The Relationship Between Fear of Childbirth with Distress and Admission of Neonate in the Neonatal Intensive Care Unit in Nulliparous Women

Iranshahi, Fatemeh; Abedi, Parvin; Afshari, Pourandokht; Haghighizadeh, Mohammad Hosein

doi:10.22087/ijac.2020.125326

The Relationship Between Fear of Childbirth with Distress and Admission of Neonate in the Neonatal Intensive Care Unit in Nulliparous Women

Document Type : Research

Authors

Fatemeh Iranshahi ¹

Parvin Abedi ¹

Pourandokht Afshari ¹

Mohammad Hosein Haghighizadeh ²

¹ School of Nursing and Midwifery,Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

² School of Health, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran

10.22087/ijac.2020.125326

Abstract

Pregnancy is a stressful event in a woman’s life. Many women have a lot of fear during pregnancy and childbirth. This study aimed to investigate the relationship between fear of childbirth and neonatal outcomes. This was a cross-sectional study, on 255 nulliparous women who were admitted to Asali Hospital of Khorramabad in 2016 to give birth. Samples were selected among women who were admitted to the hospital for delivery. Data were collected using, a demographic questionnaire, questionnaire of fear of delivery, and a checklist for recording neonatal outcomes. Results showed that neonatal outcome (distress, admission of neonate in the Neonatal Intensive Care Unit) were not significantly associated with fear of childbirth (P>0.05). The findings showed that there were no negative effects between neonatal outcomes and fear of childbirth.

Keywords

Fear of childbirth

Delivery

Distress

1. Bezerra MG, Cardoso MV. Factors interfering in the experience of women in childbirth process and in childbirth. Revista Latino-Americana de Enfermagem. 2006 Jun 1;14(3):414-21.
2. Takegata M, Haruna M, Matsuzaki M, Shiraishi M, Okano T, Severinsson E. Does antenatal fear of childbirth predict postnatal fear of childbirth?-A study of Japanese women.
3. Fraser D, Cooper MA, editors. Myles textbook for midwives. London: Churchill Livingstone; 2003 Aug.
4. Abbaspoor Z, Moghaddam-Banaem L, Ahmadi F, Kazemnejad A. Women's fear of childbirth and its impact on selection of birth method: a qualitative study. Payesh (Health Monitor). 2014 Oct 15;13(5):575-87.
5. Zar M. Diagnostic aspects of fear of childbirth, Linkoping University Publication 2001:575-587
6. Kingdon C, Neilson J, Singleton V, Gyte G, Hart A, Gabbay M, Lavender T. Choice and birth method: mixed‐method study of caesarean delivery for maternal request. BJOG: An International Journal of Obstetrics & Gynaecology. 2009 Jun;116(7):886-95.
7. Ghadimi R, Izadpanah F, Zarghami A, Rajabi M, Baleghi M, Basirat Z. Effective factors for choosing the delivery method in primiparous women in babol, Iran. Journal of Babol University of Medical Sciences. 2013 Nov 10;15(6):52-8.
8. Littleton HL, Breitkopf CR, Berenson AB. Correlates of anxiety symptoms during pregnancy and association with perinatal outcomes: a meta-analysis. American journal of obstetrics and gynecology. 2007 May 1;196(5):424-32.
9. Coad j, Dunstal M. Williams Obstetrics (2010), 22thedtion New York: Mc Graw- Hill Company.
10. Dechernery AH, Nathan L, Goodwin TM, Laufer N. Current Diagnosis & Treatment Obstetrics & Gynecology. 10th ed. USA: McGraw-Hill Companies; 2007. P. 193.
11. van Dijk AE, van Eijsden M, Stronks K, Gemke RJ, Vrijkotte TG. Cardio-metabolic risk in 5-year-old children prenatally exposed to maternal psychosocial stress: the ABCD study. BMC public health. 2010 Dec;10:1-7.
12. Rajabi F, Akbari SA, Shams J, Majd HA. Correlation between anxiety in labor and duration as well as outcome. Advances in Nursing & Midwifery. 2012;21(75):45-52.
13 Abedi P, Hazeghi N, Afshari P, Fakhri A. The validity and reliability of Persian version of Wijma delivery expectancy/experience questionnaire (version a) among Iranian nulliparous women. Glob J Health Sci. 2016;9(2):269.
14. Nasiry F, Sharifi S. Relationship between fear of childbirth and personality type in pregnant women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013 Aug 23;16(66):18-25.
15. Eriksson C, Westman G, Hamberg K. Experiential factors associated with childbirth-related fear in Swedish women and men: a population based study. Journal of Psychosomatic Obstetrics & Gynecology. 2005 Mar 1;26(1):63-72.
16 Nystedt A, Högberg U, Lundman B. Some Swedish women's experiences of prolonged labour. Midwifery. 2006 Mar 1;22(1):56-65.
17. Hasanjanzadeh P, Faramarzi M. Relationship between maternal general and specific-pregnancy stress, anxiety, and depression symptoms and pregnancy outcome. Journal of clinical and diagnostic research: JCDR. 2017 Apr 1;11(4):VC04.
18. Alipour Z, Lamyian M, Hajizadeh E, Vafaei MA. The association between antenatal anxiety and fear of childbirth in nulliparous women: a prospective study. Iranian journal of nursing and midwifery research. 2011;16(2):169.
19. Delaram M, Soltan F. The effect of counseling in third trimester on anxiety of nulliparous women at the time of admission for labor. Zahedan Journal of Research in Medical Sciences. 2012 Apr 1;14(2).
20. Kheyrabadi GR, Kabiri. Comparision of birth growth indices between newborns of depressed and non-depressed women. Journal of Shahrekord University of Medical Sciences. 2006; 8(1):34-40.
21. Bazrafshan S, Kheirkhah M, Inanlou M, Rasouli M. Controlling the anxiety in Iranian pregnant women at risk of preterm labor by undergoing the counseling group intervention. Journal of Family Medicine and Primary Care. 2020 Aug 1;9(8):4016-25.