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An exploratory study on midwives’ fear of childbirth in Türkiye

Esra Sarı(1), Joeri Vermeulen(2),


(1) Department of Midwifery, Faculty of Health Science, Van Yuzuncu Yil University, Van, T¸rkiye
(2) Department of Life sciences and Medicine, Faculty of Science, Technology and Medicine, University of Luxembourg, Esch-surAlzette, Grand Duchy of Luxembourg. Department of Public Health, Biostatistics and Medical Informatics Research Group, Vrije Universiteit Brussel (VUB), Brussels, Belgium. Department of Health Care, Erasmus Brussels University of Applied and Arts, Brussels, Belgium
Corresponding Author

Abstract


This study examines Fear of Childbirth (FoC) among pregnant midwives in T¸rkiye using the Wijma Delivery Expectancy/Experience Questionnaire-Version A (W-DEQ A). A cross-sectional design was employed, including 270 healthy pregnant midwives in their 28th to 40th gestational weeks, who were employed in healthcare and had internet and social media access. Data were gathered through social media between platforms February and July 2023 using the Participant Introduction Form and W-DEQ A, and analyzed with SPSS 25.0 (p<0.05).The mean W-DEQ A score was 78.70 (±26.59), indicating severe FoC, with 53.3% experiencing clinically significant levels. FoC scores were higher among midwives working in labor and gynecology units compared to postnatal wards (p<0.05). Positive correlations were identified between FoC and variables such as age, midwifery experience, and perceived labor pain severity. These findings underscore the influence of professional settings on FoC, emphasizing the need for targeted support and training to improve outcomes.

References


Dereje A, Dheresa M, Desalew A and Tura AK. Fear of

childbirth among pregnant women in Eastern

Ethiopia: A community-based study. Midwifery

;116:103515.

Webb R, Bond R, Romero-Gonzalez B, Mycroft R and

Ayers S. Interventions to treat fear of childbirth in

pregnancy: a systematic review and meta-analysis.

Psychological Medicine. 2021;51(12):1964-77.

O’Connell MA, Leahy-Warren P, Khashan AS, Kenny LC

and O’Neill SM. Worldwide prevalence of

tocophobia in pregnant women: Systematic review

and meta-analysis. Acta Obstet Gynecol Scand.

;96(8):907-20.

Henriksen L, Borgen A, Risl¯kken J and Lukasse M. Fear

of birth: prevalence, counselling and method of birth

at five obstetrical units in Norway. Women Birth.

;33:97-104.

O’Connell MA, Leahy-Warren P, Kenny LC, O’Neill SM

and Khashan AS. The prevalence and risk factors of

fear of childbirth among pregnant women: a crosssectional study in Ireland. Acta Obstet Gynecol

Scand. 2019;98:1014-23.

Gokce Isbir G, Sercekus P, Yenal K, Okumus H, Durgun

Ozan Y, Karabulut O, Abbasoglu D, Gonenc IM, Sari E, Aktas

S and Erdogan S. The prevalence and

associated factors of fear of childbirth among Turkish pregnant

women. J Reprod Infant Psychol. 2024;42(1):62-77.

Aguilera-MartÌn £, G·lvez-Lara M, Blanco-Ruiz M and

GarcÌa-Torres F. Psychological, educational, and

alternative interventions for reducing fear of

childbirth in pregnant women: A systematic review.

J Clin Psychol. 2021;77(3):525-55.

Otorepec IR. Tocophobia. Journal of Sexual Medicine.

;19(5):226.

Slade P, Balling K, Houghton G and Sheen K. A new scale

for fear of childbirth: the fear of childbirth

questionnaire (FCQ). J Reprod Infant Psychol.

;40(6):602-12.

O’Connell MA, Leahy-Warren P, Kenny LC and Khashan

AS. Pregnancy outcomes in women with severe fear

of childbirth. J Psychosom Res. 2019;120:105-9.

Onchonga D, MoghaddamHosseini V, Keraka M and

V·rnagy £. Prevalence of fear of childbirth in a

sample of gravida women in Kenya. Sex Reprod

Healthcare. 2020;24:100510.

Kaya N and G¸ler H. Scales Used in Measuring

Tokophobia in Turkish Society. J Cont Med Educ.

;30(1):69-75.

Bilge C, Donmez S, Olgac Z and Pirincci F. Fear of Birth

in Pregnancy and Affecting Factors. Value Health

Sci. 2022;12(2):330-5.

