Update on the Global Prevalence of Severe Fear of Childbirth in Low-Risk Pregnant Women: A Systematic Review and Meta-Analysis

IF 0.8 Q4 REPRODUCTIVE BIOLOGY
Shahrzad Sanjari, R. Chaman, S. Salehin, Shahrbanoo Goli, A. Keramat
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引用次数: 8

Abstract

Objectives: Severe fear of childbirth (FOC) has adverse consequences for mother and child. This study aimed to update the global prevalence of severe FOC in low-risk pregnant women. Materials and Methods: Observational studies published in English were obtained through PubMed, Scopus, Science Direct, Wiley Online, and Google Scholar databases up to April 2020. After reviewing the title and introduction, the quality of the articles that had full text and met the inclusion criteria of the study was checked with the JBI checklist. Then, the final extracted data were entered into the STATA software. The overall prevalence of severe FOC and fear in subgroups were obtained using meta-analysis. Tests of publication bias and sensitivity analysis were also performed. Results: Overall, 27 observational studies were included (26014 participants). The global prevalence of severe FOC was 16% (95% CI: 14%–19%). The subgroup analysis showed that after 2015, the prevalence of fear was higher than before (%18 versus %14). The results also showed a higher prevalence of fear in women with a diploma and lower compared to women with a university education (%19 versus %13), in single/divorced women compared to married/cohabitation women (%21 versus %15), in nulliparous women compared to multiparous women (%17 versus %14) and in women experiencing the second trimester of pregnancy compared to women in the third trimester of pregnancy (%23 versus %14). Conclusions: The global prevalence of severe FOC was 16%. Diagnostic, preventive, therapeutic and follow-up strategies are needed to reduce fear in all countries.
全球低风险孕妇严重分娩恐惧流行情况的最新进展:一项系统回顾和荟萃分析
目的:分娩严重恐惧(FOC)对母亲和孩子都有不良后果。本研究旨在更新全球低风险孕妇严重FOC的流行情况。材料和方法:截至2020年4月,通过PubMed、Scopus、Science Direct、Wiley Online和Google Scholar数据库获得以英文发表的观察性研究。在审查标题和引言后,使用JBI检查表检查具有全文并符合研究纳入标准的文章的质量。然后,将最终提取的数据输入STATA软件。使用荟萃分析获得亚组中严重FOC和恐惧的总体患病率。还进行了发表偏倚检验和敏感性分析。结果:总共纳入了27项观察性研究(26014名受试者)。严重FOC的全球患病率为16% (95% CI: 14%-19%)。亚组分析显示,2015年后,恐惧的患病率高于之前(% 18%对% 14%)。研究结果还显示,拥有大学文凭的女性对恐惧的患病率较高,而受过大学教育的女性对恐惧的患病率较低(% 19%对% 13%),单身/离婚女性对已婚/同居女性对恐惧的患病率较高(% 21%对% 15%),未产女性对多产女性对恐惧的患病率较高(% 17%对% 14%),处于妊娠中期的女性对恐惧的患病率较高(% 23%对% 14%)。结论:全球严重FOC患病率为16%。需要制定诊断、预防、治疗和后续战略,以减少所有国家的恐惧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
8
期刊介绍: All kind of knowledge contributing to the development of science by its content, value, level and originality will be covered by IJWHR. Problems of public health and their solutions are at the head of the windows opening us to the world. The "International Journal of Women''s Health and Reproduction Sciences” is a modern forum for scientific communication, covering all aspects women health and reproduction sciences, in basic and clinical sciences, mainly including: -Medical Education in Women Health and Reproduction Sciences -Cardiology in Women Health-Related Reproductive Problems -Sports Medicine in Women Health and Reproduction Sciences -Psychiatry in Women Health-Related Reproductive Problems -Antioxidant Therapy in Reproduction Medicine Sciences -Nutrition in Women Health and Reproduction Sciences -Defense Androgen and Estrogen -Fertility and Infertility -Urogynecology -Endometriosis -Endocrinology -Breast Cancer -Menopause -Puberty -Eroticism -Pregnancy -Preterm Birth -Vaginal Diseases -Sex-Based Biology -Surgical Procedures -Nursing in Pregnancy -Obstetrics/Gynecology -Polycystic Ovary Syndrome -Hyperandrogenism in Females -Menstrual Syndrome and Complications -Oncology of Female Reproductive Organs -Traditional Medicine in Women Reproductive Health -Ultrasound in Women Health Reproduction sciences -Stem Cell Research In Women Reproduction Sciences -Complementary Medicine in Women Reproductive Health -Female Sexual Dysfunction: Pathophysiology & Treatment
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