OBJECTIVE:to investigate the prevalence of childbirth related fear in Swedish fathers and associated factors. DESIGN:a regional cohort study. Data was collected by a questionnaire. SETTING:three hospitals in the middle-north part of Sweden PARTICIPANTS:1047 expectant fathers recruited in mid-pregnancy during one year (2007) who completed the Fear of Birth Scale (FOBS). MEASUREMENTS:prevalence of childbirth fear and associated factors. Crude and adjusted odds ratios were calculated between men who scored 50 and above (childbirth fear) and those that did not (no fear). Logistic regression analysis was used to assess which factors contributed most to childbirth fear in fathers. FINDINGS:the prevalence of childbirth fear in men was 13.6%. Factors associated with childbirth related fear were as follows: Less positive feelings about the approaching birth (OR 3.4; 2.2-5.2), country of birth other than Sweden (OR 2.8; 1.3-6.1), a preference for a caesarean birth (OR 2.1; 1.7-4.1), childbirth thoughts in mid-pregnancy (OR 1.9; 1.1-2.0) and expecting the first baby (OR 1.8; 1.2-2.6). KEY CONCLUSIONS:high levels of fear were associated with first time fathers and being a non-native to Sweden. Men with fear were more likely to experience pregnancy and the coming birth as a negative event. These men were also more likely to identify caesarean section as their preferred mode of birth. IMPLICATIONS FOR PRACTICE:engaging expectant fathers in antenatal conversations about their experiences of pregnancy and feelings about birth provides health-care professionals with an opportunity to address childbirth fear, share relevant information and promote birth as a normal but significant life event.

译文

目的:调查瑞典父亲中与分娩有关的恐惧的患病率及相关因素。
设计:区域队列研究。通过问卷收集数据。
地点:瑞典中北部的三所医院
参加者:1047名在一年(2007年)中怀孕的准父亲完成了出生恐惧量表(FOBS)。
测量:分娩恐惧的发生率及相关因素。计算得分在50分以上(恐惧分娩)和未得分(无恐惧)的男性之间的粗略和调整后的优势比。 Logistic回归分析用于评估哪些因素对父亲的分娩恐惧影响最大。
结果:男性对分娩恐惧的患病率为13.6%。与分娩相关的恐惧相关的因素如下:对即将出生的人(OR 3.4; 2.2-5.2),瑞典以外的出生国(OR 2.8; 1.3-6.1)不太乐观,对剖腹产的偏爱(OR 2.1)。 ; 1.7-4.1),怀孕中期的分娩想法(OR 1.9; 1.1-2.0)并期待第一胎(OR 1.8; 1.2-2.6)。
关键结论:高度恐惧与初生父亲有关,并且不是瑞典人的原住民。有恐惧感的男人更有可能经历怀孕和分娩,这是一个负面事件。这些男人也更有可能将剖腹产确定为他们的首选分娩方式。
实践的意义:让准父亲参加有关他们的怀孕经历和对出生的感觉的产前谈话,使卫生保健专业人员有机会解决分娩恐惧,分享相关信息并促进出生,这是正常但重要的生活事件。

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