Fear of childbirth and pregnancy-related anxiety in women conceiving with assisted reproduction
To compare the prevalence and predictors of severe fear of childbirth and pregnancy-related anxiety in groups of assisted reproduction treatment (ART) and spontaneously conceiving women with singleton pregnancies. The ART group (n = 367, nulliparous 260) represented a cohort from five Finnish infert...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2006-07, Vol.108 (1), p.70-76 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | POIKKEUS, P SAISTO, T UNKILA-KALLIO, L PUNAMAKI, R.-L REPOKARI, L VILSKA, S TIITINEN, A TULPPALA, M |
| description | To compare the prevalence and predictors of severe fear of childbirth and pregnancy-related anxiety in groups of assisted reproduction treatment (ART) and spontaneously conceiving women with singleton pregnancies.
The ART group (n = 367, nulliparous 260) represented a cohort from five Finnish infertility clinics in 1999. The control group (n = 379, nulliparous 135) was enrolled in this study by consecutive sampling the same year. Fear of childbirth was assessed by means of the revised version of the Fear-of-Childbirth Questionnaire and pregnancy-related anxiety by means of the Pregnancy Anxiety Scale at gestational week 20 +/- 3.2 (mean+/-standard deviation).
The frequency of severe fear of childbirth and anxiety (classified as total scores in the 90th percentile or higher in the revised Fear of Childbirth Questionnaire and Pregnancy Anxiety Scale) did not differ between the groups. Nulliparity was associated with more frequent severe anxiety only in the controls. In nulliparous participants, a partnership of more than 5 years decreased the risk of severe fear of childbirth (odds ratio 0.3, 95% confidence interval 0.2-0.7). In the nulliparous ART group, a long duration of infertility (7 or more years) increased the risk of severe fear of childbirth (odds ratio 4.4, 95% confidence interval 1.2-16.9).
Women conceiving after ART do not experience severe fear of childbirth or pregnancy-related axiety more often than spontaneously conceiving controls. However, a long duration of infertility is an independent risk factor regarding severe fear of childbirth.
II-2. |
| doi_str_mv | 10.1097/01.AOG.0000222902.37120.2f |
| format | Article |
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The ART group (n = 367, nulliparous 260) represented a cohort from five Finnish infertility clinics in 1999. The control group (n = 379, nulliparous 135) was enrolled in this study by consecutive sampling the same year. Fear of childbirth was assessed by means of the revised version of the Fear-of-Childbirth Questionnaire and pregnancy-related anxiety by means of the Pregnancy Anxiety Scale at gestational week 20 +/- 3.2 (mean+/-standard deviation).
The frequency of severe fear of childbirth and anxiety (classified as total scores in the 90th percentile or higher in the revised Fear of Childbirth Questionnaire and Pregnancy Anxiety Scale) did not differ between the groups. Nulliparity was associated with more frequent severe anxiety only in the controls. In nulliparous participants, a partnership of more than 5 years decreased the risk of severe fear of childbirth (odds ratio 0.3, 95% confidence interval 0.2-0.7). In the nulliparous ART group, a long duration of infertility (7 or more years) increased the risk of severe fear of childbirth (odds ratio 4.4, 95% confidence interval 1.2-16.9).
Women conceiving after ART do not experience severe fear of childbirth or pregnancy-related axiety more often than spontaneously conceiving controls. However, a long duration of infertility is an independent risk factor regarding severe fear of childbirth.
