Qualitative Exploration of the Needs of Pregnant Women to Manage the Fear of Childbirth

Azam Bakhteh, Nasrin Jaberghaderi, Mastaneh Kamravamanesh, Mitra Kolivand, Mansour Rezaei, Zahra Motaghi

Abstract


Background: Some women experience the Fear of Childbirth (FOC) during pregnancy, labor, and birth which can have consequences for their health and well‑being. To provide the right conditions for having a positive experience of childbirth, the needs of pregnant women must be correctly recognized. The present study was conducted with the aim of investigating the needs of women in managing the FOC with a qualitative design.

 Materials and Methods: This qualitative study was conducted using conventional content analysis from January to November 2021. To this aim, 15 pregnant women, 21 healthcare providers, and four maternal health policymakers were purposefully selected from Kermanshah health centers, with maximum diversity. Data were collected through in‑depth semi‑structured interviews. Data accuracy was guaranteed using Lincoln and Guba criteria. The MAXQDA software was used for data analysis.

Results: From the analysis of the data obtained from the interviews, three main categories emerged concerning the needs of mothers to properly manage the FOC: “need to provide awareness and empowerment of mother and family,” and “the need to pay attention to the mental health of pregnant women,” and “supporting needs (seeking support).”

Conclusions: Identifying and paying attention to woman’s needs in the areas of education, mental health, and support can help them manage crisis‑ridden situations, including the FOC. In response to the needs of mothers to empower them in managing the FOC, it is recommended to formulate special guidelines in this field.

 


Keywords


Delivery, fear, needs, qualitative research

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References


Hamama Raz Y, Sommerfeld E, Ken Dror D, Lacher R, Ben Ezra M. The role of intra personal and inter personal factors in fear of childbirth: A preliminary study. Psychiatr Q 2017;88:385 96.

Khwepeya M, Lee GT, Chen SR, Kuo SY. Childbirth fear and related factors among pregnant and postpartum women in Malawi. BMC Pregnancy Childbirth 2018;18:391.

O’Connell MA, Leahy Warren P, Khashan AS, Kenny LC, O’Neill SM. Worldwide prevalence of tocophobia in pregnant women: Systematic review and meta analysis. Acta Obstet Gynecol Scand 2017;96:907 20.

Swift EM, Gottfredsdottir H, Zoega H, Gross MM, Stoll K. Opting for natural birth: A survey of birth intentions among young Icelandic women. Sex Reprod Healthc 2017;11:41 6.

Demšar K, Svetina M, Verdenik I, Tul N, Blickstein I, Velikonja VG. Tokophobia (fear of childbirth): Prevalence and risk factors. J Perinat Med 2018;46:151 4.

Mousavi SR, Amiri Farahani L, Haghani S, Pezaro S. Comparing the effect of childbirth preparation courses delivered both in person and via social media on pregnancy experience, fear of childbirth, birth preference and mode of birth in pregnant Iranian women: A quasi experimental study. PLoS One 2022;17:e0272613.

Scollato A, Lampasona R. Tokophobia: When fear of childbirth prevails. Mediterr J Clin Psychol 2013;1. doi: 10.6092/2282 1619/2013.1.893.

Striebich S, Ayerle GM. Fear of childbirth (FOC): Pregnant women’s perceptions towards the impending hospital birth and coping resources–A reconstructive study. J Psychosom Obstet Gynecol 2020;41:231 9.

Striebich S, Mattern E, Ayerle GM. Support for pregnant women identified with fear of childbirth (FOC)/tokophobia–A systematic review of approaches and interventions. Midwifery 2018;61:97 115.

Rondung E, Magnusson S, Ternström E. Preconception fear of childbirth: Experiences and needs of women fearing childbirth before first pregnancy. Reprod Health 2022;19:1 10.

Arfaie K, Nahidi F, Simbar M, Bakhtiari M. The role of fear of childbirth in pregnancy related anxiety in Iranian women: A qualitative research. Electron Physician 2017;9:3733.

Silva C, Vehmeijer FO, El Marroun H, Felix J, Jaddoe V, Santos S. Maternal psychological distress during pregnancy and childhood cardio metabolic risk factors. Nutr Metab Cardiovasc Dis 2019;29:572 9.

Bakhteh A, Jaberghaderi N, Rezaei M, Naghibzadeh ZA S, Kolivand M, Motaghi Z. The effect of interventions in alleviating fear of childbirth in pregnant women: A systematic review. J Reprod Infant Psychol 2022:1 17. doi: 10.1080/02646838.2022.2059458.

Squires A, Dorsen C. Qualitative research in nursing and health professions regulation. J Nurs Regul 2018;9:15 26.

