An Association of Fear of Childbirth with the Preference for Cesarean Section; A Cross Sectional Study

  • Asma Ansari Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
  • Samina Irum Combined Military Hospital Sargodha/ National University of Medical Sciences (NUMS) Pakistan
Keywords: Cesarean section, Childbirth fear, Maternal request

Abstract

Objective: To determine the fear of childbirth (FOC) amongst pregnant women and its association with preference for cesarean section.

Study Design: Cross-sectional study.

Place and Duration of Study: Department of Obstetrics and Gynecology Pak Emirates Military Hospital, Rawalpindi from Jan 2018 to Jun 2018.

Methodology: Demographic and reproductive data of the patients including mode of delivery, was noted. The intensity of fear of childbirth was measured by Wijma delivery expectancy/experience questionnaire (W-DEQ), and a score was allotted. The total sum of scoring ranged from 0 to 165. A score of >85-99 indicated an intense fear of childbirth, and ≥100 indicated very intense fear. The frequency of requests for cesarean section in women suffering from fear of childbirth was calculated.

Results: A total of 335 patients were included. The mean age was 28.74 ± 3.58 years, and the mean gestational age was 39.50 ± 1.43 weeks. The mean W-DEQ score was 94.59 ± 9.86. The fear of childbirth calculated by W-DEQ in the third trimester of pregnancy showed no fear in 233 (69.55%) participants, intense fear in 42 (12.54%) and very intense fear in 60 (17.91%) women. The requests for cesarean section in women suffering from intense fear were made by 5 (11.90%) women and in women suffering from very intense fear of childbirth was 19 (31.67%) (p-value <0.001).

Conclusion: This study concluded that the intensity of fear of childbirth calculated by W-DEQ amongst pregnant women in the third trimester of pregnancy was relatively high, with a much higher rate ...

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Author Biography

Samina Irum, Combined Military Hospital Sargodha/ National University of Medical Sciences (NUMS) Pakistan

lt col.deptt of ObGyn

Published
2022-05-01
How to Cite
Ansari, A., & Irum, S. (2022). An Association of Fear of Childbirth with the Preference for Cesarean Section; A Cross Sectional Study. PAFMJ, 72(2), 535-38. https://doi.org/10.51253/pafmj.v72i2.5219
Section
Original Articles