II-2.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/01.AOG.0000222902.37120.2f</identifier><identifier>PMID: 16816058</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Anxiety ; Biological and medical sciences ; Delivery. Postpartum. Lactation ; Fear ; Female ; Finland ; Gynecology. Andrology. Obstetrics ; Humans ; Infertility ; Medical sciences ; Parity ; Parturition - psychology ; Pregnancy - psychology ; Pregnancy Complications - psychology ; Reproductive Techniques, Assisted - psychology ; Risk Factors ; Surveys and Questionnaires</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2006-07, Vol.108 (1), p.70-76</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-5d1538d99be619639743d0ca0e1d38f0cd35e2af7128ac464751cfa67878dd133</citedby><cites>FETCH-LOGICAL-c347t-5d1538d99be619639743d0ca0e1d38f0cd35e2af7128ac464751cfa67878dd133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17883924$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16816058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>POIKKEUS, P</creatorcontrib><creatorcontrib>SAISTO, T</creatorcontrib><creatorcontrib>UNKILA-KALLIO, L</creatorcontrib><creatorcontrib>PUNAMAKI, R.-L</creatorcontrib><creatorcontrib>REPOKARI, L</creatorcontrib><creatorcontrib>VILSKA, S</creatorcontrib><creatorcontrib>TIITINEN, A</creatorcontrib><creatorcontrib>TULPPALA, M</creatorcontrib><title>Fear of childbirth and pregnancy-related anxiety in women conceiving with assisted reproduction</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>To compare the prevalence and predictors of severe fear of childbirth and pregnancy-related anxiety in groups of assisted reproduction treatment (ART) and spontaneously conceiving women with singleton pregnancies.
The ART group (n = 367, nulliparous 260) represented a cohort from five Finnish infertility clinics in 1999. The control group (n = 379, nulliparous 135) was enrolled in this study by consecutive sampling the same year. Fear of childbirth was assessed by means of the revised version of the Fear-of-Childbirth Questionnaire and pregnancy-related anxiety by means of the Pregnancy Anxiety Scale at gestational week 20 +/- 3.2 (mean+/-standard deviation).
The frequency of severe fear of childbirth and anxiety (classified as total scores in the 90th percentile or higher in the revised Fear of Childbirth Questionnaire and Pregnancy Anxiety Scale) did not differ between the groups. Nulliparity was associated with more frequent severe anxiety only in the controls. In nulliparous participants, a partnership of more than 5 years decreased the risk of severe fear of childbirth (odds ratio 0.3, 95% confidence interval 0.2-0.7). In the nulliparous ART group, a long duration of infertility (7 or more years) increased the risk of severe fear of childbirth (odds ratio 4.4, 95% confidence interval 1.2-16.9).
Women conceiving after ART do not experience severe fear of childbirth or pregnancy-related axiety more often than spontaneously conceiving controls. However, a long duration of infertility is an independent risk factor regarding severe fear of childbirth.
II-2.</description><subject>Anxiety</subject><subject>Biological and medical sciences</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Fear</subject><subject>Female</subject><subject>Finland</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infertility</subject><subject>Medical sciences</subject><subject>Parity</subject><subject>Parturition - psychology</subject><subject>Pregnancy - psychology</subject><subject>Pregnancy Complications - psychology</subject><subject>Reproductive Techniques, Assisted - psychology</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkNtKAzEQhoMoth5eQRZB73bNYXeTeCfFEwjeKHgX0mSikd1sTbZq397UFpqbQOb7MzMfQucEVwRLfoVJdfN8X-F8KKUS04pxQnFF3R6aEsFZSRl720fTXJclF3U9QUcpfWaetJIdoglpBWlxI6ZI3YGOxeAK8-E7O_dx_Ch0sMUiwnvQwazKCJ0ewebXXw_jqvCh-Bl6CIUZggH_7cN78ePXsZR8WpMRFnGwSzP6IZygA6e7BKfb-xi93t2-zB7Kp-f7x9nNU2lYzceysaRhwko5h5bIlkleM4uNxkAsEw4byxqg2uU9hTZ1W_OGGKdbLriwljB2jC43_-bWX0tIo-p9MtB1OsCwTKoVjZS0lhm83oAmDilFcGoRfa_jShGs1noVJirrVTu96l-voi6Hz7ZdlvMe7C669ZmBiy2gk9Gdi1mhTzuOC8HyGOwPxtCEzg</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>POIKKEUS, P</creator><creator>SAISTO, T</creator><creator>UNKILA-KALLIO, L</creator><creator>PUNAMAKI, R.