Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis
| dc.contributor.author | O'Connell, Maeve A. | |
| dc.contributor.author | Leahy-Warren, Patricia | |
| dc.contributor.author | Khashan, Ali S. | |
| dc.contributor.author | Kenny, Louise C. | |
| dc.contributor.author | O'Neill, Sinéad M. | |
| dc.contributor.funder | Science Foundation Ireland | en |
| dc.date.accessioned | 2017-06-02T14:34:04Z | |
| dc.date.available | 2017-06-02T14:34:04Z | |
| dc.date.issued | 2017-03-30 | |
| dc.date.updated | 2017-06-02T14:26:16Z | |
| dc.description.abstract | Introduction: Tocophobia is defined as a severe fear of pregnancy and childbirth. There is increasing evidence that tocophobia may have short-term and long-term adverse effects on mother and baby. We performed a systematic review and meta-analysis to determine the global prevalence of tocophobia in pregnancy. Material and methods: Relevant articles were identified through searching six relevant databases: MEDLINE, CINAHL, Pubmed, PsycINFO, Maternity & Infant Care and Scopus between 1946 and April 2016. We used search terms for tocophobia prevalence in pregnant women that we agreed with a medical librarian. There were no language restrictions. Two review authors independently assessed data for inclusion, extracted data and assessed quality using a standardized appraisal tool. Meta-analysis was performed to determine the overall pooled-prevalence of tocophobia. Several subgroup and sensitivity analyses were conducted. Results: Thirty-three studies were included in the systematic review from 18 countries of which data from 29 studies were used in the meta-analysis of 853 988 pregnant women. Definition of tocophobia varied, whereas prevalence rates ranged between 3.7 and 43%. The overall pooled prevalence of tocophobia, using a random-effects model, was 14% (95% CI 0.12â 0.16). Significant heterogeneity was observed (I2 = 99.25%, p = 0.00), which was not explained in subgroup analyses including tocophobia definition used, screening trimester and parity. Conclusion: The prevalence of tocophobia is estimated at 14% and appears to have increased in recent years (2000 onwards). Considerable heterogeneity (99.25%) was noted that may be attributed to lack of consensus on the definition of tocophobia, so our results should be interpreted with caution. | en |
| dc.description.sponsorship | Science Foundation Ireland (SFI grant number 12/RC/2272) | en |
| dc.description.status | Peer reviewed | en |
| dc.description.version | Accepted Version | en |
| dc.format.mimetype | application/pdf | en |
| dc.identifier.citation | O'Connell, M. A., Leahy-Warren, P., Khashan, A. S., Kenny, L. C. and O'Neill, S. M. 'Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis', Acta Obstetricia et Gynecologica Scandinavica, doi:10.1111/aogs.13138 In Press | en |
| dc.identifier.doi | 10.1111/aogs.13138 | |
| dc.identifier.issn | 1600-0412 | |
| dc.identifier.journaltitle | Acta Obstetricia Et Gynecologica Scandinavica | en |
| dc.identifier.uri | https://hdl.handle.net/10468/4050 | |
| dc.language.iso | en | en |
| dc.publisher | Wiley | en |
| dc.rights | © 2017 Nordic Federation of Societies of Obstetrics and Gynecology. This is the peer reviewed version of the following article: Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis. Acta Obstet Gynecol Scand 2017, which has been published in final form at http://dx.doi.org/10.1111/aogs.13138. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. | en |
| dc.subject | Epidemiology | en |
| dc.subject | Fear of childbirth | en |
| dc.subject | Pregnancy | en |
| dc.subject | Systematic review | en |
| dc.subject | Tocophobia | en |
| dc.subject | W-DEQ A | en |
| dc.title | Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis | en |
| dc.type | Article (peer-reviewed) | en |
