Terhi Saisto

Learn 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)
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 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)
OBJECTIVES To examine the personal characteristics and socio-economic background of women and their partners fearing vaginal childbirth. DESIGN Questionnaire survey by the 30th week of pregnancy. SETTING Sixteen outpatient maternity centres in the capital area of Finland. PARTICIPANTS Two hundred and seventy-eight women and their partners. MAIN(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 compare intensive and conventional therapy for severe fear of childbirth. METHODS In Finland, 176 women who had fear of childbirth were randomly assigned at the 26th gestational week to have either intensive therapy (mean 3.8 +/- 1.0 sessions with obstetrician and one with midwife) or conventional therapy (mean 2.0 +/- 0.6 sessions), with(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 identify factors associated with fear of childbirth during and after first labor. METHODS We analyzed first deliveries of 100 primiparas who reported severe fear of vaginal childbirth during their second pregnancies and 200 age- and parity-matched controls who reported no later fear of delivery. The main outcome measures were previous(More)
BACKGROUND Exposure to illicit drugs in utero is associated with low birth weight and premature birth. Therefore, maintenance therapy for opioid dependence during pregnancy has been recommended to help withdrawal from street drugs, in order to improve maternal health and decrease risks to the fetus. METHODS In 2002-2005, 67 pregnancies of 66 buprenorphine(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)