Publications by authors named "Maiju Tokola"
Background: Little is known about the psychological status of partners of women with severe fear of childbirth (FOC). In this longitudinal study from Helsinki University Central Hospital, we investigated FOC, depression, and posttraumatic stress in the partners of women with severe FOC, and possible effects of group psychoeducation and mode of birth.
Methods: During pregnancy, 250 partners of nulliparous women with severe FOC participated, 93 in the intervention group and 157 in the control group.
Objective: Fear of childbirth is a common reason for seeking cesarean section. It is important to consider outcomes and costs associated with alternative treatment and delivery mode. We compared well-being and costs of group psychoeducation and conventional care for fear of childbirth.
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- Women with severe fear of childbirth often face anxiety and depression, necessitating treatment that addresses both mental health and the mother-infant relationship.
- 371 first-time mothers with high levels of fear were divided into a psychoeducative group intervention and conventional care, with evaluations done during pregnancy and postpartum.
- Results showed that those in the intervention group had significantly better maternal adjustment and childbirth experiences, along with lower postnatal depressive symptoms compared to the control group.
This RCT intervention among nulliparous pregnant women with an intense fear of childbirth sought to promote preparedness for childbirth and to enhance positive parenting. Pregnant women (n = 8,611) filled in a 'fear of childbirth' questionnaire. Nulliparous women with severe fear of childbirth (n = 355) were randomized into intervention (n = 131; 41 refused) and control (n = 224) groups.
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