Objective: To describe the expectations concerning imminent childbirth before and after 8 weeks of internet-based cognitive behavioural therapy (ICBT) among nulliparous pregnant women with severe fear of childbirth.
Design: Qualitative study of nulliparous pregnant women's narratives before and after CBT.
Setting: The first ICBT programme for treating severe fear of childbirth.
Sample: Fifteen nulliparous pregnant Swedish women with severe fear of childbirth participating in an ICBT self-help programme.
Methods: Semi-structured open-ended questions over the internet before and after 8 weeks of ICBT. The data were analysed using thematic analysis.
Main Outcome Measures: The participants' narratives pertaining to five different situations during labour and delivery before and after ICBT.
Results: After therapy, participants described a more realistic attitude towards imminent childbirth, more self-confidence and more active coping strategies. They perceived their partners and the staff as more supportive. They were more aware of the approaching meeting with their baby when giving birth.
Conclusions: Following the ICBT programme, participants changed their attitude towards imminent childbirth from negative to more positive. This was manifested in positive and more realistic expectations regarding themselves, their partner and the staff that would look after them.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/1471-0528.13358 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Measuring psychological well-being in a danish pregnancy cohort using the self-reported WHO-5 index.
BMC Psychol
January 2025
Department of Obstetrics, The Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Background: Reduced well-being and depressive episodes frequently complicate pregnancy and can result in serious adverse outcomes for both mother and infant if left untreated. This study aimed to assess the psychometric validity of the 5-item World Health Organization index (WHO-5), and to evaluate if the WHO-5 index can serve as a proxy for two items of core depressive symptoms from the Major Depression Inventory (MDI), identified as MDI-2. Additionally, the paper aimed to assess well-being and detect risk factors of reduced well-being using the WHO-5 index.
View Article and Find Full Text PDFPredictors of inter-individual variation in nausea and vomiting in pregnancy in two samples of women attending a pregnancy clinic.
Midwifery
December 2024
Department of Philosophy and History of Science, Faculty of Science, Charles University, Prague, Czech Republic.
Problem: The aetiology of nausea and vomiting in pregnancy is still not well understood.
Background: Previous research suggests that its incidence and severity are influenced by many different factors, including demographic, lifestyle and psychosocial factors.
Aim: This study aimed to test the effect of multiple factors (use of combined oral contraception (COC) on meeting the father, sex of the foetus, age when pregnant, parity, education, life standard/income, smoking before pregnancy and BMI) on levels of nausea and vomiting in pregnancy.
Pre-eclampsia as a predictor of early-onset cardiovascular impairment among young women (PREECARDIA study): protocol for a prospective cohort study.
BMJ Open
December 2024
EPIunit and Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Universidade do Porto Instituto de Saude Publica, Porto, Portugal.
Introduction: Pre-eclampsia is a pregnancy-related complication estimated to affect up to 8% of pregnancies worldwide. It is associated with an increased risk of postpartum sustained hypertension, coronary artery disease, cerebrovascular disease, peripheral arterial disease and cardiovascular-related mortality. Nevertheless, these associations have seldom been addressed in younger women from sub-Saharan Africa (SSA).
View Article and Find Full Text PDFOccupational noise exposure and maternal pregnancy complications: register-based cohort from urban areas in four Nordic countries.
Occup Environ Med
January 2025
Lifestyles and Living Environments Unit, Finnish Institute for Health and Welfare, Oulu, Finland.
Objective: To assess the role of occupational noise exposure on pregnancy complications in urban Nordic populations.
Methods: A study population covering five metropolitan areas in Denmark, Finland, Norway and Sweden was generated using national birth registries linked with occupational and residential environmental exposures and sociodemographic variables. The data covered all pregnancies during 5-11 year periods in 2004‒2016, resulting in 373 184 pregnancies.
Exploring the influence of perineal biometrics and stiffness measured by elastography during pregnancy on perineal tears : A pilot study.
J Gynecol Obstet Hum Reprod
January 2025
Nanomedicine Imaging and Therapeutics Laboratory, INSERM EA 4662, University of Franche-Comte, Besançon, France; CHU de Besançon, Service de Gynécologie-Obstétrique, Besançon, France.
Objectives: This study aimed to describe the biometrics and elasticity of the perineal body and the anal sphincter in the ninth month of pregnancy and explore their association with the risk of perineal tears during childbirth.
Methods: In this prospective observational study, pregnant women at 36-40 weeks of gestation were included. Using transperineal 2D-mode ultrasound and shear wave elastography (SWE), we measured the biometrics and stiffness of the perineal body (PB), external anal sphincter (EAS), internal anal sphincter (IAS), and anal mucosa (AM) at rest and during Valsalva maneuvers.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!