐惧。焦虑的焦点在孕期过程中有所变化。足月前12周，对恐惧的主要影响因素是受伤焦虑，而在分娩前几天，分娩用力焦虑及其伴随症状占主导。在我们科室提供不同的分娩准备课程，应该有助于孕妇应对产前焦虑或分娩恐惧。
