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Severe fear of childbirth complicates 6% to 10% of parturients and is manifested as nightmares, physical complaints and difficulties in concentrating on work or on family activities. Very often fear of childbirth leads to request for an elective cesarean section (CS). In Finland, Sweden, and the United Kingdom, fear of childbirth or maternal request is the(More)
OBJECTIVE To examine fear of childbirth according to parity, gestational age, and obstetric history. DESIGN A questionnaire study. POPULATION AND SETTING 1400 unselected pregnant women in outpatient maternity clinics of a university central hospital. METHODS Visual analogue scale (VAS) and Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) and(More)
OBJECTIVE To investigate whether women with fear of childbirth have more mental health problems than women of childbearing age in general. DESIGN Register-based retrospective study. SETTING The maternity clinic of Helsinki University Central Hospital. POPULATION In all, 2405 women referred for consultation because of fear of childbirth during(More)
OBJECTIVE To compare the numbers of vaginal deliveries and delivery satisfaction among women with fear of childbirth randomised to either psychoeducation or conventional surveillance during pregnancy. DESIGN Randomised controlled trial. SETTING Maternity unit of Helsinki University Central Hospital. POPULATION Fear of childbirth was screened during(More)
BACKGROUND To examine the extent to which personality characteristics, depression, fear and anxiety about pregnancy and delivery, and socio-economic background, predict disappointment with delivery and the risk of puerperal depression. METHODS Two hundred and eleven women filled in questionnaires measuring personality traits, socio-economic factors, and(More)
BACKGROUND Previous studies on the treatment of women with fear of childbirth have focused on the delivery mode. Women with fear of childbirth often suffer from anxiety and/or depression, and treatment therefore also needs to target postnatal psychological well-being and the early mother-infant relationship. METHODS Three hundred and seventy-one(More)
OBJECTIVE To compare the prevalence and predictors of severe fear of childbirth and pregnancy-related anxiety in groups of assisted reproduction treatment (ART) and spontaneously conceiving women with singleton pregnancies. METHODS The ART group (n = 367, nulliparous 260) represented a cohort from five Finnish infertility clinics in 1999. The control(More)
OBJECTIVE Fear of childbirth is a common reason for seeking cesarean section. It is important to consider outcomes and costs associated with alternative treatment and delivery mode. We compared well-being and costs of group psychoeducation and conventional care for fear of childbirth. DESIGN Randomized controlled trial. POPULATION A total of 371(More)
BACKGROUND We tested the hypothesis that patient-controlled epidural analgesia for labor (PCEA) provides better analgesia and satisfaction than the intermittent bolus technique (bolus) without affecting the mode of delivery. METHODS We randomized 187 parturients to receive labor analgesia using either the PCEA or bolus technique. The PCEA group received a(More)