When Fear of Childbirth is Pathological: The Fear Continuum

Objectives Given that prepartum psychiatric symptoms have been reported to be associated with postpartum disorders, focusing on the prepartum period appears of prime importance. The aim of the current study was threefold: (a) to identify the prevalence rates of women suffering from fear of childbirt...

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Veröffentlicht in:Maternal and child health journal 2018-05, Vol.22 (5), p.772-778
Hauptverfasser: Poggi, Léa, Goutaudier, Nelly, Séjourné, Natalène, Chabrol, Henri
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container_issue 5
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container_title Maternal and child health journal
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creator Poggi, Léa
Goutaudier, Nelly
Séjourné, Natalène
Chabrol, Henri
description Objectives Given that prepartum psychiatric symptoms have been reported to be associated with postpartum disorders, focusing on the prepartum period appears of prime importance. The aim of the current study was threefold: (a) to identify the prevalence rates of women suffering from fear of childbirth (FOC) and tokophobia (b) to explore the association between FOC, obstetrical and psychopathological variables and (c) to identify the independent predictors of the intensity of FOC symptoms, FOC and tokophobia. Methods at 36 weeks’ gestation, 98 women completed questionnaires assessing FOC, pretraumatic stress, fear of pain, depressive and anxiety symptomatology as well as perceived social support. Socio-demographic and gynecological data were also gathered. Results 22.45% of women reported a probable FOC and 20.41% suffered from a potential tokophobia. Epidural anesthesia ( ß = 5.62, p  
doi_str_mv 10.1007/s10995-018-2447-8
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The aim of the current study was threefold: (a) to identify the prevalence rates of women suffering from fear of childbirth (FOC) and tokophobia (b) to explore the association between FOC, obstetrical and psychopathological variables and (c) to identify the independent predictors of the intensity of FOC symptoms, FOC and tokophobia. Methods at 36 weeks’ gestation, 98 women completed questionnaires assessing FOC, pretraumatic stress, fear of pain, depressive and anxiety symptomatology as well as perceived social support. Socio-demographic and gynecological data were also gathered. Results 22.45% of women reported a probable FOC and 20.41% suffered from a potential tokophobia. Epidural anesthesia ( ß = 5.62, p  &lt; 0.05), and the intensity of pretraumatic stress symptoms ( ß = 0.69, p  &lt; 0.05), were independently associated with the intensity of FOC symptoms. Planning a c-section was significantly related to FOC ( β  = 0.09, p  = 0.03). Planning an epidural anesthesia was also an independent predictor of both FOC and tokophobia ( β  = 1.33, p  = 0.03; β  = 1.26, p  = 0.04, respectively). Conclusions Given the high rates of FOC and tokophobia highlighted, developing an appropriate preparation to childbirth is of great relevance. Longitudinal studies should be developed in order to provide an in-depth examination of the course of prepartum psychiatric disorders, maintenance of symptoms and their impact on subsequent infant development.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-018-2447-8</identifier><identifier>PMID: 29484511</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Analysis ; Anesthesia ; Anxiety ; Anxiety - epidemiology ; Anxiety - psychology ; Childbirth &amp; labor ; Cognitive science ; Delivery (Childbirth) ; Delivery, Obstetric - psychology ; Depression (Mood disorder) ; Fear - psychology ; Female ; Gynecology ; Health aspects ; Human health and pathology ; Humans ; Life Sciences ; Longitudinal Studies ; Maternal and Child Health ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Parturition - psychology ; Pediatrics ; Phobic Disorders - epidemiology ; Phobic Disorders - psychology ; Population Economics ; Post traumatic stress disorder ; Pregnancy ; Pregnant Women - psychology ; Prevalence ; Psychological symptoms ; Psychology ; Public Health ; Social Support ; Sociology ; Surveys and Questionnaires ; Womens health</subject><ispartof>Maternal and child health journal, 2018-05, Vol.22 (5), p.772-778</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Maternal and Child Health Journal is a copyright of Springer, (2018). All Rights Reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c542t-e47795fd2ff052c41dc38240f6c18807a222eac171f30271edad5b2a8d3f36f03</citedby><cites>FETCH-LOGICAL-c542t-e47795fd2ff052c41dc38240f6c18807a222eac171f30271edad5b2a8d3f36f03</cites><orcidid>0000-0001-7070-7747</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-018-2447-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-018-2447-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29484511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-01926679$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Poggi, Léa</creatorcontrib><creatorcontrib>Goutaudier, Nelly</creatorcontrib><creatorcontrib>Séjourné, Natalène</creatorcontrib><creatorcontrib>Chabrol, Henri</creatorcontrib><title>When Fear of Childbirth is Pathological: The Fear Continuum</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><addtitle>Matern Child Health J</addtitle><description>Objectives Given that prepartum psychiatric symptoms have been reported to be associated with postpartum disorders, focusing on the prepartum period appears of prime importance. The aim of the current study was threefold: (a) to identify the prevalence rates of women suffering from fear of childbirth (FOC) and tokophobia (b) to explore the association between FOC, obstetrical and psychopathological variables and (c) to identify the independent predictors of the intensity of FOC symptoms, FOC