A national online survey of UK maternity unit service provision for women with fear of birth
Abstract
In the UK, fear of birth (FoB) is considered a valid reason to request an elective caesarean section, and the National Institute for Health and Care Excellence ( NICE, 2011 ) provided guidance in respect of women with a FoB requesting operative delivery. However, it was not clear how many maternity units in the UK offered support for women in line with this guidance. Consequently, a national online audit survey was undertaken to determine current service provision in maternity units. Hence in 2013, 202 maternity units were surveyed over 9 weeks; there was a 63% (n=128) response rate. It was evident that 47.3% (n=52) of all units did not offer specialist support for women with FoB. However, where support was available, this varied from the benchmark recommendation for referral to a consultant obstetrician (NICE, 2001) to specialist midwifery clinics and psychological support services. Overall, the survey revealed that care pathways for FoB had not been widely implemented in the UK.
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Maternity care pathways in the United Kingdom do not require assessment of childbirth fears.
“Currently, maternity care pathways in the United Kingdom do not require assessment of childbirth fears (Richens et al., Citation2015).”
From The feasibility and acceptability of a single-session Acceptance and Commitment Therapy (ACT) intervention to support women self-reporting fear of childbirth in a first pregnancy. (2023) · cites this paper as Richens et al., 2015
Cites
The adequacy of response rates to online and paper surveys: what can be done?
Nulty, D. D. (2008) · Assessment & Evaluation in Higher Education · doi:10.1080/02602930701293231 · Cited by 2,581 · see citing works
Cross-cultural comparison of levels of childbirth-related fear in an Australian and Swedish sample
Haines, H., Pallant, J. F., Karlström, A., & Hildingsson, I. (2011) · Midwifery · doi:10.1016/j.midw.2010.05.004 · Cited by 265 · see citing works
Fear of childbirth in obstetrically low‐risk nulliparous women in Sweden and Denmark
Kjærgaard, H., Wijma, K., Dykes, A., & Alehagen, S. (2008) · Journal of Reproductive and Infant Psychology · doi:10.1080/02646830802408498 · Cited by 87 · see citing works
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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 · see citing works
Howard, S., Houghton, C. M. G., White, R., Fallon, V., & Slade, P. (2023) · Psychology & Health · doi:10.1080/08870446.2021.2024190 · Cited by 12 · see citing works
“Currently, maternity care pathways in the United Kingdom do not require assessment of childbirth fears (Richens et al., 2015).”
Background
- Authors
- Richens, Y., Hindley, C., & Lavender, T.
- Affiliations
- University of Manchester (GB)
- Venue
- British Journal of Midwifery
- Publisher
- Mark Allen Group
- Published
- 2015-08-02
- Volume
- 23
- Issue
- 8
- Pages
- 574-579
- ISSN
- 0969-4900 (ISSN-L)
- 2052-4307
- OpenAlex
- W2216629082
- Cited by
- 22
- References
- 3
- Citations by year
- 2023: 3 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 6
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Midwifery (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 › Surgery › Anesthesia and Pain Management
- Keywords
- obstetric care, elective cesarean section, care pathways, NICE guidelines, midwifery clinic, psychological support services, obstetric referral
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