-L</creator><creator>REPOKARI, L</creator><creator>VILSKA, S</creator><creator>TIITINEN, A</creator><creator>TULPPALA, M</creator><general>Elsevier Science</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20060701</creationdate><title>Fear of childbirth and pregnancy-related anxiety in women conceiving with assisted reproduction</title><author>POIKKEUS, P ; SAISTO, T ; UNKILA-KALLIO, L ; PUNAMAKI, R.-L ; REPOKARI, L ; VILSKA, S ; TIITINEN, A ; TULPPALA, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-5d1538d99be619639743d0ca0e1d38f0cd35e2af7128ac464751cfa67878dd133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Anxiety</topic><topic>Biological and medical sciences</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Fear</topic><topic>Female</topic><topic>Finland</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infertility</topic><topic>Medical sciences</topic><topic>Parity</topic><topic>Parturition - psychology</topic><topic>Pregnancy - psychology</topic><topic>Pregnancy Complications - psychology</topic><topic>Reproductive Techniques, Assisted - psychology</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>POIKKEUS, P</creatorcontrib><creatorcontrib>SAISTO, T</creatorcontrib><creatorcontrib>UNKILA-KALLIO, L</creatorcontrib><creatorcontrib>PUNAMAKI, R.-L</creatorcontrib><creatorcontrib>REPOKARI, L</creatorcontrib><creatorcontrib>VILSKA, S</creatorcontrib><creatorcontrib>TIITINEN, A</creatorcontrib><creatorcontrib>TULPPALA, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>POIKKEUS, P</au><au>SAISTO, T</au><au>UNKILA-KALLIO, L</au><au>PUNAMAKI, R.-L</au><au>REPOKARI, L</au><au>VILSKA, S</au><au>TIITINEN, A</au><au>TULPPALA, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fear of childbirth and pregnancy-related anxiety in women conceiving with assisted reproduction</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2006-07-01</date><risdate>2006</risdate><volume>108</volume><issue>1</issue><spage>70</spage><epage>76</epage><pages>70-76</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>To compare the prevalence and predictors of severe fear of childbirth and pregnancy-related anxiety in groups of assisted reproduction treatment (ART) and spontaneously conceiving women with singleton pregnancies.
The ART group (n = 367, nulliparous 260) represented a cohort from five Finnish infertility clinics in 1999. The control group (n = 379, nulliparous 135) was enrolled in this study by consecutive sampling the same year. Fear of childbirth was assessed by means of the revised version of the Fear-of-Childbirth Questionnaire and pregnancy-related anxiety by means of the Pregnancy Anxiety Scale at gestational week 20 +/- 3.2 (mean+/-standard deviation).
The frequency of severe fear of childbirth and anxiety (classified as total scores in the 90th percentile or higher in the revised Fear of Childbirth Questionnaire and Pregnancy Anxiety Scale) did not differ between the groups. Nulliparity was associated with more frequent severe anxiety only in the controls. In nulliparous participants, a partnership of more than 5 years decreased the risk of severe fear of childbirth (odds ratio 0.3, 95% confidence interval 0.2-0.7). In the nulliparous ART group, a long duration of infertility (7 or more years) increased the risk of severe fear of childbirth (odds ratio 4.4, 95% confidence interval 1.2-16.9).
Women conceiving after ART do not experience severe fear of childbirth or pregnancy-related axiety more often than spontaneously conceiving controls. However, a long duration of infertility is an independent risk factor regarding severe fear of childbirth.
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| subjects | Anxiety Biological and medical sciences Delivery. Postpartum. Lactation Fear Female Finland Gynecology. Andrology. Obstetrics Humans Infertility Medical sciences Parity Parturition - psychology Pregnancy - psychology Pregnancy Complications - psychology Reproductive Techniques, Assisted - psychology Risk Factors Surveys and Questionnaires |
| title | Fear of childbirth and pregnancy-related anxiety in women conceiving with assisted reproduction |
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