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Cited by 229Maternal and Perinatal Health InterventionsMaternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal Healthcare

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

A Randomized Controlled Trial of a Psycho‐Education Intervention by Midwives in Reducing Childbirth Fear in Pregnant Women

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Toohill, Jocelyn, Fenwick, Jennifer, Gamble, Jenny, Creedy, Debra K., Buist, Anne, Turkstra, Erika, Ryding, Elsa‐Lena·2014·Birth
DOI 10.1111/birt.12136PMC PMC4257571
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Abstract

Background: Childbirth fear is associated with increased obstetric interventions and poor emotional and psychological health for women. The purpose of this study is to test an antenatal psycho‐education intervention by midwives in reducing women's childbirth fear. Methods: Women ( n = 1,410) attending three hospitals in South East Queensland, Australia, were recruited into the BELIEF trial. Participants reporting high fear were randomly allocated to intervention ( n = 170) or control ( n = 169) groups. All women received a decision‐aid booklet on childbirth choices. The telephone counseling intervention was offered at 24 and 34 weeks of pregnancy. The control group received usual care offered by public maternity services. Primary outcome was reduction in childbirth fear ( WDEQ ‐A) from second trimester to 36 weeks’ gestation. Secondary outcomes were improved childbirth self‐efficacy, and reduced decisional conflict and depressive symptoms. Demographic, obstetric & psychometric measures were administered at recruitment, and 36 weeks of pregnancy. Results: There were significant differences between groups on postintervention scores for fear of birth ( p < 0.001) and childbirth self‐efficacy ( p = 0.002). Decisional conflict and depressive symptoms reduced but were not significant. Conclusion: Psycho‐education by trained midwives was effective in reducing high childbirth fear levels and increasing childbirth confidence in pregnant women. Improving antenatal emotional well‐being may have wider positive social and maternity care implications for optimal childbirth experiences.

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  1. 10.1111/j1471‐0528201203433x · DOI
  2. Cohen J, 1988, Statistical Power Analysis for the Behavioural Sciences

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Metadata

Authors
Toohill, J., Fenwick, J., Gamble, J., Creedy, D. K., Buist, A., Turkstra, E., & Ryding, E.
Affiliations
  • Griffith University (AU)
  • The University of Melbourne (AU)
  • Karolinska Institutet (SE)
Corresponding author
Toohill, Jocelyn
ORCID
Venue
Birth
Publisher
Wiley
Published
2014-10-09
Volume
41
Issue
4
Pages
384-394
ISSN
  • 0730-7659 (ISSN-L)
  • 1523-536X
DOI
10.1111/birt.12136
PMC
PMC4257571
OpenAlex
W1978374197
Cited by
229
References
54
Citations by year
2026: 10 · 2025: 12 · 2024: 23 · 2023: 25 · 2022: 29 · 2021: 24 · 2020: 30 · 2019: 17 · 2018: 21 · 2017: 18 · 2016: 12 · 2015: 7 · 2014: 1
FWCI
13.45
Type
journal article
Language
en
Open access
Licence
Locations
  • Birth (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by)
  • Griffith Research Online (submittedVersion)
Funders
National Health and Medical Research Council (APP1025099)
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, psychoeducation, midwives, antenatal interventions, childbirth self-efficacy, decisional conflict, depressive symptoms, telephone counseling, obstetric surgery
MeSH terms
Adolescent, Adult, Anxiety, Counseling, Decision Support Techniques, Depression, Fear, Female, Humans, Middle Aged, Midwifery, Pregnancy, Treatment Outcome, Self Efficacy, Parturition, Young Adult, Prenatal Education

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