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FRIMEDBIO-Fri prosj.st. med.,helse,biol

Fear of childbirth: causes and consequences

Tildelt: kr 6,6 mill.

The Western world has an epidemic of self-perceived fear of childbirth. Between 5 and 10% of all pregnant women in the Oslo area are being treated for fear of childbirth. Steadily increasing numbers of pregnant women are requesting caesarean sections due to fear of giving birth. However, caesarean deliveries are associated with increased risk of maternal complication and increased use of hospital resources. Little is known of the causes of the fear of childbirth. Also the relationship between fear of chi ldbirth and criteria-based psychiatric anxiety disorders remains to be elucidated. In a prospective study, we intend to study 1) risk factors for self-perceived fear of childbirth, 2) whether fear of childbirth affects the delivery or the child. The targ et population is all women giving birth at the Department of Obstetrics, Akershus University Hospital in the period 2008-09 (n = 3500-4000 women). Data will be collected using three questionnaires to the women at pregnancy weeks 17 and 34 and 6 weeks afte r delivery. The questionnaires include several mental health measures such as the Wijma Delivery Expectancy/ Experience Questionnaire, the Edinburgh Postnatal Depression Scale, the Hopkins Symptom Check List, the Anxiety Disorder Questionnaire, Kendlers L ife Time Depression Scale, the Impact of Event Scale and the Internal-External Locus of Control Scale. Standardized questions about expectations and feelings associated with childbirth are also included. Data on delivery and pregnancy outcomes will be obt ained through linkage to the electronic patients? records at the Department of Obstetrics (PARTUS). This will be the largest study, yet, addressing risk factors and consequences of fear of childbirth. The combination of a wide range of mental health meas ures with detailed obstetrical outcome variables makes this study unique. In order to improve the pre- and postnatal care, more knowledge on fear of childbirth is necessary.

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FRIMEDBIO-Fri prosj.st. med.,helse,biol

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