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 |
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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 |
format | Article |
fullrecord | <record><control><sourceid>gale_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_01926679v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A534178649</galeid><sourcerecordid>A534178649</sourcerecordid><originalsourceid>FETCH-LOGICAL-c542t-e47795fd2ff052c41dc38240f6c18807a222eac171f30271edad5b2a8d3f36f03</originalsourceid><addsrcrecordid>eNp1kl1rFDEUhgdR7If-AG9kQJB6MfUkk0wyerUsthUW6kXFy5DNJDspmaQmM4L_3oxT-yFbQsjh5HkPnJe3KN4gOEUA7GNC0La0AsQrTAir-LPiEFFWV02D-fNcQ4srxhk9KI5SugbIKiAviwPcEk4oQofF5x-99uWZlrEMplz31nVbG8e-tKn8Jsc-uLCzSrpP5VWvF24d_Gj9NA2vihdGuqRf377HxfezL1fri2pzef51vdpUihI8Vpow1lLTYWOAYkVQp2qOCZhGIc6BSYyxlgoxZGrADOlOdnSLJe9qUzcG6uPiwzK3l07cRDvI-FsEacXFaiPmHqAWNw1rf6HMnizsTQw_J51GMdiktHPS6zAlgQE4bwEhmtF3_6HXYYo-b_KXyhdqfk_tpNPCehPGKNU8VKxoTRDjDWkzVe2hdtrrKF3w2tjcfsSf7uHz6fRg1V7B-weCXks39im4abTBp8cgWkAVQ0pRmzvHEIg5NWJJTTaNizk1Yt7x7a0T03bQ3Z3iX0wygBcg5S-_0_Heqqen_gF25cYF</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2008200038</pqid></control><display><type>article</type><title>When Fear of Childbirth is Pathological: The Fear Continuum</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Poggi, Léa ; Goutaudier, Nelly ; Séjourné, Natalène ; Chabrol, Henri</creator><creatorcontrib>Poggi, Léa ; Goutaudier, Nelly ; Séjourné, Natalène ; Chabrol, Henri</creatorcontrib><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
< 0.05), and the intensity of pretraumatic stress symptoms (
ß
= 0.69,
p
< 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 & 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</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
< 0.05), and the intensity of pretraumatic stress symptoms (
ß
= 0.69,
p
< 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 & 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 & 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 ; Goutaudier, Nelly ; Séjourné, Natalène ; Chabrol, Henri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-e47795fd2ff052c41dc38240f6c18807a222eac171f30271edad5b2a8d3f36f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Analysis</topic><topic>Anesthesia</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Childbirth & labor</topic><topic>Cognitive science</topic><topic>Delivery (Childbirth)</topic><topic>Delivery, Obstetric - psychology</topic><topic>Depression (Mood disorder)</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Health aspects</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Longitudinal Studies</topic><topic>Maternal and Child Health</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Parturition - psychology</topic><topic>Pediatrics</topic><topic>Phobic Disorders - epidemiology</topic><topic>Phobic Disorders - psychology</topic><topic>Population Economics</topic><topic>Post traumatic stress disorder</topic><topic>Pregnancy</topic><topic>Pregnant Women - psychology</topic><topic>Prevalence</topic><topic>Psychological symptoms</topic><topic>Psychology</topic><topic>Public Health</topic><topic>Social Support</topic><topic>Sociology</topic><topic>Surveys and Questionnaires</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Poggi, Léa</creatorcontrib><creatorcontrib>Goutaudier, Nelly</creatorcontrib><creatorcontrib>Séjourné, Natalène</creatorcontrib><creatorcontrib>Chabrol, Henri</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Maternal and child health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Poggi, Léa</au><au>Goutaudier, Nelly</au><au>Séjourné, Natalène</au><au>Chabrol, Henri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>When Fear of Childbirth is Pathological: The Fear Continuum</atitle><jtitle>Maternal and child health journal</jtitle><stitle>Matern Child Health J</stitle><addtitle>Matern Child Health J</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>22</volume><issue>5</issue><spage>772</spage><epage>778</epage><pages>772-778</pages><issn>1092-7875</issn><eissn>1573-6628</eissn><abstract>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
< 0.05), and the intensity of pretraumatic stress symptoms (
ß
= 0.69,
p
< 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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source | MEDLINE; SpringerLink Journals |
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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