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Fear of childbirth, anxiety and depression in three groups of primiparous pregnant women not attending, irregularly attending and regularly attending childbirth preparation classes
Hassanzadeh, Robab Abbas-Alizadeh, Fateme Meedya, Shahla Mohammad-Alizadeh-Charandabi, Sakineh Mirghafourvand, Mojgan
Hassanzadeh, Robab
Abbas-Alizadeh, Fateme
Meedya, Shahla
Mohammad-Alizadeh-Charandabi, Sakineh
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.
Keywords
childbirth fear, anxiety, depression, childbirth preparation classes
Date
2020
Type
Journal article
Journal
BMC Women's Health
Book
Volume
20
Issue
1
Page Range
1-8
Article Number
Article 180
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open