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J Educ Health Promot. 2018 Nov 27;7:143. doi: 10.4103/jehp.jehp_179_17. eCollection 2018.

The comparison of fear of childbirth and sense of coherence among low-risk and high-risk pregnancy women.

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Nursing and Midwifery Care Research Center, Nursing and Midwifery School, Isfahan University of Medical Sciences, Isfahan, Iran.
Departement of Human Resource Management, Dehaghan Branch, Azad University, Dehaghan, Iran.



Childbirth fear is one of the major problems during pregnancy and postpartum, and it assesses the sense of management coherence in stress. Therefore, the present study was conducted to compare the association between the sense of coherence and childbirth fear in high-risk and low-risk pregnant women.


This was a cross-sectional correlation study performed on 440 low-risk and high-risk pregnant women referred to health centers in Isfahan in 2016. Sampling was carried out in several stages and clustered and accessible. The data gathering tool was Sense of Coherence and Fear of Childbirth Questionnaires.


The results showed that in high-risk pregnant women, the mean score of the sense of coherence was 108.23 and the fear of delivery was 41.7, and in low-risk pregnant women, the sense of integrity and fear of delivery were 19.109 and 42.25, respectively. In addition, the results of t-test showed that there is no significant relationship between the fear of delivery in high-risk and low-risk pregnant women (P = 0.056), while there is a significant relationship between sense of coherence score in high-risk and low-risk pregnant women (P = 0.02).


Having the desired level of success, happiness, well-being, ability to cope with stress and overcoming psychological crisis, and pleasant social relationships can increase the sense of coherence in pregnant mothers.


Fear of childbirth; high risk; low risk; pregnancy; sense of coherence

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