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Fear of childbirth in a sample of Tunisian women: factors related to pregnancy

Published online by Cambridge University Press:  27 August 2024

M. Abdelkefi*
Affiliation:
1Psychiatry C department
R. Feki
Affiliation:
1Psychiatry C department
R. Walha
Affiliation:
2Gynecology-Obstetrics department, Hedi Chaker university hospital, sfax, Tunisia
W. Zid
Affiliation:
2Gynecology-Obstetrics department, Hedi Chaker university hospital, sfax, Tunisia
I. Gassara
Affiliation:
1Psychiatry C department
N. Smaoui
Affiliation:
1Psychiatry C department
S. Omri
Affiliation:
1Psychiatry C department
N. Charfi
Affiliation:
1Psychiatry C department
L. Zouari
Affiliation:
1Psychiatry C department
J. Ben thabet
Affiliation:
1Psychiatry C department
K. Chaabene
Affiliation:
2Gynecology-Obstetrics department, Hedi Chaker university hospital, sfax, Tunisia
M. Maalej bouali
Affiliation:
1Psychiatry C department
M. Maalej
Affiliation:
1Psychiatry C department
*
*Corresponding author.

Abstract

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Introduction

Fear of childbirth is attracting growing interest because of its impact on the experience of pregnancy and on the progress of childbirth and it seems that some women are more susceptible to fear of childbirth than others are.

Objectives

Our objective is to identify pregnancy factors that predict the fear of childbirth.

Methods

We approached 350 pregnant women consulting at the Gynecology-Obstetrics department of the Hedi Chaker University Hospital of Sfax. We collected their sociodemographic and clinical data. Fear of childbirth was assessed using the French version of the Traumatic Event Scale (TES), adapted to assess fear of childbirth.

Results

The mean age of the participants was 28 years (16-41) and the mean gestational weak was 36.27. Half of the participants (53.7%) were nulliparous, and eight reported a history of infertility. The pregnancy was not planned in 61% of cases. As many as 67% of the participants had regular checkups, 50.3% had exaggerated somatic symptoms and 34.3% had pregnancy-related diseases.

The mean score for the TES was 48.73 ± 13.72.

We found a positive correlation between the TES score and nulliparity (p=0.01), gestational age ≥ 40 weeks (p=0.01), planned pregnancy (p=0.002), exaggerated somatic symptoms (p=0.03), and pregnancy-related diseases (p<0.001).

Conclusions

Identification of women at risk for fear of childbirth could help in preparing them before or during pregnancy to improve their childbirth experiences.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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