Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes

Journal article


Hassanzadeh, Robab, Abbas-Alizadeh, Fateme, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan. (2020). Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes. BMC Women's Health. 20(1), p. Article 180. https://doi.org/10.1186/s12905-020-01048-9
AuthorsHassanzadeh, Robab, Abbas-Alizadeh, Fateme, Meedya, Shahla, Mohammad-Alizadeh-Charandabi, Sakineh and Mirghafourvand, Mojgan
Abstract

Background
Lack of knowledge and fear of the unknown during pregnancy and childbirth make mothers fearful, worried, and anxious. Maternal fear and anxiety can lead to problems such as preterm childbirth and low birth weight. Increasing women’s knowledge through prenatal education can prepare them for childbirth and improve their health. The present study was conducted to compare fear of childbirth, anxiety and depression during pregnancy in three groups of primiparous pregnant women who were either not attending, irregularly attending, or regularly attending childbirth preparation classes.

Methods
A total of 204 primiparous pregnant women attending health centers in Tabriz, Iran, were selected by cluster sampling and assigned to the following three groups: Not attending, irregularly attending (attending one to three sessions of classes) and regularly attending (attending four to eight sessions of classes). Childbirth fear, pregnancy anxiety and depression questionnaires were completed for them through interviews. The general linear model was used to compare their fear of childbirth and prenatal anxiety and depression.

Results
According to the general linear model, the scores of fear of childbirth (p <  0.001), anxiety (p <  0.001) and depression (p = 0.006) were significantly lower in the group of pregnant women regularly attending the classes compared to the non-attending group of women. No significant differences were observed between the regularly-attending and irregularly-attending groups in terms of fear of childbirth (p = 0.066), anxiety (p = 0.078), and depression (p = 0.128).

Conclusion
Prenatal training can reduce fear, anxiety and depression in primiparous women. Incorporating such training into prenatal care helps improve maternal health.

Keywordschildbirth fear; anxiety; depression; childbirth preparation classes
Year2020
JournalBMC Women's Health
Journal citation20 (1), p. Article 180
PublisherBioMed Central
ISSN1472-6874
Digital Object Identifier (DOI)https://doi.org/10.1186/s12905-020-01048-9
PubMed ID32799875
Scopus EID2-s2.0-85089711385
PubMed Central IDPMC7429472
Open accessPublished as ‘gold’ (paid) open access
Page range1-8
FunderTabriz University of Medical Sciences
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online14 Aug 2020
Publication process dates
Accepted06 Aug 2020
Deposited17 Nov 2023
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