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dc.contributor.authorToohill, Jocelyn
dc.contributor.authorFenwick, Jennifer
dc.contributor.authorGamble, Jenny
dc.contributor.authorCreedy, Debra K
dc.contributor.authorBuist, Anne
dc.contributor.authorTurkstra, Erika
dc.contributor.authorRyding, Elsa-Lena
dc.date.accessioned2017-05-03T14:58:50Z
dc.date.available2017-05-03T14:58:50Z
dc.date.issued2014
dc.identifier.issn0730-7659
dc.identifier.doi10.1111/birt.12136
dc.identifier.urihttp://hdl.handle.net/10072/65057
dc.description.abstractBackground Childbirth fear is associated with increased obstetric interventions and poor emotional and psychological health for women. The purpose of this study is to test an antenatal psycho-education intervention by midwives in reducing women's childbirth fear. Methods Women (n = 1,410) attending three hospitals in South East Queensland, Australia, were recruited into the BELIEF trial. Participants reporting high fear were randomly allocated to intervention (n = 170) or control (n = 169) groups. All women received a decision-aid booklet on childbirth choices. The telephone counseling intervention was offered at 24 and 34 weeks of pregnancy. The control group received usual care offered by public maternity services. Primary outcome was reduction in childbirth fear (WDEQ-A) from second trimester to 36 weeks' gestation. Secondary outcomes were improved childbirth self-efficacy, and reduced decisional conflict and depressive symptoms. Demographic, obstetric & psychometric measures were administered at recruitment, and 36 weeks of pregnancy. Results There were significant differences between groups on postintervention scores for fear of birth (p < 0.001) and childbirth self-efficacy (p = 0.002). Decisional conflict and depressive symptoms reduced but were not significant. Conclusion Psycho-education by trained midwives was effective in reducing high childbirth fear levels and increasing childbirth confidence in pregnant women. Improving antenatal emotional well-being may have wider positive social and maternity care implications for optimal childbirth experiences.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationY
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto11
dc.relation.ispartofjournalBirth
dc.rights.retentionY
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchMidwifery
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode3213
dc.subject.fieldofresearchcode4204
dc.subject.fieldofresearchcode4205
dc.titleA randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorGamble, Jenny A.
gro.griffith.authorCreedy, Debra K.


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