The relationship between Fear of Childbirth,Social Support, and Birth Outcomes

• Main Authors: Huei-Rong Tu, 塗惠絨
• Other Authors: Shu-Yu Kuo
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/ay4gth

碩士 === 臺北醫學大學 === 護理學系碩士暨碩士在職專班 === 104 === Fear of childbirth is common in the pregnant women. It affects the adjustment of pregnancy women, and links to adverse birth outcomes. The support form women’s partner, relatives, friends and medical personnels is very important during perinatal period. There was eimited study on childbirth fear and social suppot in Taiwan. The purpose of this study was to investigate the pregnant women’s fear of childbirth, social support and birth outcomes. In this study, a prospective cohort study was used to collect the information of prenatal women, and followed their birth outcomes. The questionnaires uesd included The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), Multidimensional Scale of Perceived Social Support (MSPSS), and Quality from the Patient’s Perspective (QPP). We performed the chi-square test, independent t-test and regression analysis for the data analysis. A total of 159 pregnant women were recruited in a northern maternity clinic of the teaching hospital. The average age of participants was 33.4 years old (standard deviation, SD 4.7), 59.7% of them were the primipara. The mean score of W-DEQ average score was 66.6 (SD 22.3), in which the "very painful" item rated as the highest fear item. 50.3% of women have the high fear. The mean score of social support was 5.6 (SD 0.8), 76.1% of women with a high degree of social support. The average score of the medical and nursing support was 59.6 (SD 11.5), 49.7% of women have the low degree of medical and nursing support. For the birth outcomes, 47.2% of women had vaginal delivery, 51.6% of them used the narcotic medications. The mean of newborn''s birth weight was 3067g (SD 439.5g). The result of Logistic regression analysis indicated that younger women (≦29 years) was significantly associated with fear of childbirth (adjusted odd ratio, aOR: 9.98，95% confidence interval CI: 1.57–63.47). The women with good self-rated health (aOR: 0.25, 95% CI: 0.11–0.58) were less likely to have fear of childbirth, women with poor social support and significant others support tended to have more fear of childbirth. (aOR: 4.50–5.20, 95% CI: 1.45–15.35). Women who experienced having a low level of fear were less likely to use the narcotic medications (aOR: 0.40, 95% CI: 0.19–0.83). Women who had high level of social support, the Apgar score 5th minutes of newborn decreased 0.35 (B=-0.35,p=0.01). In this study, we can found that the pregnant women generally have fear of childbirth in Taiwan, and lack of social support was associated with high fear. The women who had fear of childbirth tended to use the narcotic medications during labor. The continuous assessment the antenatal women''s fear and social support is vatal to provide better perinatal care and reduce adverse birth outcomes. Key words: fear, childbirth, social support, birth outcomes, pregnant women, cohort study