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Acta Obstet Gynecol Scand. 2013 Feb;92(2):210-4. doi: 10.1111/aogs.12034. Epub 2012 Dec 5.

Secondary fear of childbirth prolongs the time to subsequent delivery.

Author information

1
Division of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden. Gunilla.Sydsjo@lio.se

Abstract

OBJECTIVE:

Most pregnant women are anxious about the delivery and up to 30% develop varying degrees of fear of childbirth (FOC). Secondary FOC occurs in parous women who have experienced a traumatic delivery. The aim of this study was to investigate the time to subsequent delivery and delivery outcome in women with secondary FOC, compared with a reference group.

SETTING:

Southeast Sweden.

SAMPLE:

356 parous pregnant women with secondary FOC and a reference group of 634 parous women without FOC.

DESIGN:

Descriptive, retrospective case-control study.

MAIN OUTCOME MEASURES:

Time to next pregnancy and delivery outcome.

RESULTS:

More women with secondary FOC had a longer interval to subsequent delivery compared with parous women without FOC (p = 0.005). Women with secondary FOC had 5.2 times higher probability of having a cesarean section than the reference group. Women with secondary FOC also had on average a 40-minute longer duration of active labor than women without FOC (p < 0.001).

CONCLUSIONS:

Secondary fear of childbirth prolongs the time to subsequent delivery and the active phase of labor itself, and increases the risk for cesarean section.

PMID:
23066797
DOI:
10.1111/aogs.12034
[Indexed for MEDLINE]

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