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
标签：

评论

发表评论

此博客中的热门博文

A Comparison of Methods Used to Determine the Oleic/Linoleic Acid Ratio in Cultivated Peanut (Arachis hypogaea L.)

Cultivated peanut ( Arachis hypogaea L.) is an important oil and food crop. It is also a cheap source of protein, a good source of essential vitamins and minerals, and a component of many food products. The fatty acid composition of peanuts has become increasingly important with the realization that oleic acid content significantly affects the development of rancidity. And oil content of peanuts significantly affects flavor and shelf-life. Early generation screening of breeding lines for high oleic acid content greatly increases the efficiency of developing new peanut varieties. The objective of this study was to compare the accuracy of methods used to classify individual peanut seed as high oleic or not high oleic. Three hundred and seventy-four (374) seeds, spanning twenty-three (23) genotypes varying in oil composition (i.e. high oleic (H) or normal/not high oleic (NH) inclusive of all four peanut market-types (runner, Spanish, Valencia and Virginia), were individually tested ...
发表评论
阅读全文

Location Optimization of a Coal Power Plant to Balance Costs against Plant’s Emission Exposure

Fuel and its delivery cost comprise the biggest expense in coal power plant operations. Delivery of electricity from generation to consumers requires investment in power lines and transmission grids. Placing a coal power plant or multiple power plants near dense population centers can lower transmission costs. If a coalmine is nearby, transportation costs can also be reduced. However, emissions from coal plants play a key role in worsening health crises in many countries. And coal upon combustion produces CO 2 , SO 2 , NO x , CO, Metallic and Particle Matter (PM10 & PM2.5). The presence of these chemical compounds in the atmosphere in close vicinity to humans, livestock, and agriculture carries detrimental health consequences. The goal of the research was to develop a methodology to minimize the public’s exposure to harmful emissions from coal power plants while maintaining minimal operational costs related to electric distribution losses and coal logistics. The objective was...
发表评论
阅读全文

Evaluation of the Safety and Efficacy of Continuous Use of a Home-Use High-Frequency Facial Treatment Appliance

At present, many home-use beauty devices are available in the market. In particular, many products developed for facial treatment use light, e.g., a flash lamp or a light-emitting diode (LED). In this study, the safety of 4 weeks’ continuous use of NEWA TM , a high-frequency facial treatment appliance, every alternate day at home was verified, and its efficacy was evaluated in Japanese individuals with healthy skin aged 30 years or older who complained of sagging of the facial skin.  Transepidermal water loss (TEWL), melanin levels, erythema levels, sebum secretion levels, skin color changes and wrinkle improvement in the facial skin were measured before the appliance began to be used (study baseline), at 2 and 4 weeks after it had begun to be used, and at 2 weeks after completion of the 4-week treatment period (6 weeks from the study baseline). In addition, data obtained by subjective evaluation by the subjects themselves on a visual analog scale (VAS) were also analyzed. Fur...
发表评论
阅读全文