What are Polish women afraid of in vaginal birth? – A Cross-Sectional Study
Keywords:vaginal delivery, cesarean section, fear of childbirth
Introduction. Fear of childbirth is a specific feeling related to approaching birth that ranges from negligible to very intense. Women’s choices and doubts regarding the way of birth may be related to a lack of knowledge about the benefits and advantages of VB or a fear of this method of childbearing.
Aim. The aim of the study was to assess knowledge regarding labour, its possible complications and ways to prepare for vaginal delivery among Polish women
Material and Methods. A cross-sectional study was performed among 4721 women who were pregnant or who had had at least one delivery. A self-composed questionnaire was distributed via the internet in 2018.
Results. It seems that 13.9% of the respondents were pregnant, 49.2% women gave birth vaginally and 30.8% had a caesarean delivery. Most of the respondents were afraid of the pain associated with the labour (75% pregnant women, 63.4% women after vaginal birth, 59.1% women after caesarean section), and 57.8% of respondents would like to avoid episiotomy, but only 27,5% of them used any methods of perineal protection for vaginal delivery. Also, 43.4 % of respondents believe that vaginal delivery may have a negative impact on satisfaction in their sexual life, 26% of respondents think that a caesarean section scar has no impact on subsequent pregnancies, and 41% claim that women who had a caesarean delivery feel discriminated against as a cesarean section is considered to be a labour failure in society.
Conclusions. Women’s knowledge on the advantages and risks related to the methods of labour is insufficient, which may affect their preferences regarding vaginal or cesarean birth.
Ryding EL, Lukasse M, Parys AV, Wangel A, Karro H, Kristjansdottir H, Schroll A, Schei B. Fear of Childbirth and Risk of Cesarean Delivery: A Cohort Study in Six European Countries. Birth. 2015 Feb 13;42(1):48-55. https://doi.org/10.1111/birt.12147
Häger RM, Daltveit AK, Hofoss D, Nilsen ST, Kolaas T, Øian P, Henriksen T. Complications of cesarean deliveries: Rates and risk factors. American Journal of Obstetrics and Gynecology. 2004 Feb;190(2):428-434. https://doi.org/10.1016/j.ajog.2003.08.037
Betrán AP, Gulmezoglu AM, Robson M, Merialdi M, Souza JP, Wojdyla D, Widmer M, Carroli G, Torloni MR, Langer A, Narváez A, Velasco A, Faúndes A, Acosta A, Valladares E, Romero M, Zavaleta N, Reynoso S, Bataglia V. WHO Global Survey on Maternal and Perinatal Health in Latin America: classifying caesarean sections. Reproductive Health. 2009 Oct 29;6(1). https://doi.org/10.1186/1742-4755-6-18
Quinlivan JA, Petersen RW, Nichols CN. Patient Preference the Leading Indication for Elective Caesarean Section in Public Patients-Results of a 2-year Prospective Audit in a Teaching Hospital. The Australian and New Zealand Journal of Obstetrics and Gynaecology. 1999 May;39(2):207-214. https://doi.org/10.1111/j.1479-828x.1999.tb03375.x
Pevzner L, Goffman D, Freda MC, Dayal AK. Patients' attitudes associated with cesarean delivery on maternal request in an urban population. American Journal of Obstetrics and Gynecology. 2008 May;198(5):e35-e37. https://doi.org/10.1016/j.ajog.2007.10.778
Marx, J. Wiener, N. Davies H. A survey of the influence of patients' choice on the increase in the caesarean section rate. Journal of Obstetrics and Gynaecology. 2001 Jan;21(2):124-127. https://doi.org/10.1080/01443610020025985
Young D. "Cesarean Delivery on Maternal Request": Was the NIH Conference Based on a Faulty Premise?. Birth. 2006 Sep;33(3):171-174. https://doi.org/10.1111/j.1523-536x.2006.00101.x
Weaver JJ, Statham H, Richards M. Are There "Unnecessary" Cesarean Sections? Perceptions of Women and Obstetricians About Cesarean Sections for Nonclinical Indications. Birth. 2007 Mar;34(1):32-41. https://doi.org/10.1111/j.1523-536x.2006.00144.x
