ArticleActa obstetricia et gynecologica Scandinavica2023
Trends in the epidemiology of fear of childbirth and association with intended mode of delivery: A nationwide register-based cohort study in Finland.
Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 14 citations in OpenAlex.
- Fear of Childbirth After Major Orthopedic Traumas: A Nationwide Multi-Register Analysis.Birth (Berkeley, Calif.) · 2025Article
- Association of fear of childbirth and postpartum depression with perceived partner response during pregnancy.BMC pregnancy and childbirth · 2025Article
- The relationship between self-compassion and fear of childbirth in pregnant women with gestational diabetes.BMC pregnancy and childbirth · 2025Article
- The association between gestational diabetes and fear of childbirth: a longitudinal register study.BMC pregnancy and childbirth · 2024Article
- Fear of childbirth prolongs interpregnancy interval: A nationwide register-based quantile logistic regression analysis.European journal of obstetrics & gynecology and reproductive biology: X · 2024Article
- Fear of childbirth and its determinants in pregnant women in the third trimester: a cross-sectional study.BMC psychiatry · 2023Article
- Trends in the epidemiology of fear of childbirth and association with intended mode of delivery: A nationwide register-based cohort study in Finland.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Mode of delivery preferences: the role of childbirth fear among nulliparous women.Frontiers in psychology · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionFear of childbirth (FOC) is a common obstetrical challenge that affects the health of women. The epidemiology of FOC has not been studied in Finland for the last decade. The aim of this study was to analyze the epidemiology and risk factors for FOC and to evaluate the association between FOC and the rate of elective cesarean section (CS) as an intended mode of delivery. MATERIAL AND
methodsData from the National Medical Birth Register were used to evaluate the epidemiology of FOC and to determine the main risk factors for FOC in Finland between 2004 and 2018. Nulliparous and multiparous women were analyzed separately. Logistic regression model was used to determine the main risk factors for FOC. Multivariable logistic regression model was used to assess the intended mode of delivery in those pregnancies with diagnosed maternal FOC. Adjusted odds ratios (aOR) with 95% confidence intervals (CIs) were calculated.
resultsA total of 1 million pregnancies were included. The annual rate of pregnancies with maternal FOC increased from 1.5% (CI: 1.4-1.6) in 2004 to 9.1% (CI: 8.7-9.3) in 2018 for all women. For nulliparous women, the rate increased from 1.1% (CI: 1.0-1.3) in 2004 to 7.1% (CI: 6.7-7.5) in 2018, and from 1.8% (CI: 1.7-2.0) in 2004 to 10.3% (10.0-10.7) in 2018 for multiparous women. The strongest risk factors for maternal FOC were higher maternal age and gestational diabetes. For multiparous women, the strongest risk factors were gestational diabetes and previous CS. The total odds for elective CS were notably higher among women with FOC (aOR 8.63, CI: 8.39-8.88).
conclusionsThe incidence of maternal FOC rose six-fold during our study period. However, the numbers of elective CS among women with this diagnosis, which had earlier risen in parallel, leveled off in 2014.
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