Factors associated with fear of childbirth among Polish pregnant women

Abstract The purpose of our study was to elucidate the association between obstetric and psychological factors and fear of childbirth (FOC) during the third trimester of pregnancy and to identify women at risk of severe FOC in Poland. An additional goal of the study was to verify the Polish version...

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Autores principales:	Ilska Michalina, Brandt-Salmeri Anna, Kołodziej-Zaleska Anna, Banaś Ewa, Gelner Hanna, Cnota Wojciech
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/225b57162ac1445fa37e4f2e41760927
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spelling	oai:doaj.org-article:225b57162ac1445fa37e4f2e417609272021-12-02T11:02:18ZFactors associated with fear of childbirth among Polish pregnant women10.1038/s41598-021-83915-52045-2322https://doaj.org/article/225b57162ac1445fa37e4f2e417609272021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83915-5https://doaj.org/toc/2045-2322Abstract The purpose of our study was to elucidate the association between obstetric and psychological factors and fear of childbirth (FOC) during the third trimester of pregnancy and to identify women at risk of severe FOC in Poland. An additional goal of the study was to verify the Polish version of the Wijma Delivery Expectancy Questionnaire (W-DEQ) and to establish its psychometric characteristics. Cross-sectional study with a total of 359 women recruited during routine visits to an antenatal clinic in Poland during the third trimester (≥ 27 weeks gestation). The survey included obstetric details (parity, obstetric history and preferred mode of delivery), and standardized psychological measures: the W-DEQ (fear of childbirth) and the EPDS (depressive symptoms). We demonstrated the satisfactory psychometric properties of the Polish version of the W-DEQ. Our findings confirm the one-factor structure found by the authors of the original version of the scale. A greater FOC was reported by women with unplanned pregnancies, women whose preferred mode of delivery was a cesarean section, and women who had previously undergone psychiatric treatment. The risk factors for severe FOC were depression, unplanned pregnancy or parity, and disagreement with the birth plan proposed by the obstetrician. The W-DEQ is a widely used, valid instrument for the assessment of FOC in pregnant women and can be used in Poland. Findings support the key role of obstetric and psychological variables in predicting fear of childbirth.Ilska MichalinaBrandt-Salmeri AnnaKołodziej-Zaleska AnnaBanaś EwaGelner HannaCnota WojciechNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ilska Michalina Brandt-Salmeri Anna Kołodziej-Zaleska Anna Banaś Ewa Gelner Hanna Cnota Wojciech Factors associated with fear of childbirth among Polish pregnant women
description	Abstract The purpose of our study was to elucidate the association between obstetric and psychological factors and fear of childbirth (FOC) during the third trimester of pregnancy and to identify women at risk of severe FOC in Poland. An additional goal of the study was to verify the Polish version of the Wijma Delivery Expectancy Questionnaire (W-DEQ) and to establish its psychometric characteristics. Cross-sectional study with a total of 359 women recruited during routine visits to an antenatal clinic in Poland during the third trimester (≥ 27 weeks gestation). The survey included obstetric details (parity, obstetric history and preferred mode of delivery), and standardized psychological measures: the W-DEQ (fear of childbirth) and the EPDS (depressive symptoms). We demonstrated the satisfactory psychometric properties of the Polish version of the W-DEQ. Our findings confirm the one-factor structure found by the authors of the original version of the scale. A greater FOC was reported by women with unplanned pregnancies, women whose preferred mode of delivery was a cesarean section, and women who had previously undergone psychiatric treatment. The risk factors for severe FOC were depression, unplanned pregnancy or parity, and disagreement with the birth plan proposed by the obstetrician. The W-DEQ is a widely used, valid instrument for the assessment of FOC in pregnant women and can be used in Poland. Findings support the key role of obstetric and psychological variables in predicting fear of childbirth.
format	article
author	Ilska Michalina Brandt-Salmeri Anna Kołodziej-Zaleska Anna Banaś Ewa Gelner Hanna Cnota Wojciech
author_facet	Ilska Michalina Brandt-Salmeri Anna Kołodziej-Zaleska Anna Banaś Ewa Gelner Hanna Cnota Wojciech
author_sort	Ilska Michalina
title	Factors associated with fear of childbirth among Polish pregnant women
title_short	Factors associated with fear of childbirth among Polish pregnant women
title_full	Factors associated with fear of childbirth among Polish pregnant women
title_fullStr	Factors associated with fear of childbirth among Polish pregnant women
title_full_unstemmed	Factors associated with fear of childbirth among Polish pregnant women
title_sort	factors associated with fear of childbirth among polish pregnant women
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/225b57162ac1445fa37e4f2e41760927
work_keys_str_mv	AT ilskamichalina factorsassociatedwithfearofchildbirthamongpolishpregnantwomen AT brandtsalmerianna factorsassociatedwithfearofchildbirthamongpolishpregnantwomen AT kołodziejzaleskaanna factorsassociatedwithfearofchildbirthamongpolishpregnantwomen AT banasewa factorsassociatedwithfearofchildbirthamongpolishpregnantwomen AT gelnerhanna factorsassociatedwithfearofchildbirthamongpolishpregnantwomen AT cnotawojciech factorsassociatedwithfearofchildbirthamongpolishpregnantwomen
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Factors associated with fear of childbirth among Polish pregnant women

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