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dc.contributor.authorFenwick, Jenniferen_US
dc.contributor.authorGamble, Jenniferen_US
dc.contributor.authorNathan, Elizabethen_US
dc.contributor.authorBayes, Saraen_US
dc.contributor.authorHauck, Yvonneen_US
dc.date.accessioned2017-05-03T12:15:21Z
dc.date.available2017-05-03T12:15:21Z
dc.date.issued2009en_US
dc.date.modified2010-08-25T07:01:07Z
dc.identifier.issn09621067en_US
dc.identifier.doi10.1111/j.1365-2702.2008.02568.xen_AU
dc.identifier.urihttp://hdl.handle.net/10072/29232
dc.description.abstractAim. To investigate pre- and postpartum levels of childbirth fear in a cohort of childbearing women and explore the relationship to birth outcomes. Background. While results are mixed, there is evidence that fear of childbirth is associated with mode of birth. Limited theoretical work around childbirth fear has been undertaken with Australian women. Design. A prospective correlation design. Method. Women (n = 401) completed the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) version A at 36 weeks gestation, with 243 (61%) women also completing version B at six weeks postpartum. Scores were summarised with means and standard deviations. Content analysis of the free statements identified nine issues of concern. Results. Twenty-six per cent of pregnant women reported low levels of childbirth fear, 48% were moderately fearful and 26% were highly fearful. Fear decreased after birth for those women in the high antenatal fear group, however surgical intervention at birth (n = 238, anova, F1,230 = 12糹, p = 0簰1) and suspected fetal compromise (F1,230 = 4糳, p = 0簳9) increased levels of postpartum fear. Univariately, high antenatal fear was associated with emergency caesarean delivery (n = 324, Wald 5簵, p = 0簲5) however after adjustment for nulliparity and fetal compromise the association disappeared. Australian-born women were more likely to report higher levels of fear and experience higher rates of caesarean section than participants of non-Australian origin. Conclusions. Results support those from earlier studies in showing that nulliparous women experience more fear than parous women before birth and that there is no difference in levels of postpartum fear between these two groups. Fear levels were higher in Australian women when compared to a Swedish sample. Relevance to clinical practice. The results of this study add to our preliminary understanding of the phenomena of childbirth fear within an Australian context and are particularly useful in profiling women for whom secondary fear of childbirth is more likely to occur.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishingen_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom667en_US
dc.relation.ispartofpageto677en_US
dc.relation.ispartofissue5en_US
dc.relation.ispartofjournalJournal of Clinical Nursingen_US
dc.relation.ispartofvolume18en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchMidwiferyen_US
dc.subject.fieldofresearchcode111006en_US
dc.titlePre-and postpartum levels of childbirth fear and the relationship to birth outcomes in a cohort of Australian womenen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.date.issued2009
gro.hasfulltextNo Full Text


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