J. Edwards, N. J. Davies G. Elective caesarean section - the patient's choice?. Journal of Obstetrics and Gynaecology. 2001 Jan;21(2):128-129. https://doi.org/10.1080/01443610020025994
Sioma-Markowska U, Żur A, Skrzypulec-Plinta V, Machura M, Czajkowska M. Causes and frequency of tocophobia - own experiences. Ginekol Pol. 2017;88(5):239-43. https://doi.org/10.5603/GP.a2017.0045 PMID 28580568
Wigert H, Nilsson C, Dencker A, Begley C, Jangsten E, Sparud-Lundin C, Mollberg M, Patel H. Women’s experiences of fear of childbirth: a metasynthesis of qualitative studies. International Journal of Qualitative Studies on Health and Well-being. 2019 Dec 20;15(1):1704484. https://doi.org/10.1080/17482631.2019.1704484
Chong E, Mongelli M. Attitudes of Singapore women toward cesarean and vaginal deliveries. International Journal of Gynecology & Obstetrics. 2003 Jan 28;80(2):189-194. https://doi.org/10.1016/s0020-7292(02)00391-0
Serçekuş P, Okumuş H. Fears associated with childbirth among nulliparous women in Turkey. Midwifery. 2009 Apr;25(2):155-162. https://doi.org/10.1016/j.midw.2007.02.005
Serçekuş P, Egelioglu Cetisli N, İnci FH. Birth preferences by nulliparous women and their partners in Turkey. Sexual & Reproductive Healthcare. 2015 Oct;6(3):182-185. https://doi.org/10.1016/j.srhc.2015.03.002
Fenwick J, Staff L, Gamble J, Creedy DK, Bayes S. Why do women request caesarean section in a normal, healthy first pregnancy?. Midwifery. 2010 Aug;26(4):394-400. https://doi.org/10.1016/j.midw.2008.10.011
Kasai KE, Nomura RM, Benute GR, de Lucia MC, Zugaib M. Women's opinions about mode of birth in Brazil: a qualitative study in a public teaching hospital. Midwifery. 2010 Jun;26(3):319-326. https://doi.org/10.1016/j.midw.2008.08.001
Çaypınar SS. Awareness and perceptions of Turkish women towards delivery methods. Journal of Clinical and Experimental Investigations. 2014 Jun 11;5(2). https://doi.org/10.5799/ahinjs.01.2014.02.0385
Dehghani M, Sharpe L, Khatibi A. Catastrophizing mediates the relationship between fear of pain and preference for elective caesarean section. European Journal of Pain. 2013 Sep 24;18(4):582-589. https://doi.org/10.1002/j.1532-2149.2013.00404.x
Alakeely MH, Almutari AK, Alhekail GA, Abuoliat ZA, Althubaiti A, AboItai LA, Al-Kadri H. The effect of epidural education on Primigravid Women’s decision to request epidural analgesia: a cross-sectional study. BMC Pregnancy and Childbirth. 2018 May 3;18(1). https://doi.org/10.1186/s12884-018-1766-5
Faisal I, Matinnia N, Hejar A, Khodakarami Z. Why do primigravidae request caesarean section in a normal pregnancy? A qualitative study in Iran. Midwifery. 2014 Feb;30(2):227-233. https://doi.org/10.1016/j.midw.2013.08.011
Wiklund I, Edman G, Andolf E. Cesarean section on maternal request: reasons for the request, self-estimated health, expectations, experience of birth and signs of depression among first-time mothers. Acta Obstetricia et Gynecologica Scandinavica. 2007 Jan;86(4):451-456. https://doi.org/10.1080/00016340701217913
Hanna-Leena Melender R. Experiences of Fears Associated with Pregnancy and Childbirth: A Study of 329 Pregnant Women. Birth. 2002 Jun;29(2):101-111. https://doi.org/10.1046/j.1523-536x.2002.00170.x
Pakenham S, Chamberlain SM, Smith GN. Women’s Views on Elective Primary Caesarean Section. Journal of Obstetrics and Gynaecology Canada. 2006 Dec;28(12):1089-1094. https://doi.org/10.1016/s1701-2163(16)32335-0
Micek M, Kosinska-Kaczynska K, Godek B, Krowicka M, Szymusik I, Wielgos M. Birth after a previous cesarean section - what is most important in making a decision?. Neuro Endocrinology Letters. 2014;25(8):718-23. PMID 25702301
Human capital in Poland in the years 2014-2018. https://stat.gov.pl/obszary-tematyczne/inne-opracowania/inne-opracowania-zbiorcze
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