跳至主要内容

Does Antenatal Fear of Childbirth Predict Postnatal Fear of Childbirth? A Study of Japanese Women

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=54187#.VPAthCzQrzE


The study aimed to determine whether antenatal fear of childbirth (expectation) could predict postnatal fear of childbirth (experience) by taking account of other antenatal psychological variables (anxiety and depression) as well as birth outcomes in Japanese women. A longitudinal observational study was conducted at a clinic in Tokyo, Japan, in 2011. Self-report questionnaires were distributed to 240 Japanese women at 37 gestational weeks (Time 1) and on the second day after delivery (Time 2). Regression analyses by means of structural equation modelling were conducted in both the primiparous and the multiparous group. The models exhibited good fit (chisquare value/degree of freedom = 1.10 - 1.62, comparative fit index = 0.92 - 0.99 and root mean square error of approximation = 0.03 - 0.07). Antenatal fear of childbirth was the most predictive variable of postnatal fear of childbirth in both the primiparous (β = 0.58, p = 0.002) and the multiparous group (β = 0.62, p < 0.001). In conclusion, antenatal fear of childbirth was a significant predictor of postnatal fear of childbirth when other antenatal psychological variables and birth outcomes were taken into account. Pregnant women who are strongly afraid of childbirth need special attention before and after delivery.
Cite this paper
Takegata, M. , Haruna, M. , Matsuzaki, M. , Shiraishi, M. , Okano, T. and Severinsson, E. (2015) Does Antenatal Fear of Childbirth Predict Postnatal Fear of Childbirth? A Study of Japanese Women. Open Journal of Nursing, 5, 144-152. doi: 10.4236/ojn.2015.52017.

