Cited by 81Maternal and Perinatal Health InterventionsMaternal Mental Health During Pregnancy and PostpartumPregnancy-related medical research

The effects of counseling on fear of childbirth

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Larsson, Birgitta, Karlström, Annika, Rubertsson, Christine, Hildingsson, Ingegerd·2015·Acta Obstetricia et Gynecologica Scandinavica

Abstract

Objective: To investigate women's experiences of attending existing counseling programs for childbirth‐related fear and the effect of this counseling over time. Design: A longitudinal survey. Setting: Three hospitals in the central north of Sweden. Sample: A selected sample of 936 women. Of these, 70 received counseling due to fear of childbirth (study‐group). Methods: Data were collected with questionnaires 2 months and 1 year after giving birth with background data collected during midpregnancy. Comparisons were made between women with or without counseling. Crude and adjusted odds ratios ( OR ) were calculated. Main outcome measures: Self‐reported childbirth fear, experience of counseling, birth experience and preferred mode of birth. Results: Women in the counseling group reported higher childbirth fear 1 year after giving birth ( OR 5.0, 95% confidence interval (95% CI ) 2.6–9.3), they had a more negative birth experience that did not change over time ( OR 2.1, 95% CI 1.2–3.9) and they preferred cesarean section to a greater extent ( OR 12.0, 95% CI 5.1–28.1) in the case of another birth. Also, they were more often delivered by planned cesarean section ( OR 4.7, 95% CI 2.4–9.1). However, 80% were satisfied with the given support. Conclusion: Although women were satisfied with the treatment, this study shows that counseling had a minor effect on fear of childbirth, birth experiences or cesarean section rates. To help women with their fear of childbirth, more effective methods of treatment are needed.

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Crossref · 10.1111/aogs.12634

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Authors
Larsson, B., Karlström, A., Rubertsson, C., & Hildingsson, I.
Affiliations
  • Uppsala University (SE)
  • Mid Sweden University (SE)
Corresponding author
Larsson, Birgitta
Venue
Acta Obstetricia et Gynecologica Scandinavica
Publisher
Wiley
Published
2015-03-30
Volume
94
Issue
6
Pages
629-636
ISSN
  • 0001-6349 (ISSN-L)
  • 1600-0412
OpenAlex
W2121694051
Cited by
81
References
32
Citations by year
2026: 1 · 2025: 5 · 2024: 7 · 2023: 4 · 2022: 15 · 2021: 4 · 2020: 5 · 2019: 9 · 2018: 15 · 2017: 9 · 2016: 5 · 2015: 2
FWCI
11.76
Type
journal article
Language
en
Open access
Locations
  • Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
  • PubMed (publishedVersion)
  • KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
  • Lund University Publications (Lund University) (submittedVersion)
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 › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
Keywords
fear of childbirth, childbirth experience, cesarean section, elective cesarean section, postpartum women, maternal satisfaction
MeSH terms
Adult, Attitude to Health, Counseling, Fear, Female, Humans, Longitudinal Studies, Mothers, Pregnancy, Surveys and Questionnaires, Sweden, Treatment Outcome, Parturition, Delivery, Obstetric

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