Pregnancy outcomes in women with severe fear of childbirth

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Show simple item record O'Connell, Maeve A. Leahy-Warren, Patricia Kenny, Louise C. Khashan, Ali S. 2019-04-12T11:33:36Z 2019-04-12T11:33:36Z 2019-03-14
dc.identifier.citation O'Connell, M. A., Leahy-Warren, P., Kenny, L. C. and Khashan, A. S. (2019) 'Pregnancy outcomes in women with severe fear of childbirth', Journal of Psychosomatic Research, 120, pp. 105-109. doi: 10.1016/j.jpsychores.2019.03.013 en
dc.identifier.volume 120 en
dc.identifier.startpage 105 en
dc.identifier.endpage 109 en
dc.identifier.issn 0022-3999
dc.identifier.doi 10.1016/j.jpsychores.2019.03.013 en
dc.description.abstract Objective: To compare pregnancy outcomes for women with and without severe fear of childbirth (FOC) reported in the second trimester of pregnancy. Methods: In a prospective cohort study, 389 singleton pregnancies were followed up using medical records of participants in a study investigating FOC in Cork, Republic of Ireland. FOC was measured using the Wijma Delivery Experience Questionnaire Part A (W-DEQ A). Severe FOC was defined as W-DEQ A ≥ 85, moderate FOC, W-DEQ-A 66-84 and low FOC, W-DEQ A 0-65. Outcome measures were birthweight, birthweight centile, gestational age, and Apgar scores at 1 min and Apgar at 5 min. Linear regression was used to assess the association between FOC and each outcome measure with adjustment for maternal age, smoking, parity and marital status. Results: There was no statistically significant difference in mean birthweight (mean difference = −0.03; [95% CI: -444.69, 315.82]), mean birthweight centile (mean difference = 0.03; [95%CI: -15.97, 23.53]), or mean gestational age (mean difference = −0.06; [95%CI: -11.69, 4.82]) in women with severe FOC (n = 18) compared with women with low FOC (n = 371). In the adjusted models, there was only a slight correlation between severe FOC and Apgar scores at 1 min (mean difference = −0.09 [95%CI: -1.28, 0.32]) and Apgar scores at 5 min (mean difference = −0.18 [95%CI: -1.16, 1.08]). Conclusion: While a slight association was noted between severe FOC and Apgar scores, overall findings are reassuring and could inform educational interventions which may alleviate FOC. Awareness of FOC for health care professionals is vital to consider women's mental well-being. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier Inc. en
dc.rights © 2019, Elsevier Inc. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license. en
dc.rights.uri en
dc.subject Pregnancy en
dc.subject Fear of childbirth en
dc.subject Tocophobia en
dc.subject Outcomes en
dc.subject Epidemiology en
dc.title Pregnancy outcomes in women with severe fear of childbirth en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Patricia Leahy-Warren, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: en
dc.internal.availability Full text available en Access to this article is restricted until 12 months after publication by request of the publisher. en 2020-03-14 2019-04-12T11:27:22Z
dc.description.version Accepted Version en
dc.internal.rssid 481271393
dc.contributor.funder Science Foundation Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Psychosomatic Research en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress en
dc.relation.project info:eu-repo/grantAgreement/SFI/SFI Research Centres/12/RC/2272/IE/Irish Centre for Fetal and Neonatal Translational Research (INFANT)/ en
dc.identifier.eissn 1879-1360

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© 2019, Elsevier Inc. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license. Except where otherwise noted, this item's license is described as © 2019, Elsevier Inc. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.
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