Effects of Psycho-education Interventions on Perceived Childbirth Fear and Anxiety by Pregnant Women: A Systematic Review and Meta-analysis

IF 0.8 Q4 REPRODUCTIVE BIOLOGY
Masomeh Adeli Gargari, Khalil Esmailpour, M. Mirghafourvand, Roghaiyeh Nourizadeh, E. Mehrabi
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引用次数: 0

Abstract

Objectives: Phobia of natural childbirth is one of the most important and influencing factors leading women to request cesarean sections. The present study aimed to prepare a systematic review and meta-analysis to investigate the type of interventions related to fear of childbirth (FOC). Materials and Methods: The data collection was based on an extensive search of articles related to clinical trials (1990-2019) posted on Google Scholar, Cochran, SID, Magiran, Web of Science, Scopus, and PubMed electronic databases. In general, 109 abstracts were selected after eliminating similar publications. As a result of the qualitative evaluations of these articles, 11 studies were kept for investigation. Results: The studies were categorized into three groups including prenatal education with childbirth counseling, yoga courses, and psychoeducational-based interventions. Based on the meta-analysis, psychoeducational interventions have a significant effect on childbirth fears and anxiety in comparison with the control group (mean difference: 0.85, 95% CI: -1.20–0.45, P < 0.0001, I2 = 82%). Conclusions: Psychologically-based interventions, can creatively play an essential role in reducing the FOC during pregnancy and even childbirth. It can also create a pleasant and traumatic-free experience which is essential for encouraging women to have a natural childbirth.
心理教育干预对孕妇分娩恐惧和焦虑的影响:系统回顾和荟萃分析
目的:自然分娩恐惧症是导致产妇选择剖宫产的重要因素和影响因素之一。本研究旨在进行系统回顾和荟萃分析,以调查与分娩恐惧(FOC)相关的干预类型。材料和方法:数据收集基于对Google Scholar、Cochran、SID、Magiran、Web of Science、Scopus和PubMed电子数据库上发表的临床试验相关文章(1990-2019)的广泛搜索。在排除类似出版物后,总共选择了109篇摘要。作为对这些文章进行定性评价的结果,11项研究被保留以供调查。结果:研究分为三组,包括产前教育与分娩咨询、瑜伽课程和基于心理教育的干预。荟萃分析显示,心理教育干预对分娩恐惧和焦虑的影响显著高于对照组(平均差异:0.85,95% CI: -1.20-0.45, P < 0.0001, I2 = 82%)。结论:以心理为基础的干预,可以创造性地在减少妊娠期甚至分娩期间的FOC中发挥重要作用。它还可以创造一种愉快和无创伤的体验,这对于鼓励妇女自然分娩是必不可少的。
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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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