The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Women's fear of childbirth and preference for cesarean section – a cross‐sectional study at various stages of pregnancy in Sweden
Abstract
Objective. To investigate Swedish women's level of antenatal fear of childbirth at various gestational ages, and factors associated with intense fear and with preference for cesarean section. Design. A cross‐sectional study. Setting. All antenatal clinics in four geographical areas. Sample. Thousand six hundred and thirty‐five pregnant women at various gestational ages recruited during September–October 2006. Method. A questionnaire completed at the antenatal clinic. The women reported their appraisal of the approaching delivery according to the Wijma Delivery Expectancy/Experience Questionnaire (W‐DEQ). Main outcome measures. The level of fear of childbirth and preferred mode of delivery. Results. Mean W‐DEQ score was 62.8. The prevalence of intense fear of childbirth (W‐DEQ score ≥85) was 15.8% and very intense fear (tocophobia) (W‐DEQ score ≥100) 5.7%. Nulliparous women had a higher mean score than parous women, but more parous women reported an intense fear. Preference for cesarean section was associated with fear of childbirth (OR 11.79, 6.1–22.59 for nulliparous and OR 8.32, 4.36–15.85 for parous women) and for parous women also with a previous cesarean section (OR 18.54, 9.55–35.97), or an instrumental vaginal delivery (OR 2.34, 1.02–5.34). The level of fear of childbirth was not associated with the gestational age. Conclusions. When a woman requests a cesarean section, both primary fear of birth and traumatic childbirth experiences need to be considered and dealt with. The W‐DEQ can be used at any time during pregnancy in order to identify pregnant women who suffer from intense fear of childbirth.
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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 & Gynecology · doi:10.3109/01674829809048501 · Cited by 816
Andersson, L., Sundström-Poromaa, I., Bixo, M., Wulff, M., Bondestam, K., & Åström, M. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2003.336 · Cited by 447
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-citationFew women wish to be delivered by caesarean section
Hildingsson, I. (2002) · BJOG: An International Journal of Obstetrics and Gynaecology · doi:10.1016/s1470-0328(02)01393-9 · Cited by 294
Fear of childbirth during pregnancy may increase the risk of emergency cesarean section
Ryding, E. L., Wijma, B., Wijma, K., & Rydhström, H. (1998) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1034/j.1600-0412.1998.770512.x · Cited by 265
Self-citationLaursen, 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
A randomized controlled trial of intervention in fear of childbirth*1
SAISTO, T. (2001) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(01)01552-6 · Cited by 228
Pre- and Postpartum Fear of Childbirth in Nulliparous and Parous Women
Zar, M., Wijma, K., & Wijma, B. (2001) · Scandinavian Journal of Behaviour Therapy · doi:10.1080/02845710121310 · Cited by 227
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
Effects of antenatal stress and anxiety: Implications for development and psychiatry
Glover, V., & O'Connor, T. G. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.180.5.389 · Cited by 187
Cited by
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
Worldwide prevalence of tocophobia in pregnant women: systematic review and meta‐analysis
O'Connell, M. A., Leahy‐Warren, P., Khashan, A. S., Kenny, L. C., & O'Neill, S. M. (2017) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.13138 · Cited by 360
Indications for and Risks of Elective Cesarean Section
Mylonas, I., & Friese, K. (2015) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2015.0489 · Cited by 359
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
“Few women scored extremely high on the W-DEQ (≥ 85, n = 42), indicating severe fear with probable clinical symptoms (51).”
BackgroundSelf-citationNilsson, C., Lundgren, I., Karlström, A., & Hildingsson, I. (2012) · Women and Birth · doi:10.1016/j.wombi.2011.06.001 · Cited by 217
Metadata
- Authors
- NIEMINEN, K., STEPHANSSON, O., & RYDING, E. L.
- Venue
- Acta Obstetricia et Gynecologica Scandinavica
- Publisher
- Wiley
- Published
- 2009-07
- Volume
- 88
- Issue
- 7
- Pages
- 807-813
- ISSN
- 0001-6349 (ISSN-L)
- 1600-0412
- OpenAlex
- W2146458459
- Cited by
- 371
- References
- 25
- FWCI
- 9.81
- Type
- journal article
- Language
- en
- Open access
- closed
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