Background: Fear of childbirth (FOC) is one of the common reasons for choosing cesarean delivery without medical indications. The present study aimed to assess the effect of childbirth scenario-based educational intervention on FOC in primiparous women.
Materials And Methods: This study was conducted on 72 primiparous women attending comprehensive health care centers in Qazvin, Iran, in 2021. Participants were randomly placed in the control group ( = 38) and the intervention group ( = 34). The participants in the intervention group read the booklet of childbirth scenarios once a week for eight weeks. Data were collected using the demographic-fertility questionnaire and the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) before the intervention, eight weeks after the intervention, and the first week after delivery. Data analysis was carried out using independent -test, Chi-square, Fisher's exact, repeated measures analysis of variance (ANOVA), and analysis of covariance (ANCOVA).
Results: By controlling the FOC scores before the intervention, the mean total FOC scores eight weeks after the intervention and in the first week after delivery in the intervention group were significantly 34 units (95% CI: 27.3-40.7) and 22.9 units (95% CI: 14.6-31.1) lower than the control group respectively ( < 0.001).
Conclusion: Based on the results, childbirth scenario-based intervention can effectively reduce FOC among primiparous women. Healthcare providers, especially midwives, can benefit from applying childbirth scenario-based intervention in prenatal care to reduce the FOC of pregnant women.
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http://dx.doi.org/10.4103/jehp.jehp_870_23 | DOI Listing |
BMJ Open
January 2025
Institute for Population and Social Research, Mahidol University, Salaya, Putthamonthon, Nakhon Pathom, Thailand
Objective: To assess the prevalence of non-utilisation of postpartum services in northwestern Nigeria from 2003 to 2018 and to identify and estimate the influence of social determinants, a crucial step in improving maternal and child health in the region.
Design: The 2003, 2008, 2013 and 2018 Nigeria Demographic and Health Survey rounds were used. Descriptive, trend and multivariable logistic regression analyses were used to show the trend and assess the influence of social determinants.
Alzheimers Dement
December 2024
Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Background: Women are disproportionately affected by Alzheimer's disease (AD) and exhibit greater AD neuropathology than men. Women possess two X chromosomes, with one randomly silenced across each cell for dosage compensation. X chromosome inactivation (XCI) is not complete, and XCI-escaping genes provide a promising avenue of discovery for biological pathways driving sex-specific AD risk.
View Article and Find Full Text PDFInt J Cancer
January 2025
Administration, Norwegian Computing Center, Oslo, Norway.
The protective effect of parity has been demonstrated for cancer of the breast, ovary, and endometrium but no studies have estimated the effect of each subsequent birth in women with 10 or more children or grand-grand parity women, nor compared the linear relationship of the three cancers sites. Here, we aim to explore these relationships based on the Norwegian 1960 Census. The question of parity in present marriage was answered by 385,816 women born 1870-1915, a period with high fertility.
View Article and Find Full Text PDFObesity (Silver Spring)
January 2025
Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Copenhagen, Denmark.
Objective: The study objective was to evaluate changes in abdominal adipose tissue and ectopic fat during pregnancy and their associations with gestational weight gain (GWG) in women with overweight/obesity.
Methods: This study was a secondary analysis of a randomized controlled trial. Magnetic resonance scans were performed during gestational week (GW) 15, GW 32, and around birth to measure abdominal subcutaneous (SAT) and visceral (VAT) adipose tissues, liver fat, and muscle fat.
Sleep Epidemiol
December 2024
Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Purpose: To identify sleep dimensions (characteristics) that co-occur in premenopausal women. The second aim was to examine associations between multiple dimensions of sleep and a set of demographic, lifestyle, and health correlates. The overarching goal was to uncover patterns of poor-sleep correlates that might inform interventions to improve sleep health of women in this age group.
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