The DOI matches its Crossref record; 44 of the 45 references it cites were found in a registry or an index.
Obstetric outcome after intervention for severe fear of childbirth in nulliparous women – randomised trial
Abstract
Objective To compare the numbers of vaginal deliveries and delivery satisfaction among women with fear of childbirth randomised to either psychoeducation or conventional surveillance during pregnancy. Design Randomised controlled trial. Setting Maternity unit of Helsinki University Central Hospital. Population Fear of childbirth was screened during early pregnancy by the Wijma Delivery Expectancy Questionnaire (W‐DEQ‐A). Of 4575 screened nulliparous women, 371 (8.1%) scored ≥100, showing severe fear of childbirth. Methods Women with W‐DEQ‐A ≥100 were randomised to intervention (n = 131) (psychoeducative group therapy, six sessions during pregnancy and one after childbirth) or control (n = 240) (care by community nurses and referral if necessary) groups. Obstetric data were collected from patient records and delivery satisfaction was examined by questionnaire. Main outcome measures Delivery mode and satisfaction. Results Women randomised to the intervention group more often had spontaneous vaginal delivery (SVD) than did controls (63.4% versus 47.5%, P = 0.005) and fewer caesarean sections (CSs) (22.9% versus 32.5%, P = 0.05). SVD was more frequent and CSs were less frequent among those who actually participated in intervention (n = 90) compared with controls who had been referred to consultation (n = 106) (SVD: 65.6% versus 47.2%, P = 0.014; CS: 23.3% versus 38.7%, P = 0.031). Women in intervention more often had a very positive delivery experience (36.1% versus 22.8%, P = 0.04, n = 219). Conclusions To decrease the number of CSs, appropriate treatment for fear of childbirth is important. This study shows positive effects of psychoeducative group therapy in nulliparous women with severe fear of childbirth in terms of fewer CSs and more satisfactory delivery experiences relative to control women with a similar severe fear of childbirth.
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“When comparing psychoeducational group sessions with standard care (SC) for women with severe FOB, fewer cesarean births, more positive birth experiences, and less depressive symptoms postpartum were found in the intervention group, however, with small effect sizes for the psychological variables [24-26].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [24]
In the citing paper
“When comparing psychoeducational group sessions with standard care (SC) for women with severe FOB, fewer cesarean births, more positive birth experiences, and less depressive symptoms postpartum were found in the intervention group, however, with small effect sizes for the psychological variables [24-26].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [24]
In the citing paper
“When comparing psychoeducational group sessions with standard care (SC) for women with severe FOB, fewer cesarean births, more positive birth experiences, and less depressive symptoms postpartum were found in the intervention group, however, with small effect sizes for the psychological variables [24-26].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [24]
In the citing paper
“When comparing psychoeducational group sessions with standard care (SC) for women with severe FOB, fewer cesarean births, more positive birth experiences, and less depressive symptoms postpartum were found in the intervention group, however, with small effect sizes for the psychological variables [24-26].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [24]
Citations
Cites
Lumbiganon, P., Laopaiboon, M., Gülmezoglu, A. M., Souza, J. P., Taneepanichskul, S., Pang, R., Attygalle, D. E., Shrestha, N., Mori, R., Hinh, N. D., et al. (2010) · The Lancet · doi:10.1016/s0140-6736(09)61870-5 · Cited by 1,089
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
Depression and anxiety in early pregnancy and risk for preeclampsia
Kurki, T. (2000) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(99)00602-x · Cited by 690
Pregnancy-Related Mortality in the United States, 1998 to 2005
Berg, C. J., Callaghan, W. M., Syverson, C. J., & Henderson, Z. (2010) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e3181fdfb11 · Cited by 685
Perinatal Risks of Untreated Depression during Pregnancy
Bonari, L., Pinto, N., Ahn, E., Einarson, A., Steiner, M. S., & Koren, G. (2004) · The Canadian Journal of Psychiatry · doi:10.1177/070674370404901103 · Cited by 534
Antepartum Depressive Symptomatology Is Associated With Adverse Obstetric and Neonatal Outcomes
Chung, T. K. H., Lau, T. K., Yip, A. S. K., Chiu, H. F. K., & Lee, D. T. S. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200109000-00017 · Cited by 501
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
Belizán, J. M., Althabe, F., Barros, F. C., Alexander, S., Showalter, E., Griffin, A., Castro, A., & Bastian, H. (1999) · BMJ · doi:10.1136/bmj.319.7222.1397 · Cited by 414
Experiences of Fears Associated with Pregnancy and Childbirth: A Study of 329 Pregnant Women
Hanna‐Leena Melender, R. (2002) · Birth · doi:10.1046/j.1523-536x.2002.00170.x · Cited by 399
Nieminen, K., Stephansson, O., & Ryding, E. L. (2009) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1080/00016340902998436 · Cited by 373
Cited by
Sorted by citations
Interventions to reduce unnecessary caesarean sections in healthy women and babies
Betrán, A. P., Temmerman, M., Kingdon, C., Mohiddin, A., Opiyo, N., Torloni, M. R., Zhang, J., Musana, O., Wanyonyi, S., Gülmezoglu, A. M., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(18)31927-5 · Cited by 626
Non‐clinical interventions for reducing unnecessary caesarean section
Chen, I., Opiyo, N., Tavender, E., Mortazhejri, S., Rader, T., Petkovic, J., Yogasingam, S., Taljaard, M., Agarwal, S., Laopaiboon, M., et al. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005528.pub3 · Cited by 259
Non-clinical interventions for reducing unnecessary caesarean section
Khunpradit, S., Tavender, E. J., Lumbiganon, P., Laopaiboon, M., Wasiak, J., & Gruen, R. L. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005528.pub2 · Cited by 236
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
Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries
Ryding, E. L., Lukasse, M., Parys, A. V., Wangel, A., Karro, H., Kristjansdottir, H., Schroll, A., Schei, B., & the Bidens Group (2015) · Birth · doi:10.1111/birt.12147 · Cited by 218
Metadata
- Authors
- Rouhe, H., Salmela‐Aro, K., Toivanen, R., Tokola, M., Halmesmäki, E., & Saisto, T.
- Affiliations
- Helsinki University Hospital (FI)
- University of Helsinki (FI)
- Corresponding author
- Rouhe, H
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 2012-11-02
- Volume
- 120
- Issue
- 1
- Pages
- 75-84
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2112815144
- Cited by
- 190
- References
- 45
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 10 · 2023: 12 · 2022: 13 · 2021: 16 · 2020: 19 · 2019: 15 · 2018: 21 · 2017: 15 · 2016: 16 · 2015: 12 · 2014: 18 · 2013: 7
- FWCI
- 14.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Helsingin ja Uudenmaan Sairaanhoitopiiri
- Signe ja Ane Gyllenbergin Säätiö
- Emil Aaltosen Säätiö
- Fondation des Fondateurs
- 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, nulliparous women, psychoeducation, group therapy, cesarean section, vaginal delivery, Wijma Delivery Expectancy Questionnaire, pregnancy surveillance
- MeSH terms
- Adult, Fear, Female, Finland, Humans, Parity, Patient Education as Topic, Pregnancy, Pregnancy Outcome, Psychotherapy, Patient Satisfaction, Parturition, Delivery, Obstetric
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