Gˆkcek AI. An Important Issue: Childbirth and

Midwifery Care. KTO Karatay Univ J Health Sci.

;3(1):93-104.

Aktas B and Bostancı N. Game addiction levels of

university students in COVID-19 pandemic and the

effect of pandemic on digital gaming status. J

Depend. 2021;22:129-38.

Bolsoy N, Celik N and Simsek HN. Does PsychoEducation Improve the Obstetric and Maternal

Outcomes with Women Have a Fear of Childbirth?

A Systematic Review. E-J Dokuz Eylul Univ Nurs

Fac. 2019;12(1):82-90.

Korukcu O, Deliktas A, Aydın R and Kabukcuoğlu K.

Investigation of the Relationship Between the

Psychosocial Health Status and Fear of Childbirth in

Healthy Pregnancies. Clin Exp Health Sci.

;7:152-8.

Wijma K, Wijma B and Zar M. Psychometric aspects of

the W-DEQ; a new questionnaire for the

measurement of fear of childbirth. J Psychosom

Obstet Gynaecol. 1988;19:84-97.

Korukcu O and Kukulu K. The reliability and validity of

the Turkish version of the Wijma delivery

expectancy/experience questionnaire (W-DEQ) with

pregnant women. J Psychiatr Ment Health Nurs.

;19(3):193-202.

George D and Mallery M. SPSS for Windows Step by Step:

A Simple Guide and Reference, 17.0 update (10a

ed.). Boston: Pearson; 2010.

Hendrix YM, Baas MA, Vanhommerig JW, de Jongh A

and Van Pampus MG. Fear of Childbirth

in Nulliparous Women. Front Psychol.

;13:923819.

Han L, Wu J, Wu H, Liu J, Liu Y, Zou Z, Liu J and Bai J.

Validating the use of the Wijma Delivery

Expectancy/Experience Questionnaire in Mainland

China: a descriptive, cross-sectional study. BMC

Pregnancy Childbirth. 2022;22(1):1-10.

Varela P, Zervas I, Lykeridou A and Deltsidou A.

Preliminary Results of the Wijma Delivery

Expectancy/Experience Questionnaire in a Greek

Sample. Int J Caring Sci. 2022;15(1):70-6.

Yazıcıoğlu B and Yavuz E. The Effect of Pregnancy

School Training on Fear of Birth. Turk J Fam Pract.

;26(1):12-6.

Barut S and Ucar T. Relationship between childbirth selfefficacy and fear of childbirth. Mersin Univ J Health

Sci. 2018;11(2):107-15.

Dursun E. Personality traits of pregnants and the level of

their anxiety have a relation with the fear of

childbirth (master’s thesis). Nevşehir: Nevşehir Hacı

Bektaş University; 2018.

Kanbur A and Koc O. Examination of the Level of Fear

of Childbirth in Pregnant Women and Predictor

Variables. Mersin Univ Sch Med Lokman Hekim J

Hist Med Folk Med. 2023;13(1):188-95.

Phunyammalee M, Buayaem T and Boriboonhirunsarn D.

Fear of childbirth and associated factors among lowrisk pregnant women. J Obstet Gynaecol.

;39(6):763-7.

do Souto SPA, Prata AP, de Albuquerque RS and Almeida

S. Prevalence and predictive factors for fear of

childbirth in pregnant Portuguese women: a crosssectional study. Sex Reprod Healthcare.

;31:100687.

Lai HTT, Kwok ST, Wang W, Seto MTY and Cheung

KW. Fear of Childbirth in Chinese Pregnant Women

and Their Preferred Mode of Delivery: Validation

Study of the Chinese Version of Wijma Delivery

Expectancy/experience Questionnaire Version A

(preprint). Research Square. 2020.

Coskuner Potur D, Mamuk R, Sahin NH, Demirci N and

Hamlaci Y. Association between fear of childbirth

and maternal acceptance of pregnancy. Int Nurs Rev.

;64(4):576-83.

Lukasse M, Schei B and Ryding EL. Prevalence and

associated factors of fear of childbirth in six

European countries. Sex Reprod Healthc.

;5(3):99-106.

Žigić Antić L, Nakić Radoš S and Jokić-Begić N. Are

nonpregnant women afraid of childbirth? Prevalence

and predictors of fear of childbirth in students. J

Psychosom Obstetrics & Gynecology. 2019;40(3),

-231


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