Document Type : Original Article
Authors
1
Assistant Professor, Nursig and midwifery group, Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
2
Assistant Professor of Reproductive Health, Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
3
Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
4
Lorestan University of Medical Sciences, Khorramabad, Iran
10.22038/ijogi.2024.76110.5911
Abstract
Background: Fear of natural childbirth is a common problem among pregnant women. The present study is performed to Explaining fear of natural childbirth and determining its related factors among primigravid women.
Method: This Sequential explanatory mixed methods study with Participant Selection was conducted in 2014-2015. At quantitative cross-sectional study stage, using a multistage cluster sampling method, 400 primigravid women in 18-32 weeks were studied. Childbirth Attitude Questionnaire, demographic characteristics, and Northouse Social Support Questionnaire were used. Data analysis was performed using Chi-square, t-test, Mann-Whitney test, and multivariate logistic regression. Later, in a qualitative study was performed on 15 primigravid women who were selected using purposive sampling method. data collection method was semi-structured individual interviews using open-ended questions. Results were explained using qualitative data.
Findings: Average score of fear of natural childbirth was 37.86±9.44 and fear of natural childbirth prevalence (CAQ≥28) was 80.8%. Based on the results of multivariate logistic regression analysis, lack of sufficient income for living expenses, not participating in childbirth preparation classes (p<0.05)and the selected delivery method (vaginal delivery) (p<0.001) were the predictors of fear of natural childbirth. Analysis of data at the qualitative stage led to three themes including feeling of inability for natural childbirth, confusion in decision making and concerns about natural childbirth complications.
Conclusion: Results of the study showed that fear of childbirth was influenced by personal factors, the society and social environment. Therefore, it is suggested that health service providers use the results of this study to implement educational programs to encourage natural childbirth.
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