Xinchen Chen, Lu Jing, Huijing Liu, Sisi Huang, Liting Yan, Qiaoyu Jiang, Pingping Qiu
{"title":"Fear of childbirth and its influence on women's delivery choices: a prospective-longitudinal study.","authors":"Xinchen Chen, Lu Jing, Huijing Liu, Sisi Huang, Liting Yan, Qiaoyu Jiang, Pingping Qiu","doi":"10.1080/13548506.2025.2465650","DOIUrl":null,"url":null,"abstract":"<p><p>The fear of childbirth (FOC) is a widespread issue that affects the wellbeing of pregnant women. This study aimed to investigate the impact of FOC on the preferred and actual delivery mode of Chinese primiparous and multiparous women, by controlling for potential confounding factors using Lazarus's Theory of Stress, Emotion, and Coping. We conducted this perspective-longitudinal study included 1,288 pregnant women in late pregnancy in China. Data was collected through face-to-face questionnaires, cross-checking with electronic medical records, and the use of standardized measurement tools. The actual delivery mode was followed, and statistical analysis included univariate and multivariate regression analyses. Results showed that FOC had a positive association with preference for a cesarean section. However, neither FOC nor the preference for cesarean section resulted in higher cesarean section rates. Women who received childbirth education at hospitals had higher rates of vaginal delivery. This study highlights that FOC increases the likelihood of preferring a cesarean section, but it does not significantly impact the actual delivery mode. Further research is needed to explore the reasons behind the discrepancy between preferred and actual delivery modes and its implications.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-18"},"PeriodicalIF":2.3000,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology Health & Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13548506.2025.2465650","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
分娩恐惧（FOC）是影响孕妇健康的一个普遍问题。本研究旨在利用拉扎勒斯的压力、情绪和应对理论（Theory of Stress, Emotion, and Coping），通过控制潜在的混杂因素，调查分娩恐惧对中国初产妇和多产妇首选和实际分娩方式的影响。我们进行了这项透视纵向研究，研究对象包括 1288 名中国孕晚期孕妇。我们通过面对面问卷调查、与电子病历核对以及使用标准化测量工具收集数据。统计分析包括单变量和多变量回归分析。结果显示，顺产与剖腹产的偏好呈正相关。然而，无论是方便分娩还是选择剖腹产，都不会导致剖腹产率升高。在医院接受分娩教育的妇女阴道分娩率较高。这项研究强调，方便分娩增加了选择剖腹产的可能性，但对实际分娩方式并无显著影响。需要进一步研究探讨首选分娩方式与实际分娩方式之间存在差异的原因及其影响。
Fear of childbirth and its influence on women's delivery choices: a prospective-longitudinal study.
The fear of childbirth (FOC) is a widespread issue that affects the wellbeing of pregnant women. This study aimed to investigate the impact of FOC on the preferred and actual delivery mode of Chinese primiparous and multiparous women, by controlling for potential confounding factors using Lazarus's Theory of Stress, Emotion, and Coping. We conducted this perspective-longitudinal study included 1,288 pregnant women in late pregnancy in China. Data was collected through face-to-face questionnaires, cross-checking with electronic medical records, and the use of standardized measurement tools. The actual delivery mode was followed, and statistical analysis included univariate and multivariate regression analyses. Results showed that FOC had a positive association with preference for a cesarean section. However, neither FOC nor the preference for cesarean section resulted in higher cesarean section rates. Women who received childbirth education at hospitals had higher rates of vaginal delivery. This study highlights that FOC increases the likelihood of preferring a cesarean section, but it does not significantly impact the actual delivery mode. Further research is needed to explore the reasons behind the discrepancy between preferred and actual delivery modes and its implications.
期刊介绍：
Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management.
For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