and tokophobia. Methods at 36 weeks’ gestation, 98 women completed questionnaires assessing FOC, pretraumatic stress, fear of pain, depressive and anxiety symptomatology as well as perceived social support. Socio-demographic and gynecological data were also gathered. Results 22.45% of women reported a probable FOC and 20.41% suffered from a potential tokophobia. Epidural anesthesia ( ß = 5.62, p  &lt; 0.05), and the intensity of pretraumatic stress symptoms ( ß = 0.69, p  &lt; 0.05), were independently associated with the intensity of FOC symptoms. Planning a c-section was significantly related to FOC ( β  = 0.09, p  = 0.03). Planning an epidural anesthesia was also an independent predictor of both FOC and tokophobia ( β  = 1.33, p  = 0.03; β  = 1.26, p  = 0.04, respectively). Conclusions Given the high rates of FOC and tokophobia highlighted, developing an appropriate preparation to childbirth is of great relevance. Longitudinal studies should be developed in order to provide an in-depth examination of the course of prepartum psychiatric disorders, maintenance of symptoms and their impact on subsequent infant development.</description><subject>Adult</subject><subject>Analysis</subject><subject>Anesthesia</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Childbirth &amp; labor</subject><subject>Cognitive science</subject><subject>Delivery (Childbirth)</subject><subject>Delivery, Obstetric - psychology</subject><subject>Depression (Mood disorder)</subject><subject>Fear - psychology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Longitudinal Studies</subject><subject>Maternal and Child Health</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental disorders</subject><subject>Parturition - psychology</subject><subject>Pediatrics</subject><subject>Phobic Disorders - epidemiology</subject><subject>Phobic Disorders - psychology</subject><subject>Population Economics</subject><subject>Post traumatic stress disorder</subject><subject>Pregnancy</subject><subject>Pregnant Women - psychology</subject><subject>Prevalence</subject><subject>Psychological symptoms</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Social Support</subject><subject>Sociology</subject><subject>Surveys and Questionnaires</subject><subject>Womens health</subject><issn>1092-7875</issn><issn>1573-6628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kl1rFDEUhgdR7If-AG9kQJB6MfUkk0wyerUsthUW6kXFy5DNJDspmaQmM4L_3oxT-yFbQsjh5HkPnJe3KN4gOEUA7GNC0La0AsQrTAir-LPiEFFWV02D-fNcQ4srxhk9KI5SugbIKiAviwPcEk4oQofF5x-99uWZlrEMplz31nVbG8e-tKn8Jsc-uLCzSrpP5VWvF24d_Gj9NA2vihdGuqRf377HxfezL1fri2pzef51vdpUihI8Vpow1lLTYWOAYkVQp2qOCZhGIc6BSYyxlgoxZGrADOlOdnSLJe9qUzcG6uPiwzK3l07cRDvI-FsEacXFaiPmHqAWNw1rf6HMnizsTQw_J51GMdiktHPS6zAlgQE4bwEhmtF3_6HXYYo-b_KXyhdqfk_tpNPCehPGKNU8VKxoTRDjDWkzVe2hdtrrKF3w2tjcfsSf7uHz6fRg1V7B-weCXks39im4abTBp8cgWkAVQ0pRmzvHEIg5NWJJTTaNizk1Yt7x7a0T03bQ3Z3iX0wygBcg5S-_0_Heqqen_gF25cYF</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Poggi, Léa</creator><creator>Goutaudier, Nelly</creator><creator>Séjourné, Natalène</creator><creator>Chabrol, Henri</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0001-7070-7747</orcidid></search><sort><creationdate>20180501</creationdate><title>When Fear of Childbirth is Pathological: The Fear Continuum</title><author>Poggi, Léa ; 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The aim of the current study was threefold: (a) to identify the prevalence rates of women suffering from fear of childbirth (FOC) and tokophobia (b) to explore the association between FOC, obstetrical and psychopathological variables and (c) to identify the independent predictors of the intensity of FOC symptoms, FOC and tokophobia. Methods at 36 weeks’ gestation, 98 women completed questionnaires assessing FOC, pretraumatic stress, fear of pain, depressive and anxiety symptomatology as well as perceived social support. Socio-demographic and gynecological data were also gathered. Results 22.45% of women reported a probable FOC and 20.41% suffered from a potential tokophobia. Epidural anesthesia ( ß = 5.62, p  &lt; 0.05), and the intensity of pretraumatic stress symptoms ( ß = 0.69, p  &lt; 0.05), were independently associated with the intensity of FOC symptoms. Planning a c-section was significantly related to FOC ( β  = 0.09, p  = 0.03). Planning an epidural anesthesia was also an independent predictor of both FOC and tokophobia ( β  = 1.33, p  = 0.03; β  = 1.26, p  = 0.04, respectively). Conclusions Given the high rates of FOC and tokophobia highlighted, developing an appropriate preparation to childbirth is of great relevance. Longitudinal studies should be developed in order to provide an in-depth examination of the course of prepartum psychiatric disorders, maintenance of symptoms and their impact on subsequent infant development.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29484511</pmid><doi>10.1007/s10995-018-2447-8</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-7070-7747</orcidid></addata></record>
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subjects Adult
Analysis
Anesthesia
Anxiety
Anxiety - epidemiology
Anxiety - psychology
Childbirth & labor
Cognitive science
Delivery (Childbirth)
Delivery, Obstetric - psychology
Depression (Mood disorder)
Fear - psychology
Female
Gynecology
Health aspects
Human health and pathology
Humans
Life Sciences
Longitudinal Studies
Maternal and Child Health
Medicine
Medicine & Public Health
Mental disorders
Parturition - psychology
Pediatrics
Phobic Disorders - epidemiology
Phobic Disorders - psychology
Population Economics
Post traumatic stress disorder
Pregnancy
Pregnant Women - psychology
Prevalence
Psychological symptoms
Psychology
Public Health
Social Support
Sociology
Surveys and Questionnaires
Womens health
title When Fear of Childbirth is Pathological: The Fear Continuum
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