The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.
Presence and process of fear of birth during pregnancy—Findings from a longitudinal cohort study
Abstract
Background The prevalence of fear of birth has been estimated between 8-30%, but there is considerable heterogeneity in research design, definitions, measurement tools used and populations. There are some inconclusive findings about the stability of childbirth fear.Aim to assess the prevalence and characteristics of women presenting with scores ≥60 on FOBS-The Fear of Birth Scale, in mid and late pregnancy, and to study change in fear of birth and associated factors.Methods A prospective longitudinal cohort study of a one-year cohort of 1212 pregnant women from a northern part of Sweden, recruited in mid pregnancy and followed up in late pregnancy. Fear of birth was assessed using FOBS-The fear of birth scale, with the cut off at ≥60.Findings The prevalence of fear of birth was 22% in mid pregnancy and 19% in late pregnancy, a statistically significant decrease. Different patterns were found where some women presented with increased fear and some with decreased fear. The women who experienced more fear or less fear later in pregnancy could not be differentiated by background factors.Conclusions More research is needed to explore factors important to reduce fear of childbirth and the optimal time to measure it.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“The level of FOB was assessed by the Fear of Birth Scale (FOBS), where a cutoff of ≥60 was used to identify FOB [11,45].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [11]
In the citing paper
“FOBS has previously been used in child-bearing populations [45,51-53] and has been proposed as a valid instrument for measuring FOB in both research and clinical contexts [11,45].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [11]
In the citing paper
“If so, our results might be in line with recently published results showing that women who receive SC for FOB still have higher levels of FOB in late pregnancy than women with FOB who do not receive SC [11].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [11]
In the citing paper
“Similar decreases in FOB over time have been shown before, both among women with mixed levels of fear in early pregnancy [11] and among women receiving support for FOB [27].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [11]
Citations
Cites
Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth.
Wijma, K., Wijma, B., & Zar, M. (1998) · Journal of Psychosomatic Obstetrics and Gynaecology · doi:10.3109/01674829809048501 · Cited by 811
Fear of childbirth: a neglected dilemma
Saisto, T., & Halmesmäki, E. (2003) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1034/j.1600-0412.2003.00114.x · Cited by 461
Waldenström, U., Hildingsson, I., & Ryding, E. (2006) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2006.00950.x · Cited by 415
Self-citationNieminen, K., Stephansson, O., & Ryding, E. L. (2009) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1080/00016340902998436 · Cited by 373
Fear of childbirth according to parity, gestational age, and obstetric history
Rouhe, H., Salmela‐Aro, K., Halmesmäki, E., & Saisto, T. (2008) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2008.02002.x · Cited by 363
Anxiety in early pregnancy: prevalence and contributing factors
Rubertsson, C., Hellström, J., Cross, M., & Sydsjö, G. (2014) · Archives of Women s Mental Health · doi:10.1007/s00737-013-0409-0 · Cited by 349
Few women wish to be delivered by caesarean section
Hildingsson, I., Rådestad, I. J., Rubertsson, C., & Waldenström, U. (2002) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2002.01393.x · Cited by 294
Self-citationFenwick, J., Gamble, J., Nathan, E., Bayes, S., & Hauck, Y. (2009) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02568.x · Cited by 280
Fear of childbirth; the relation to anxiety and depression
Størksen, H. T., Eberhard‐Gran, M., Garthus‐Niegel, S., & Eskild, A. (2011) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01323.x · Cited by 268
Cross-cultural comparison of levels of childbirth-related fear in an Australian and Swedish sample
Haines, H., Pallant, J. F., Karlström, A., & Hildingsson, I. (2011) · Midwifery · doi:10.1016/j.midw.2010.05.004 · Cited by 265
Self-citationFear of childbirth and elective caesarean section: a population-based study
Størksen, H. T., Garthus‐Niegel, S., Adams, S. S., Vangen, S., & Eberhard‐Gran, M. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0655-4 · Cited by 243
Laursen, M., Hedegaard, M., & Johansen, C. (2008) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2007.01583.x · Cited by 233
Toohill, J., Fenwick, J., Gamble, J., Creedy, D. K., Buist, A., Turkstra, E., & Ryding, E. (2014) · Birth · doi:10.1111/birt.12136 · Cited by 229
The influence of women’s fear, attitudes and beliefs of childbirth on mode and experience of birth
Haines, H. M., Rubertsson, C., Pallant, J., & Hildingsson, I. (2012) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-12-55 · Cited by 217
Self-citationPsychological perspectives on fear of childbirth
Rondung, E., Thomtén, J., & Sundin, Ö. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.10.007 · Cited by 200
Does fear of childbirth during pregnancy predict emergency caesarean section?
Johnson, R., & Slade, P. (2002) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1046/j.1471-0528.2002.01351.x · Cited by 188
Rouhe, H., Salmela-Aro, K., Gissler, M., Halmesmäki, E., & Saisto, T. (2011) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2011.02967.x · Cited by 159
Ternström, E., Hildingsson, I., Haines, H., & Rubertsson, C. (2015) · Midwifery · doi:10.1016/j.midw.2014.11.011 · Cited by 113
Self-citationHaines, H. M., Pallant, J. F., Fenwick, J., Gamble, J., Creedy, D. K., Toohill, J., & Hildingsson, I. (2015) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2015.05.002 · Cited by 102
Self-citationThe Wijma Delivery Expectancy/Experience Questionnaire – a factor analytic study
Garthus‐Niegel, S., Størksen, H. T., Torgersen, L., von Soest, T., & Eberhard‐Gran, M. (2011) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/0167482x.2011.573110 · Cited by 90
Pallant, J., Haines, H. M., Green, P. A., Toohill, J., Gamble, J. A., Creedy, D. K., & Fenwick, J. (2016) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-016-1157-8 · Cited by 88
Self-citationEriksson, C., Westman, G. A., & Hamberg, K. (2005) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/01674820400023275 · Cited by 87
Cesarean Section without Medical Reason, 1997 to 2006: A Swedish Register Study
Karlström, A., Rådestad, I., Eriksson, C., Rubertsson, C., Nystedt, A., & Hildingsson, I. (2010) · Birth · doi:10.1111/j.1523-536x.2009.00373.x · Cited by 87
Self-citationRouhe, H., & Saisto, T. (2013) · PubMed · Cited by 86
The effects of counseling on fear of childbirth
Larsson, B., Karlström, A., Rubertsson, C., & Hildingsson, I. (2015) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.12634 · Cited by 81
Self-citationObstetric risk indicators for labour dystocia in nulliparous women: A multi-centre cohort study
Kjærgaard, H. W., Olsen, J., Ottesen, B., Nyberg, P., & Dykes, A. (2008) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-8-45 · Cited by 68
Counseling for childbirth fear – a national survey
Larsson, B., Karlström, A., Rubertsson, C., & Hildingsson, I. (2016) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2016.02.008 · Cited by 63
Self-citationPregnant women's thoughts when assessing fear of birth on the Fear of Birth Scale
Ternström, E., Hildingsson, I., Haines, H., & Rubertsson, C. (2016) · Women and Birth · doi:10.1016/j.wombi.2015.11.009 · Cited by 60
Self-citationHaines, H. M., Rubertsson, C., Pallant, J., & Hildingsson, I. (2011) · Midwifery · doi:10.1016/j.midw.2011.09.011 · Cited by 58
Self-citationPregnant women’s thoughts when assessing childbirth related fear on the Fear of Birth Scale
Ternström, E., Hildingsson, I., Haines, H. M., & Rubertsson, C. (2015) · Cited by 6
Self-citation
Cited by
Sorted by citations
Hildingsson, I., Rubertsson, C., Karlström, A., & Haines, H. M. (2019) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2019.06.004 · Cited by 72
Self-citationChildbirth experience in women participating in a continuity of midwifery care project
Hildingsson, I., Karlström, A., & Larsson, B. (2020) · Women and Birth · doi:10.1016/j.wombi.2020.04.010 · Cited by 220
Self-citationSeefeld, L., Weise, V., Kopp, M., Knappe, S., & Garthus-Niegel, S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.776922 · Cited by 50
Fear and Anxiety Disorders Related to Childbirth: Epidemiological and Therapeutic Issues
Badaoui, A., Kassm, S. A., & Naja, W. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1010-7 · Cited by 56
Huang, J., Huang, J., Li, Y., & Liao, B. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-04123-7 · Cited by 53
Metadata
- Authors
- Hildingsson, I., Haines, H., Karlström, A., & Nystedt, A.
- Affiliations
- Uppsala University (SE)
- Mid Sweden University (SE)
- Umeå University (SE)
- Corresponding author
- Hildingsson, Ingegerd
- Venue
- Women and Birth
- Publisher
- Elsevier BV
- Published
- 2017-10
- Volume
- 30
- Issue
- 5
- Pages
- e242-e247
- ISSN
- 1871-5192 (ISSN-L)
- OpenAlex
- W2591751870
- Cited by
- 101
- References
- 30
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 14 · 2023: 4 · 2022: 10 · 2021: 18 · 2020: 9 · 2019: 8 · 2018: 10 · 2017: 1
- FWCI
- 9.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Women and Birth (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Swedish Research Council
- Uppsala University
- Mid Sweden University
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
- Keywords
- fear of childbirth, pregnancy, prevalence, second trimester, late pregnancy, risk factors
- MeSH terms
- Adult, Attitude to Health, Fear, Female, Humans, Longitudinal Studies, Pregnancy, Prospective Studies, Sweden, Cohort Studies, Prevalence, Perinatal Care, Parturition, Delivery, Obstetric, Pregnant People
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review