Fear of natural childbirth and its related factors among primigravid women: a mixed-methods study

Introduction: Fear of natural childbirth is a common problem among pregnant women. The present study was performed with aim to explain fear of natural childbirth and its related factors among primigravid women. Methods: This sequential-explanatory mixed-methods study with participant selection type was conducted in 2014-2015. At quantitative phase, using a multistage cluster sampling method, 400 primigravid women with 18-32 gestation weeks were selected. To collected data, Childbirth Attitude Questionnaire, demographic characteristics, and Northouse Social Support Questionnaire were used. Data analysis was performed using Chi-square, t-test, Mann-Whitney test, and multivariate logistic regression. At qualitative phase, semi-structured individual interviews using open-ended questions was performed on 15 primigravid women who were selected using purposive sampling method. The data were analyzed using conventional content analysis method. Results: Mean score of fear of natural childbirth was 37.86±9.44 and its prevalence (CAQ≥28) was 80.8%. According to the results of multivariate logistic regression analysis, a significant relationship was found between lack of sufficient income (p=0.020), not participating in childbirth preparation classes (p=0.040) and selection of delivery method (vaginal delivery) (p