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Mode of delivery preferences: the role of childbirth fear among nulliparous women

INTRODUCTION: The increasing Cesarean Section (CS) rates may be attributed to women’s increasing requests for elective CS. High Fear of Childbirth (FOC), especially among nulliparous women, may be significantly associated with CS preference without medical indications. The current study aims to inve...

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Autores principales: Elgzar, Wafaa Taha, Alshahrani, Majed Saeed, Ibrahim, Heba Abdel-Fatah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687373/
https://www.ncbi.nlm.nih.gov/pubmed/38034315
http://dx.doi.org/10.3389/fpsyg.2023.1221133
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author Elgzar, Wafaa Taha
Alshahrani, Majed Saeed
Ibrahim, Heba Abdel-Fatah
author_facet Elgzar, Wafaa Taha
Alshahrani, Majed Saeed
Ibrahim, Heba Abdel-Fatah
author_sort Elgzar, Wafaa Taha
collection PubMed
description INTRODUCTION: The increasing Cesarean Section (CS) rates may be attributed to women’s increasing requests for elective CS. High Fear of Childbirth (FOC), especially among nulliparous women, may be significantly associated with CS preference without medical indications. The current study aims to investigate the impact of childbirth fear on the mode of delivery preference among nulliparous women. METHODS: A cross-sectional correlational study was performed in the Maternal and Children Hospital (MCH) from the beginning of October 2022 to the end of February 2023 and incorporated a convenience sample of 342 nulliparous women. The data was collected using a self-reported questionnaire comprising participants’ demographic and obstetrics characteristics and the FOC questionnaire. A logistic regression model examined the relationship between CS preference and the other independent variables. RESULTS: The results indicated that 74.3% of the nulliparous women preferred vaginal delivery, while 25.7% preferred Cesarean Section. Concerning childbirth-related fear, the highest mean scores were related to fear of clinical procedures, fear of harming or distressing the infant, and fear of pain 5.19 ± 1.13, 5.12 ± 1.27, and 5.09 ± 1.22, respectively. High FOC was present among 74.6%, moderate in 17.3%, and severe in 6.7% of the participants. Logistic regression analysis showed maternal age and monthly income were the significant sociodemographic determinants of choosing CS as the preferred delivery mode (p < 0.05). Moreover, the participants who had increased fear of harming or distressing the infant, fear from pain, fear from the body’s ability to give birth, fear from not being involved in decision-making, and overall FOC had a higher probability of choosing CS as the preferred delivery mode compared to the participants who had lower fear (p < 0.05). DISCUSSION: Having high FOC increases the CS preference among nulliparous women. Increased fear of harming or distressing the infant, fear from pain, fear from the body’s ability to give birth, and fear from not being involved in decision- making seem to be significant dimensions of childbirth fear associated with CS preference among nulliparous women.
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spelling pubmed-106873732023-11-30 Mode of delivery preferences: the role of childbirth fear among nulliparous women Elgzar, Wafaa Taha Alshahrani, Majed Saeed Ibrahim, Heba Abdel-Fatah Front Psychol Psychology INTRODUCTION: The increasing Cesarean Section (CS) rates may be attributed to women’s increasing requests for elective CS. High Fear of Childbirth (FOC), especially among nulliparous women, may be significantly associated with CS preference without medical indications. The current study aims to investigate the impact of childbirth fear on the mode of delivery preference among nulliparous women. METHODS: A cross-sectional correlational study was performed in the Maternal and Children Hospital (MCH) from the beginning of October 2022 to the end of February 2023 and incorporated a convenience sample of 342 nulliparous women. The data was collected using a self-reported questionnaire comprising participants’ demographic and obstetrics characteristics and the FOC questionnaire. A logistic regression model examined the relationship between CS preference and the other independent variables. RESULTS: The results indicated that 74.3% of the nulliparous women preferred vaginal delivery, while 25.7% preferred Cesarean Section. Concerning childbirth-related fear, the highest mean scores were related to fear of clinical procedures, fear of harming or distressing the infant, and fear of pain 5.19 ± 1.13, 5.12 ± 1.27, and 5.09 ± 1.22, respectively. High FOC was present among 74.6%, moderate in 17.3%, and severe in 6.7% of the participants. Logistic regression analysis showed maternal age and monthly income were the significant sociodemographic determinants of choosing CS as the preferred delivery mode (p < 0.05). Moreover, the participants who had increased fear of harming or distressing the infant, fear from pain, fear from the body’s ability to give birth, fear from not being involved in decision-making, and overall FOC had a higher probability of choosing CS as the preferred delivery mode compared to the participants who had lower fear (p < 0.05). DISCUSSION: Having high FOC increases the CS preference among nulliparous women. Increased fear of harming or distressing the infant, fear from pain, fear from the body’s ability to give birth, and fear from not being involved in decision- making seem to be significant dimensions of childbirth fear associated with CS preference among nulliparous women. Frontiers Media S.A. 2023-11-16 /pmc/articles/PMC10687373/ /pubmed/38034315 http://dx.doi.org/10.3389/fpsyg.2023.1221133 Text en Copyright © 2023 Elgzar, Alshahrani and Ibrahim. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Elgzar, Wafaa Taha
Alshahrani, Majed Saeed
Ibrahim, Heba Abdel-Fatah
Mode of delivery preferences: the role of childbirth fear among nulliparous women
title Mode of delivery preferences: the role of childbirth fear among nulliparous women
title_full Mode of delivery preferences: the role of childbirth fear among nulliparous women
title_fullStr Mode of delivery preferences: the role of childbirth fear among nulliparous women
title_full_unstemmed Mode of delivery preferences: the role of childbirth fear among nulliparous women
title_short Mode of delivery preferences: the role of childbirth fear among nulliparous women
title_sort mode of delivery preferences: the role of childbirth fear among nulliparous women
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687373/
https://www.ncbi.nlm.nih.gov/pubmed/38034315
http://dx.doi.org/10.3389/fpsyg.2023.1221133
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