Fear of childbirth and duration of labour: a study of 2206 women with intended vaginal delivery

BJOG: An International Journal of Obstetrics and Gynaecology - Tập 119 Số 10 - Trang 1238-1246 - 2012
SS Adams1,2, Malin Eberhard‐Gran3,1, Anne Eskild4,3
1Health Services Research Centre, Akershus University Hospital, Lørenskog, Norway
2Institute of Clinical Medicine, Akershus University Hospital, University of Oslo, Oslo, Norway
3Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway
4Department of Obstetrics and Gynaecology, Akershus University Hospital, Lørenskog, Norway

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Please cite this paper as: Adams S, Eberhard‐Gran M, Eskild A. Fear of childbirth and duration of labour: a study of 2206 women with intended vaginal delivery. BJOG 2012;119:1238–1246.Objective  To assess the association between fear of childbirth and duration of labour.Design  A prospective study of women from 32 weeks of gestation through to delivery.Setting  Akershus University Hospital, Norway.Population  A total of 2206 pregnant women with a singleton pregnancy and intended vaginal delivery during the period 2008–10.Methods  Fear of childbirth was assessed by the Wijma Delivery Expectancy Questionnaire (W‐DEQ) version A at 32 weeks of gestation, and defined as a W‐DEQ sum score ≥ 85. Information on labour duration, use of epidural analgesia and mode of delivery was obtained from the maternal ward electronic birth records.Main outcome measures   Labour duration in hours: from 3–4 cm cervical dilatation and three uterine contractions per 10 minutes lasting ≥1 minute, until delivery of the child.Results  Fear of childbirth (W‐DEQ sum score ≥ 85) was present in 7.5% (165) of women. Labour duration was significantly longer in women with fear of childbirth compared with women with no such fear using a linear regression model (crude unstandardised coefficient 1.54; 95% confidence interval 0.87–2.22, corresponding to a difference of 1 hour and 32 minutes). After adjustment for parity, counselling for pregnancy concern, epidural analgesia, labour induction, labour augmentation, emergency caesarean delivery, instrumental vaginal delivery, offspring birthweight and maternal age, the difference attenuated, but remained statistically significant (adjusted unstandardised coefficient 0.78; 95% confidence interval 0.20–1.35, corresponding to a 47‐minute difference).Conclusion  Duration of labour was longer in women with fear of childbirth than in women without fear of childbirth.

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Tài liệu tham khảo

10.3109/00016347909154570

10.1097/00006250-195512000-00001

10.1016/j.ogc.2005.01.001

10.1016/S0029-7844(02)02398-0

Blix E, 2008, [What is the duration of normal labour?]. [Norwegian], Tidsskr Nor Laegeforen, 128, 686

Lieberman E, 2002, Unintended effects of epidural analgesia during labor: a systematic review, Am J Obstet Gynecol, 186, 31, 10.1016/S0002-9378(02)70181-6

10.1067/mob.2003.217

10.1111/j.1471-0528.1989.tb03279.x

10.1034/j.1600-0412.2003.00114.x

10.1111/j.1471-0528.2006.00950.x

10.1111/j.1471-0528.2008.02002.x

10.1080/00016340500432507

10.1136/pmj.79.935.505

10.1111/j.1471-0528.2011.02967.x

10.1097/00006842-199609000-00006

10.1034/j.1600-0412.1998.770512.x

10.1046/j.1471-0528.2002.01351.x

10.3109/01674820309042796

10.1016/0002-9378(78)90742-1

10.1111/j.1471-0528.2009.02250.x

Ministry of Health and Care Services [Internet].Fosterdiagnostikk [updated 2002] [Norwegian]. [http://www.regjeringen.no/nb/dep/hod/dok/regpubl/stmeld/20012002/stmeld‐nr‐14‐2001‐2002‐/5.html?id=195458]. Accessed 23 March 2012.

10.3109/01674829809048501

Altman DG, 1991, Practical Statistics for Medical Research, 303

10.1080/01674820902950538

10.1111/j.1600-0412.2011.01323.x

10.1080/00016340500334844

10.1097/00006250-200111000-00019

10.1080/00016340600756920

10.3109/00016349709034907

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BJOG: An International Journal of Obstetrics and Gynaecology

Tập 119 Số 10

1238-1246

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