[1] Eriksson, C., Jansson, L. and Hamberg, K. (2006) Women’s Experiences of Intense Fear Related to Childbirth Investigated in a Swedish Qualitative Study. Midwifery, 22, 240-248.
http://dx.doi.org/10.1016/j.midw.2005.10.002
[2] Geissbuehler, V. and Eberhard, J. (2002) Fear of Childbirth during Pregnancy: A Study of More than 8000 Pregnant Women. Journal of Psychosomatic Obstetrics Gynaecology, 23, 229-235.
http://dx.doi.org/10.3109/01674820209074677
[3] Nilsson, C. and Lundgren, I. (2009) Women’s Lived Experience of Fear of Childbirth. Midwifery, 25, 1-9.
http://dx.doi.org/10.1016/j.midw.2007.01.017
[4] Wijma, K., Wijma, B. and Zar, M. (1998) Psychometric Aspects of the W-DEQ: A New Questionnaire for the Measurement of Fear of Childbirth. Journal of Psychosomatic Obstetrics Gynaecology, 19, 84-97.
http://dx.doi.org/10.3109/01674829809048501
[5] Nieminen, K., Stephansson, O. and Ryding, E.L. (2009) Women’s Fear of Childbirth and Preference for Cesarean Section: A Cross-Sectional Study at Various Stages of Pregnancy in Sweden. Acta Obstetrics Gynecology Scandinavia, 88, 807-813.
http://dx.doi.org/10.1080/00016340902998436
[6] Zar, M., Wijma, K. and Wijma, B. (2002) Relations between Anxiety Disorders and Fear of Childbirth during Late Pregnancy. Clinical Psychology Psychotherapy, 9, 122-130.
http://dx.doi.org/10.1002/cpp.305
[7] Hall, W.A., Hauck, Y.L., Carty, E.M., Hutton, E.K., Fenwick, J. and Stoll, K. (2009) Childbirth Fear, Anxiety, Fatigue and Sleep Deprivation in Pregnant Women. Journal of Obstetric Gynecologic Neonatal Nursing, 38, 567-576.
http://dx.doi.org/10.1111/j.1552-6909.2009.01054.x
[8] Fenwick, J., Gamble, J., Nathan, E., Bayes, S. and Hauck, Y. (2009) Pre- and Postpartum Levels of Childbirth Fear and the Relationship to Birth Outcomes in a Cohort of Australian Women. Journal of Clinical Nursing, 18, 667-677.
http://dx.doi.org/10.1111/j.1365-2702.2008.02568.x
[9] Zar, M., Wijma, K. and Wijma, B. (2001) Pre- and Postpartum Fear of Childbirth in Nulliparous and Parous Women. Scandinavian Journal of Behaviour Therapy, 30, 75-84.
http://dx.doi.org/10.1080/02845710121310
[10] Verreault, N., Da Costa, D., Marchand, M., Ireland, K., Banack, H., Dritsa, M. and Khalifé M. (2012) PTSD Following Childbirth: A Prospective Study of Incidence and Risk Factors in Canadian Women. Journal of Psychosomatic Research, 73, 257-263.
http://dx.doi.org/10.1016/j.jpsychores.2012.07.010
[11] Garthus-Niegel, S., Von Soest, T., Vollrath, M.E. and Eberhard-Gran, M. (2013) The Impact of Subjective Birth Experiences on Post-Traumatic Stress Symptoms: A Longitudinal Study. Archives of Women’s Mental Health, 16, 1-10.
http://dx.doi.org/10.1007/s00737-012-0301-3
[12] Waldenström, U., Hildingsson, I. and Ryding, E.L. (2006) Antenatal Fear of Childbirth and Its Association with Subsequent Caesarean Section and Experience of Childbirth. International Journal of Obstetric Gynaecology, 113, 638-646.
http://dx.doi.org/10.1111/j.1471-0528.2006.00950.x
[13] Terui, K. (2009) Comparison of the Obstetric Anesthesia Practice between Japan and USA. Masui, 58, 1473-1475. (In Japanese)
[14] Yoshida, K. (2010) Attitudes of Healthcare Practitioners and Consumers toward the “Acceptance” and “Avoidance” of Labor Pains. Boseieisei, 51, 99-109. (In Japanese)
[15] Takegata, M., Haruna, M., Murayama, R., Masayo, M., Okano, T. and Severinsson, E. (2013) Translation and Validation of the Japanese Version of the Wijma Delivery Expectancy/Experience Questionnaire Version A. Nursing and Health Science, 15, 326-332.
http://dx.doi.org/10.1111/nhs.12036
[16] Johnson, R. and Slade, P. (2002) Does Fear of Childbirth during Pregnancy Predict Emergency Caesarean Section? BJOG: An International Journal of Obstetrics and Gynaecology, 109, 1213-1221.
http://dx.doi.org/10.1046/j.1471-0528.2002.01351.x
[17] Wiklund, I., Edman, G., Ryding, E.L. and Andolf, E. (2008) Expectation and Experiences of Childbirth in Primiparae with Caesarean Section. BJOG: An International Journal of Obstetrics and Gynaecology, 115, 324-331.
http://dx.doi.org/10.1111/j.1471-0528.2007.01564.x
[18] Zigmond, A.S. and Snaith, R.P. (1983) The Hospital Anxiety and Depression Scale (HADS). Acta Psychiatrica Scandinavia, 67, 361-370.
http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x
[19] Kitamura, T. (1993) The Hospital Anxiety and Depression Scale (HADS). Archives of Psychiatric Diagnostics and Clinical Evaluation, 4, 371-372. (In Japanese)
[20] Kline, R.B. (2004) Principles and Practice of Structural Equation Modeling. 2nd Edition, Guilfold Publications Inc., New York.
[21] Byrne, B.M. (2001) Structural Equation Modeling with AMOS: Basic Concepts, Applications, and Programming. Lawrence Erlbaum Associates, Mahwah.
[22] Creedy, D.K., Shochet, I.M. and Horsfall, J. (2000) Childbirth and the Development of Acute Trauma Symptoms: Incidence and Contributing Factors. Birth, 27, 104-111.
http://dx.doi.org/10.1046/j.1523-536x.2000.00104.x
[23] Söderquist, J., Wijma, B., Thorbert, G. and Wijma, K. (2009) Risk Factors in Pregnancy for Post-Traumatic Stress and Depression after Childbirth. BJOG: An International Journal of Obstetrics and Gynaecology, 116, 672-680.
[24] Waldenström, U., Borg, I.M., Olsson, B., Sköld, M. and Wall, S. (1996) The Childbirth Experience: A Study of 295 New Mothers. Birth, 31, 17-27.
[25] Goodman, P., Mackey, M.C. and Tavakoli, A.S. (2004) Factors Related to Childbirth Satisfaction. Journal of Advanced Nursing, 46, 212-219.
http://dx.doi.org/10.1111/j.1365-2648.2003.02981.x      eww150227lx

评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...