Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Förlossningsrädsla: med fokus på kvinnors upplevelser av att föda barn
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
2012 (Swedish)Doctoral thesis, comprehensive summary (Other academic)Alternative title
Fear of childbirth : with a focus on women´s experiences of giving birth (English)
Abstract [en]

Aim: The overall aim of this study is to describe experiences of, and the association between, fear of childbirth and birth experiences of women with fear ofchildbirth.

Methods: In studies I, II, and IV, a reflective lifeworld approach based on phenomenological philosophy was used to describe women’s experiences of fear of childbirth (I), previous birth experiences (II), and fear of childbirth and of birth experience in a long-term perspective (IV). In study III, differences between women who reported fear of childbirth and those who did not were calculated using risk ratios with a 95 % confidence interval and multivariate logistic regression analysis. Data were collected from interviews with eight (I) and nine (II) pregnant women with intense fear of childbirth, and with six women who had sought care for intense fear of childbirth 7 to 11 years prior to the interview (IV), and via questionnaire from a sample of 763 women during pregnancy and again one year following birth (III).

Findings: Fear of childbirth was described as “to lose oneself as a woman into loneliness” (I). Previous birth experience was described as “a sense of not being present in the delivery room and an incomplete childbirth experience” (II). Fear of childbirth was associated with a previous negative birth experience and a previous emergency caesarean section (III). From a long-term perspective, fear of childbirth and birth experience was described as “an effort to make all the pieces come together” (IV).

Conclusions: This thesis generates evidence on the importance of previous birth experience for women with fear of childbirth, from both qualitative and quantitative perspectives. These perspectives illustrate the complexity where women´s experiences in the delivery room are central. To avoid creating fear of childbirth, it is important that maternity care services focus on women’s birth experiences and critically evaluate care in relation to childbirth.

Place, publisher, year, edition, pages
Växjö, Kalmar: Linnaeus University Press, 2012. , 76 p.
Series
Linnaeus University Dissertations, 92/2012
Keyword [en]
Fear of childbirth, Negative birth experience, Phenomenology, Childbirth, Birth trauma, Suffering, Midwifery, Support, Long-term, Birth narrative, Lived experice
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-18750ISBN: 978-91-86983-65-9 (print)OAI: oai:DiVA.org:lnu-18750DiVA: diva2:530765
Public defence
2012-06-08, Myrdal, Växjö, 10:30 (Swedish)
Opponent
Supervisors
Available from: 2012-11-08 Created: 2012-05-22 Last updated: 2017-02-14Bibliographically approved
List of papers
1. Women's lived experience of fear of childbirth
Open this publication in new window or tab >>Women's lived experience of fear of childbirth
2009 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 25, no 2, e1-e9 p.Article in journal (Refereed) Published
Abstract [en]

Objective: to describe women’s lived experience of fear of childbirth.

Design: a qualitative study using a phenomenological approach and a lifeworld perspective. Data were collected via tape-recorded interviews.

Setting: Sahlgrenska University Hospital, Go¨teborg, Sweden in 2003.

Participants: eight pregnant women (24–37 gestational weeks) seeking help within an outpatient clinic for women with severe fear of childbirth. Two of the women were primiparous.

Findings: four constituents were identified: feeling of danger that threatens and appeals; feeling trapped; feeling like an inferior mother-to-be and on your own. The essential structure was described as ‘to lose oneself as a woman into loneliness’.

Key conclusions: fear of childbirth affects women in such a way that they start to doubt themselves and feel uncertain of their ability to bear and give birth to a child. Previous birth experience was central to the multiparous women. They described their experiences of suffering in relation to the care they received during childbirth. This mainly concerned pain and negative experiences with staff.

Implications for practice: pregnant women who fear childbirth are an exposed group in need of much support during pregnancy and childbirth. The encounter between the woman and the midwife can be a way of breaking down the feeling of loneliness and restoring the woman’s trust in herself as a childbearing woman.

Keyword
Fear of childbirth, Maternity care, Self-esteem, Suffering
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:vxu:diva-3139 (URN)10.1016/j.midw.2007.01.017 (DOI)
Available from: 2008-01-07 Created: 2008-01-07 Last updated: 2017-12-13Bibliographically approved
2. Previous birth experience in women with intense fear of childbirth
Open this publication in new window or tab >>Previous birth experience in women with intense fear of childbirth
2010 (English)In: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 3, no 39, 298-309 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To describe the meaning of previous experiences of childbirth in pregnant women who have exhibited intense fear of childbirth such that it has an impact on their daily lives.