Stahl NA, King JR. Expanding approaches for research: Understanding and using trustworthiness in qualitative research. J Dev Educ 2020;44:26 8.

Ahmadi Z. Identifying and explaining experiences of fear of childbirth and coping strategies: A qualitative study. J Qual Res Health Sci 2020;9:47 58.

Soltani F, Eskandari Z, Khodakarami B, Parsa P, Roshanaei G. Factors contributing to fear of childbirth among pregnant women in Hamadan (Iran) in 2016. Electron Physician 2017;9:4725

Munkhondya BM, Munkhondya TE, Msiska G, Kabuluzi E, Yao J, Wang H. A qualitative study of childbirth fear and preparation among primigravid women: The blind spot of antenatal care in Lilongwe, Malawi. Int J Nurs Sci 2020;7:303 12.

Sheen K, Slade P. Examining the content and moderators of women’s fears for giving birth: A meta-synthesis. J Clin Nurs 2018;27:2523 35.

Beiranvand SP, Moghadam ZB, Salsali M, Majd HA, Birjandi M, Khalesi ZB. Prevalence of fear of childbirth and its associated factors in primigravid women: A cross sectional study. Shiraz Med J 2017;18. doi: 10.5812/semj. 61896.

Lebni JY, Farahani FK, Solhi M, Azar FEF. Causes and grounds of childbirth fear and coping strategies used by Kurdish adolescent pregnant women in Iran: A qualitative study. J Reprod Infertil 2021;22:47.

Lotfi R, Tehrani FR, Dovom MR, Torkestani F, Abedini M, Sajedinejad S. Development of strategies to reduce cesarean delivery rates in iran 2012 2014: A mixed methods study. Int J Prev Med 2014;5:1552 66.

Jamali F, Olfati F, Oveisi S, Ranjkesh F. Effects of spouses’ involvement in pregnancy on fear of childbirth in nulliparous women. J Inflamm Dis 2018;22:38 47.

Asgharian B, Mirghafourvand M. The effect of training pregnant women and their husband’s on the anxiety in pregnant women with previous adverse pregnancy outcomes: A controlled randomized clinical trial. J Fetal Med 2019;6:17 23.

Haines HM, Rubertsson C, Pallant JF, Hildingsson I. The influence of women’s fear, attitudes and beliefs of childbirth on mode and experience of birth. BMC Pregnancy Childbirth 2012;12:1 14.

Aktaş S, Aydın R. The analysis of negative birth experiences of mothers: A qualitative study. J Reprod Infant Psychol 2019;37:176 92.

Fenwick J, Toohill J, Creedy DK, Smith J, Gamble J. Sources, responses and moderators of childbirth fear in Australian women: A qualitative investigation. Midwifery 2015;31:239 46.

Hosseini Tabaghdehi M, Kolahdozan S, Keramat A, Shahhossein Z, Moosazadeh M, Motaghi Z. Prevalence and factors affecting the negative childbirth experiences: A systematic review. J Matern Fetal Neonatal Med 2020;33:3849 56.

Henriksen L, Grimsrud E, Schei B, Lukasse M, Group BS. Factors related to a negative birth experience–A mixed methods study. Midwifery 2017;51:33 9.

Garthus Niegel S, von Soest T, Vollrath ME, Eberhard Gran M. The impact of subjective birth experiences on post traumatic stress symptoms: A longitudinal study. Arch Women’s Ment Health 2013;16:1 10.

Størksen HT, Garthus-Niegel S, Vangen S, Eberhard-Gran M. The impact of previous birth experiences on maternal fear of childbirth. Acta Obstet Gynecol Scand 2013;92:318 24.

Brunton R, Dryer R. Child sexual abuse and pregnancy: A systematic review of the literature. Child Abuse Negl 2021;111:104802.

Schei B, Lukasse M, Ryding EL, Campbell J, Karro H, Kristjansdottir H, et al. A history of abuse and operative delivery–results from a European multi country cohort study. PLoS One 2014;9:e87579.

Zhou X, Liu H, Li X, Zhang S. Fear of childbirth and associated risk factors in healthy pregnant women in northwest of China: A cross sectional study. Psychol Res Behav Manag 2021;14:731.

Phunyammalee M, Buayaem T, Boriboonhirunsarn D. Fear of childbirth and associated factors among low risk pregnant women. J Obstet Gynaecol 2019;39:763 7.

Marcelina LA, Rachmawati IN, Ungsianik T. Dissatisfaction with the husband support increases childbirth fear among Indonesian primigravida. Enferm Clin 2019;29:379 83.

O’Connell MA, Khashan AS, Leahy Warren P. Women’s experiences of interventions for fear of childbirth in the perinatal period: A meta synthesis of qualitative research evidence. Women Birth 2021;34:e309 21.


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