Reasons for anxiety about childbirth in 100 pregnant women
Abstract
The aims were to document conscious reasons for anxiety about childbirth. Pregnant women (n = 100), consecutively referred from antenatal centers to a psychosomatic outpatient clinic because of extreme fear of childbirth, were interviewed. Three subgroups are described: primiparae (n = 36), women with a normal previous delivery (n = 18) and women with a previous complicated delivery (n = 46). Anxiety over the deliver was related to lack of trust in the obstetrical staff (73%), fear of own incompetence (65%), fear of death of mother, infant or both (55%), intolerable pain (44%) or loss of control (43%). In the description of the anxiety, more than one focus could be described. A previous complicated delivery predisposed for fear of death (p < 0.001). In other aspects, the subgroups were similar. Fear of death in a previous labor was associated with this fear regarding the impending delivery (100%, 21%, p < 0.001) and with fear of loss of control (61%, 18% p < 0.01). Many women (37%) had partners who admitted anxiety over the delivery. Anxiety over childbirth is related to fundamental human feelings: lack of trust, fear of female incompetence and fear of death. Fear of pain is important but not predominant. The results are discussed with regard to stress, theoretical and psychodynamic points of view.
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Women fearing birth vary with regard to fear acquisition, fear objects, symptom severity, and comorbidity.
“Many other variations exist among women fearing birth with regard to fear acquisition, fear objects, symptom severity, and comorbidity [20-23].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [23]
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Life stages and risk-avoidance: Status- and context-sensitivity in precaution systems
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Interventions for fear of childbirth (tocophobia)
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A tool to measure fathers' attitudes and needs in relation to birth
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The hope of the future: The experience of pregnancy influences women’s implicit space–time mappings
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Heterogeneity in childbirth related fear or anxiety.
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‘Reacting to the unknown’: experiencing the first birth at home or in hospital in Australia
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Fear of childbirth among pregnant women: A concept analysis
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Development of the Labor Pain Relief Attitude Questionnaire for pregnant women (LPRAQ-p)
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- Authors
- Sjögren, B.
- Affiliations
- Karolinska University Hospital (SE)
- Corresponding author
- Sjögren, B.
- Venue
- Journal of Psychosomatic Obstetrics & Gynecology
- Publisher
- Informa UK Limited
- Published
- 1997-01
- Volume
- 18
- Issue
- 4
- Pages
- 266-272
- ISSN
- 0167-482X (ISSN-L)
- 1743-8942
- OpenAlex
- W2108026735
- Cited by
- 168
- References
- 22
- Citations by year
- 2026: 3 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 7 · 2018: 15 · 2017: 11 · 2016: 6 · 2015: 9 · 2014: 6 · 2013: 10 · 2012: 7
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Svenska Läkaresällskapet
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- fear of childbirth, pregnant women, fear of death, loss of control, labor pain
- MeSH terms
- Adult, Anxiety, Fear, Female, Humans, Labor, Obstetric, Pregnancy, Pregnancy Complications, Socioeconomic Factors, Sweden, Reproductive History, Statistics, Nonparametric
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