Design: A descriptive phenomenological study.

Setting: A maternity clinic for women with fear of childbirth in the western part of Sweden.

Participants: Nine women with intense fear of childbirth who were pregnant with their second child and considered their previous birth experiences negative.

Methods: Interviews that were transcribed verbatim and analyzed with a reflective life-world approach.

Results: The essential meanings that emerged were a sense of not being present in the delivery room and an incomplete childbirth experience. The women felt as if they had no place there, that they were unable to take their place, and that even if the midwife was present, she did not provide support. The experience remained etched in the women's minds and gave rise to feelings of fear, loneliness, and lack of faith in their ability to give birth and diminished trust in maternity care. These experiences contrasted with brief moments that made sense.

Conclusions: Previous childbirth experiences for pregnant women with intense fear of childbirth have a deep influence and can be related to suffering and birth trauma. The implication is to provide maternity care where the nurse/midwife is present and supports women during birth in a way that enables them to be present and take their place during birth.

National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-20468 (URN)10.1111/j.1552-6909.2010.01139.x (DOI)
Available from: 2012-06-26 Created: 2012-06-26 Last updated: 2017-12-07Bibliographically approved
3. Self reported fear of childbirth and its association with women´s birth experience and mode of delivery: a longitudinal population-based study
Open this publication in new window or tab >>Self reported fear of childbirth and its association with women´s birth experience and mode of delivery: a longitudinal population-based study
2012 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 25, no 3, 114-121 p.Article in journal (Refereed) Published
Abstract [en]

Objective

To explore fear of childbirth (FOC) during pregnancy and one year after birth and its association to birth experience and mode of delivery.

Design

A longitudinal population-based study.

Population

Pregnant women who were listed for a routine ultrasound at three hospitals in the middle-north part of Sweden.

Method

Differences between women who reported FOC and who did not were calculated using risk ratios with a 95% confidence interval. In order to explain which factors were most strongly associated to suffer from FOC during pregnancy and one year after childbirth, multivariate logistic regression analyses were used.

Results

FOC during pregnancy in multiparous women was associated with a previous negative birth experience (RR 5.1, CI 2.5–10.4) and a previous emergency caesarean section (RR 2.5, CI 1.2–5.4). Associated factors for FOC one year after childbirth were: a negative birth experience (RR 10.3, CI 5.1–20.7), fear of childbirth during pregnancy (RR 7.1, CI 4.4–11.7), emergency caesarean section (RR 2.4, CI 1.2–4.5) and primiparity (RR 1.9, CI 1.2–3.1).

Conclusion

FOC was associated with negative birth experiences. Women still perceived the birth experience as negative a year after the event. Women's perception of the overall birth experience as negative seems to be more important for explaining subsequent FOC than mode of delivery. Maternity care should focus on women's experiences of childbirth. Staff at antenatal clinics should ask multiparous women about their previous experience of childbirth. So that FOC is minimized, research on factors that create a positive birth experience for women is required.

Keyword
Fear of childbirth, Birth experience, Mode of delivery, Pregnancy, Midwifery
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:lnu:diva-20471 (URN)10.1016/j.wombi.2011.06.001 (DOI)1764400 (PubMedID)2-s2.0-84865342349 (Scopus ID)
Available from: 2012-06-26 Created: 2012-06-26 Last updated: 2017-12-07Bibliographically approved
4. An effort to make all the pieces come together: women's long-term experience of intense fear of childbirth
Open this publication in new window or tab >>An effort to make all the pieces come together: women's long-term experience of intense fear of childbirth
(English)Manuscript (preprint) (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:lnu:diva-22379 (URN)
Available from: 2012-11-08 Created: 2012-11-08 Last updated: 2012-11-08Bibliographically approved

Open Access in DiVA

Doctoral Thesis (Kappa)(1239 kB)3004 downloads
File information
File name FULLTEXT01.pdfFile size 1239 kBChecksum SHA-512
8600c31d1bca8c43c54bb04d7513fc1f600cae240cfdaa9ff3a37f03039362f530783c8aad594f3e9d7da82a27c2dda63683640c18cb79423fcabdacfd0ed9fd
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Nilsson, Christina
By organisation
School of Health and Caring Sciences
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 3004 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 1707 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf