임부의 분만 자신감, 산전 우울, 분만 지식과 배우자 지지는 분만 두려움에 영향을 미치는가?
Do childbirth confidence, prenatal depression, childbirth knowledge, and spousal support influence childbirth fear in pregnant women?
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초록
Purpose: This study investigated levels of childbirth fear and related prenatal factors (self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support) among pregnant women in South Korea. Methods: A correlational study design was used to explore levels of childbirth fear and related prenatal factors in 200 pregnant women over 28 weeks of gestation. A self-administered questionnaire was used to measure fear of childbirth and related factors, such as self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support. Results: One-third of the pregnant women were aged 35 years and older. Sixty-one percent of women were nulliparae, but only 26.0% had experienced prenatal education. The mean score for fear of childbirth was 66.99 out of 165. The prevalence of fear of childbirth was 72.0%, and childbirth fear was severe in 26.5% of the participants and moderate in 45.5%. Fear of childbirth was negatively related to self-confidence (r=–.45, p<.001), but positively related to prenatal depression (r=.21, p=.002). Two significant predictors were found to explain the fear of childbirth. Higher self-confidence for childbirth was associated with less severe fear of childbirth (β=–.44, p<.001), while higher prenatal depression was associated with more severe fear of childbirth (β=.13, p=.038). Conclusion: The level of fear of childbirth was higher among pregnant women with lower self-confidence and higher prenatal depression. Reasonable evidence should be provided for implementing prenatal and childbirth classes to reduce pregnant women’s depression and to increase their confidence.
Abstract
Purpose: This study investigated levels of childbirth fear and related prenatal factors (self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support) among pregnant women in South Korea. Methods: A correlational study design was used to explore levels of childbirth fear and related prenatal factors in 200 pregnant women over 28 weeks of gestation. A self-administered questionnaire was used to measure fear of childbirth and related factors, such as self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support. Results: One-third of the pregnant women were aged 35 years and older. Sixty-one percent of women were nulliparae, but only 26.0% had experienced prenatal education. The mean score for fear of childbirth was 66.99 out of 165. The prevalence of fear of childbirth was 72.0%, and childbirth fear was severe in 26.5% of the participants and moderate in 45.5%. Fear of childbirth was negatively related to self-confidence (r=–.45, p<.001), but positively related to prenatal depression (r=.21, p=.002). Two significant predictors were found to explain the fear of childbirth. Higher self-confidence for childbirth was associated with less severe fear of childbirth (β=–.44, p<.001), while higher prenatal depression was associated with more severe fear of childbirth (β=.13, p=.038). Conclusion: The level of fear of childbirth was higher among pregnant women with lower self-confidence and higher prenatal depression. Reasonable evidence should be provided for implementing prenatal and childbirth classes to reduce pregnant women’s depression and to increase their confidence.
참고문헌 (30)
- S Räisänen, "Fear of childbirth in nulliparous and multiparous women: a population-based analysis of all singleton births in Finland in 1997-2010", BJOG: An International Journal of Obstetrics & Gynaecology, 121(8), pp.965~970 (2014), Wiley[DOI]
- Terhi Saisto, "Fear of childbirth: a neglected dilemma", Acta Obstetricia et Gynecologica Scandinavica, 82(3), pp.201~208 (2003), Wiley[DOI]
- Maeve A. O'Connell, "Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis", Acta Obstetricia et Gynecologica Scandinavica, 96(8), pp.907~920 (2017), Wiley[DOI]
- C. Nilsson, "Definitions, measurements and prevalence of fear of childbirth: a systematic review", BMC Pregnancy and Childbirth, 18(1), pp.28~ (2018), Springer Science and Business Media LLC[DOI]
- Jocelyn Toohill, "Prevalence of childbirth fear in an Australian sample of pregnant women", BMC Pregnancy and Childbirth, 14(1), pp.275~ (2014), Springer Science and Business Media LLC[DOI]
- Birgitta Salomonsson, "Self-efficacy beliefs and fear of childbirth in nulliparous women", Journal of Psychosomatic Obstetrics & Gynecology, 34(3), pp.116~121 (2013), Informa UK Limited[DOI]
- Maeve Anne O'Connell, "Interventions for fear of childbirth (tocophobia)", Cochrane Database of Systematic Reviews, (5), pp.CD013321~ (2019), Wiley[DOI]
- HEGE THERESE STORKSEN, "Fear of childbirth; the relation to anxiety and depression", Acta Obstetricia et Gynecologica Scandinavica, 91(2), pp.237~242 (2012), Wiley[DOI]
- SS Adams, "Fear of childbirth and duration of labour: a study of 2206 women with intended vaginal delivery", BJOG: An International Journal of Obstetrics & Gynaecology, 119(10), pp.1238~1246 (2012), Wiley[DOI]
- THOMAS G. O'CONNOR, "Antenatal Anxiety Predicts Child Behavioral", Emotional Problems Independently of Postnatal Depression, 2002, pp.41(12), 1470~1477[DOI]
- M Laursen, "Fear of childbirth: predictors and temporal changes among nulliparous women in the Danish National Birth Cohort", BJOG: An International Journal of Obstetrics and Gynaecology, 115(3), pp.354~360 (2008), Wiley[DOI]
- Vaidyanathan Gowri, "Antenatal prevalence of fear associated with childbirth and depressed mood in primigravid women", Indian Journal of Psychiatry, 57(2), pp.158~161 (2015), Medknow[DOI]
- Jang HS, "Employed wife’s maternal role satisfaction by job satisfaction, spousal support, mother’s attachment and children’s attachment", pp.2007
- 강수경, "임신기 부부의 성격, 부부친밀감, 가족지지가 태아애착에 미치는 영향", 육아지원연구, 12(2), pp.223~245 (2017), 한국육아지원학회[DOI]
- Chiara Pazzagli, "ANTECEDENTS AND CONSEQUENCES OF FEAR OF CHILDBIRTH IN NULLIPAROUS AND PAROUS WOMEN", Infant Mental Health Journal, 36(1), pp.62~74 (2015), Wiley[DOI]
- Katri Nieminen, "Women's fear of childbirth and preference for cesarean section – a cross-sectional study at various stages of pregnancy in Sweden", Acta Obstetricia et Gynecologica Scandinavica, 88(7), pp.807~813 (2009), Wiley[DOI]
- U Waldenstrom, "Antenatal fear of childbirth and its association with subsequent caesarean section and experience of childbirth", BJOG: An International Journal of Obstetrics and Gynaecology, 113(6), pp.638~646 (2006), Wiley[DOI]
- Pınar Serçekuş, "Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment", Midwifery, 34, pp.166~172 (2016), Elsevier BV[DOI]
- Hege Therese Størksen, "Fear of childbirth and elective caesarean section: a population-based study", BMC Pregnancy and Childbirth, 15(1), pp.221~ (2015), Springer Science and Business Media LLC[DOI]
- Matus Phunyammalee, "Fear of childbirth and associated factors among low-risk pregnant women", Journal of Obstetrics and Gynaecology, 39(6), pp.763~767 (2019), Informa UK Limited[DOI]
- Alipour Z, "The association between antenatal anxiety and fear of childbirth in nulliparous women : a prospective study", Iran J Nurs Midwifery Res, 16(2), pp.169~173 (2011)
- Lianne Schwartz, "Factors associated with childbirth self-efficacy in Australian childbearing women", BMC Pregnancy and Childbirth, 15(1), pp.29~ (2015), Springer Science and Business Media LLC[DOI]
- K. Wijma, "Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth", Journal of Psychosomatic Obstetrics & Gynecology, 19(2), pp.84~97 (2009), Informa UK Limited[DOI]
- Ahn S, "Validation of the Korean version of the Wijma Delivery Expectancy Questionnaire (W-DEQ): version A", 30th International Nursing Research Congress (2019), Sigma Theta Tau International Honor Society of Nursing
- Lee MK, "Effects of San-Yin-Jiao (SP-6) acupressure on labor pain, delivery time, serum β-endorphin and intensity of uterine contractions in women during labor", pp.2003
- J. L. Cox, "Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale", British Journal of Psychiatry, 150(6), pp.782~786 (1987), Royal College of Psychiatrists[DOI]
- 김용구, "한국판 Edinburgh Postnatal Depression Scale의 임상적 적용", 신경정신의학, 47(1), pp.36~44 (2008), 대한신경정신의학회
- Choi YS, "The effects of childbirth education on labor pain", pp.1983
- Ronald C. Kessler, "Stress, Social Status, and Psychological Distress", Journal of Health and Social Behavior, 20(3), pp.259~272 (1979), SAGE Publications[DOI]
- Mirjam Lukasse, "Prevalence and associated factors of fear of childbirth in six European countries", Sexual & Reproductive Healthcare, 5(3), pp.99~106 (2014), Elsevier BV[DOI]