The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Experiences of Fears Associated with Pregnancy and Childbirth: A Study of 329 Pregnant Women
Abstract
Background: Women may experience a variety of fears in association with pregnancy and childbirth. The purpose of this study was to describe their objects, causes, and manifestations, and to identify factors associated with the fears. Methods: The study sample comprised 481 pregnant women in western Finland, of whom 329 (response rate 69%) completed a questionnaire. It was developed on the basis of semi‐structured interviews and previous studies and had a 4‐point scale and a dichotomous scale. Data were subjected to rotated factor analysis, and sum variables were produced. The effects of various demographic variables were calculated using the Kruskal‐Wallis and Mann‐Whitney U tests. Results: Of the 329 respondents, 78 percent expressed fears relating to pregnancy, to childbirth, or to both. Specific fears concerned childbirth, the child's and mother's well‐being, health care staff, family life, and cesarean section. Causes of fears were negative mood, negative stories told by others, alarming information, diseases and child‐related problems, and, in multiparas, negative experiences of previous pregnancy, childbirth, and baby's health and care; causes were significantly related to occupation. Fears were manifested as symptoms of stress, effects on everyday life, and a wish to have a cesarean section or to avoid pregnancy and childbirth; employment situation and elective cesarean section were the most important factors related to manifestation of fears. Parity and antenatal training were the most important variables related to objects of fears. Conclusions: Women's fears that are associated with pregnancy and childbirth can be explained by different factors. It is important for perinatal health caregivers to ask pregnant women about their feelings related to the current pregnancy, childbirth, and future motherhood, and to give women who express fears an opportunity to discuss them, paying special attention to primiparas and to multiparas with negative experiences of earlier pregnancies. (BIRTH 29:2 June 2002)
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“Many other variations exist among women fearing birth with regard to fear acquisition, fear objects, symptom severity, and comorbidity [20-23].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [21]
Citations
Cites
Coping and distress in pregnancy: An investigation of medically high risk women
Yali, A. M., & Lobel, M. (1999) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674829909075575 · Cited by 364
Fear of childbirth during pregnancy may increase the risk of emergency cesarean section
Ryding, E. L., Wijma, B. E., Wijma, K., & Rydhström, H. (1998) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1034/j.1600-0412.1998.770512.x · Cited by 265
Stillbirth as risk factor for depression and anxiety in the subsequent pregnancy: cohort study
Hughes, P. M., Turton, P., & Evans, C. D. H. (1999) · BMJ · doi:10.1136/bmj.318.7200.1721 · Cited by 260
Investigation of 33 women who demanded a cesarean section for personal reasons
Ryding, E. L. (1993) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.3109/00016349309068038 · Cited by 231
Pregnancy After Perinatal Loss: The Relationship Between Anxiety and Prenatal Attachment
Armstrong, D., & Hutti, M. (1998) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.1998.tb02609.x · Cited by 178
Fear of Childbirth in Late Pregnancy
Areskog, B., Uddenberg, N., & Kjessler, B. (2010) · Gynecologic and Obstetric Investigation · doi:10.1159/000299611 · Cited by 175
Reasons for anxiety about childbirth in 100 pregnant women
Sjögren, B. (1997) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674829709080698 · Cited by 168
Anxiety during pregnancy and fetal attachment after in-vitro fertilization conception
McMahon, C. A., Ungerer, J. A., Beaurepaire, J., Tennant, C., & Saunders, D. M. (1997) · Human Reproduction · doi:10.1093/humrep/12.1.176 · Cited by 150
Psychosocial predictors of disappointment with delivery and puerperal depression
Saisto, T., Salmela‐Aro, K., Nurmi, J., & Halmesmäki, E. (2001) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1034/j.1600-0412.2001.800108.x · Cited by 146
Factors associated with fear of delivery in second pregnancies1, *1
Saisto, T. (1999) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(99)00413-5 · Cited by 144
Research works printed but not linked: 2
- Rachman SJ, 1990, Fear and Courage
- Koskinen R, 1999, Finnish Perinatal Statistics 1997–1998. Statistical Report 41/1999
Cited by
Sorted by citations
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
Causes and outcomes in studies of fear of childbirth: A systematic review
Dencker, A., Nilsson, C., Begley, C., Jangsten, E., Mollberg, M., Patel, H., Wigert, H., Hessman, E., Sjöblom, H., & Sparud-Lundin, C. (2019) · Women and Birth · doi:10.1016/j.wombi.2018.07.004 · Cited by 438
Definitions, measurements and prevalence of fear of childbirth: a systematic review
Nilsson, C., Hessman, E., Sjöblom, H., Dencker, A., Jangsten, E., Mollberg, M., Patel, H., Sparud‐Lundin, C., Wigert, H., & Begley, C. (2018) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-1659-7 · Cited by 424
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
Women's experiences of labour and birth: an evolutionary concept analysis.
Larkin, P., Begley, C., & Devane, D. (2009) · Midwifery · doi:10.1016/j.midw.2007.07.010 · Cited by 315
“Women develop their expectations over time (Beaton and Gupton, 1990), and they may incite hope and happiness, or provoke anxiety and fear (Melender, 2002).”
Background
Metadata
- Authors
- Hanna‐Leena Melender, R.
- Venue
- Birth
- Publisher
- Wiley
- Published
- 2002-05-16
- Volume
- 29
- Issue
- 2
- Pages
- 101-111
- ISSN
- 0730-7659 (ISSN-L)
- 1523-536X
- OpenAlex
- W2153268917
- Cited by
- 399
- References
- 28
- Citations by year
- 2026: 13 · 2025: 12 · 2024: 17 · 2023: 18 · 2022: 20 · 2021: 31 · 2020: 27 · 2019: 17 · 2018: 21 · 2017: 18 · 2016: 18 · 2015: 15 · 2014: 15 · 2013: 22 · 2012: 18
- FWCI
- 9.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Birth (publishedVersion)
- PubMed (publishedVersion)
- 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 › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- fear of childbirth, pregnant women, causes of fear, cesarean section, parity, primiparous women, multiparous women, maternal stress, perinatal care, working conditions
- MeSH terms
- Adolescent, Adult, Family, Fear, Female, Finland, Humans, Interpersonal Relations, Labor, Obstetric, Negativism, Pain, Pregnancy, Pregnancy Complications, Surveys and Questionnaires, Stress, Physiological, Delivery, Obstetric
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