Fear of childbirth and its predictors in re-pregnant women after cesarean section: a cross-sectional multicenter study in China
Abstract Background Since the implementation of China’s two-child policy in 2016, the number of re-pregnant women after cesarean section has increased significantly. These women are more prone to fear of childbirth compared with primiparas due to their history of scarred uterus leading to a more com...
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-04721-z |
| _version_ | 1818197036303908864 |
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| author | Yiping Hou Xihong Zhou Min Yao Sai Liu |
| author_facet | Yiping Hou Xihong Zhou Min Yao Sai Liu |
| author_sort | Yiping Hou |
| collection | DOAJ |
| description | Abstract Background Since the implementation of China’s two-child policy in 2016, the number of re-pregnant women after cesarean section has increased significantly. These women are more prone to fear of childbirth compared with primiparas due to their history of scarred uterus leading to a more complicated delivery process, which poses a great threat to their physical and mental health. However, there is currently limited research on the problem in China. The aim of this study was to assess fear of childbirth and its predictors in re-pregnant women after cesarean section in China. Methods A cross-sectional multicenter study was conducted in three hospitals from June 7 to December 7, 2020, in Changsha, China. Study hospitals were selected using a random sampling technique. Participants were selected using a convenience sampling technique. Three hundred fifty-eight women during the third trimester of pregnancy who were older than 18 years, having a history of CS(s), and not having major physical or mental health problems were included. Fear of childbirth and its predictors were evaluated using the Childbirth Attitude Questionnaire, the short form of the 32-item Chinese Childbirth Self-Efficacy Inventory, the Social Support Rating Scale, and the demographic-obstetric data sheet. After checking for completeness, data were exported to statistical software for analysis. Both univariate analysis and multiple linear regression analysis were computed to assess fear of childbirth and its predictors. Statistical significance was declared at a P-value of < 0.05. Results The average score of fear of childbirth was 43.76 (standard deviation = 5.27, range 17–58). Number of cesarean sections, experience with previous cesarean section, childbirth self-efficacy and social support were significantly associated with fear of childbirth (P < 0.05). Conclusions In this study, re-pregnant women after cesarean section in China had moderate fear of childbirth, and the number of cesarean sections, experience with previous cesarean section, childbirth self-efficacy and social support were predictors of fear of childbirth. It is important for healthcare professionals to find re-pregnant women after cesarean section at high risk of fear of childbirth and provide appropriate services during pregnancy. |
| first_indexed | 2024-12-12T01:43:35Z |
| format | Article |
| id | doaj.art-85655fdcb9094ccf9051db970da18623 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-12T01:43:35Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-85655fdcb9094ccf9051db970da186232022-12-22T00:42:38ZengBMCBMC Pregnancy and Childbirth1471-23932022-05-012211810.1186/s12884-022-04721-zFear of childbirth and its predictors in re-pregnant women after cesarean section: a cross-sectional multicenter study in ChinaYiping Hou0Xihong Zhou1Min Yao2Sai Liu3Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital and Xiangya School of Nursing, Central South UniversityClinical Nursing Teaching and Research Section and Department of Obstetrics, The Second Xiangya Hospital, Central South UniversityClinical Nursing Teaching and Research Section, The Second Xiangya Hospital and Xiangya School of Nursing, Central South UniversityClinical Nursing Teaching and Research Section, The Second Xiangya Hospital and Xiangya School of Nursing, Central South UniversityAbstract Background Since the implementation of China’s two-child policy in 2016, the number of re-pregnant women after cesarean section has increased significantly. These women are more prone to fear of childbirth compared with primiparas due to their history of scarred uterus leading to a more complicated delivery process, which poses a great threat to their physical and mental health. However, there is currently limited research on the problem in China. The aim of this study was to assess fear of childbirth and its predictors in re-pregnant women after cesarean section in China. Methods A cross-sectional multicenter study was conducted in three hospitals from June 7 to December 7, 2020, in Changsha, China. Study hospitals were selected using a random sampling technique. Participants were selected using a convenience sampling technique. Three hundred fifty-eight women during the third trimester of pregnancy who were older than 18 years, having a history of CS(s), and not having major physical or mental health problems were included. Fear of childbirth and its predictors were evaluated using the Childbirth Attitude Questionnaire, the short form of the 32-item Chinese Childbirth Self-Efficacy Inventory, the Social Support Rating Scale, and the demographic-obstetric data sheet. After checking for completeness, data were exported to statistical software for analysis. Both univariate analysis and multiple linear regression analysis were computed to assess fear of childbirth and its predictors. Statistical significance was declared at a P-value of < 0.05. Results The average score of fear of childbirth was 43.76 (standard deviation = 5.27, range 17–58). Number of cesarean sections, experience with previous cesarean section, childbirth self-efficacy and social support were significantly associated with fear of childbirth (P < 0.05). Conclusions In this study, re-pregnant women after cesarean section in China had moderate fear of childbirth, and the number of cesarean sections, experience with previous cesarean section, childbirth self-efficacy and social support were predictors of fear of childbirth. It is important for healthcare professionals to find re-pregnant women after cesarean section at high risk of fear of childbirth and provide appropriate services during pregnancy.https://doi.org/10.1186/s12884-022-04721-zFear of childbirthPredictorsRe-pregnant womenCesarean sectionChildbirth self-efficacySocial support |
| spellingShingle | Yiping Hou Xihong Zhou Min Yao Sai Liu Fear of childbirth and its predictors in re-pregnant women after cesarean section: a cross-sectional multicenter study in China BMC Pregnancy and Childbirth Fear of childbirth Predictors Re-pregnant women Cesarean section Childbirth self-efficacy Social support |
| title | Fear of childbirth and its predictors in re-pregnant women after cesarean section: a cross-sectional multicenter study in China |
| title_full | Fear of childbirth and its predictors in re-pregnant women after cesarean section: a cross-sectional multicenter study in China |
| title_fullStr | Fear of childbirth and its predictors in re-pregnant women after cesarean section: a cross-sectional multicenter study in China |
| title_full_unstemmed | Fear of childbirth and its predictors in re-pregnant women after cesarean section: a cross-sectional multicenter study in China |
| title_short | Fear of childbirth and its predictors in re-pregnant women after cesarean section: a cross-sectional multicenter study in China |
| title_sort | fear of childbirth and its predictors in re pregnant women after cesarean section a cross sectional multicenter study in china |
| topic | Fear of childbirth Predictors Re-pregnant women Cesarean section Childbirth self-efficacy Social support |
| url | https://doi.org/10.1186/s12884-022-04721-z |
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