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Women with fear of childbirth might benefit from having a known midwife during labour

Hildingsson, Ingegerd; Karlström, Annika; Rubertsson, Christine LU and Haines, Helen (2019) In Women and Birth 32(1). p.58-63
Abstract

Aim: Having a known midwife at birth is valued by women across the world, however it is unusual for women with fear of childbirth to have access to this model of care. The aim of this study was to describe the prevalence and factors related to having access to a known midwife for women referred to counseling due to childbirth fear. We also wanted to explore if women's levels of childbirth fear changed over time. Methods: A pilot study of 70 women referred to counseling due to fear of birth in 3 Swedish hospitals, and where the counseling midwife, when possible, also assisted during labour and birth. Results: 34% of the women actually had a known midwife during labour and birth. Women who had a known midwife had significantly more... (More)

Aim: Having a known midwife at birth is valued by women across the world, however it is unusual for women with fear of childbirth to have access to this model of care. The aim of this study was to describe the prevalence and factors related to having access to a known midwife for women referred to counseling due to childbirth fear. We also wanted to explore if women's levels of childbirth fear changed over time. Methods: A pilot study of 70 women referred to counseling due to fear of birth in 3 Swedish hospitals, and where the counseling midwife, when possible, also assisted during labour and birth. Results: 34% of the women actually had a known midwife during labour and birth. Women who had a known midwife had significantly more counseling visits, they viewed the continuity of care as more important, were more satisfied with the counseling and 29% reported that their fear disappeared. Fear of birth decreased significantly over time for all women irrespective of whether they were cared for in labour by a known midwife or not. Conclusions: Although the women in the present study had limited access to a known midwife, the results indicate that having a known midwife whom the women met on several occasions made them more satisfied with the counseling and had a positive effect on their fear. Building a trustful midwife–woman relationship rather than counseling per se could be the key issue when it comes to fear of birth.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Continuity, Counseling, Fear of childbirth, Intrapartum care, Pregnancy
in
Women and Birth
volume
32
issue
1
pages
58 - 63
publisher
Elsevier
external identifiers
  • scopus:85047095727
ISSN
1871-5192
DOI
10.1016/j.wombi.2018.04.014
language
English
LU publication?
yes
id
5e3fde22-3c25-4a29-aa22-7ffe17cc070d
date added to LUP
2018-05-30 15:42:13
date last changed
2019-02-20 11:18:38
@article{5e3fde22-3c25-4a29-aa22-7ffe17cc070d,
  abstract     = {<p>Aim: Having a known midwife at birth is valued by women across the world, however it is unusual for women with fear of childbirth to have access to this model of care. The aim of this study was to describe the prevalence and factors related to having access to a known midwife for women referred to counseling due to childbirth fear. We also wanted to explore if women's levels of childbirth fear changed over time. Methods: A pilot study of 70 women referred to counseling due to fear of birth in 3 Swedish hospitals, and where the counseling midwife, when possible, also assisted during labour and birth. Results: 34% of the women actually had a known midwife during labour and birth. Women who had a known midwife had significantly more counseling visits, they viewed the continuity of care as more important, were more satisfied with the counseling and 29% reported that their fear disappeared. Fear of birth decreased significantly over time for all women irrespective of whether they were cared for in labour by a known midwife or not. Conclusions: Although the women in the present study had limited access to a known midwife, the results indicate that having a known midwife whom the women met on several occasions made them more satisfied with the counseling and had a positive effect on their fear. Building a trustful midwife–woman relationship rather than counseling per se could be the key issue when it comes to fear of birth.</p>},
  author       = {Hildingsson, Ingegerd and Karlström, Annika and Rubertsson, Christine and Haines, Helen},
  issn         = {1871-5192},
  keyword      = {Continuity,Counseling,Fear of childbirth,Intrapartum care,Pregnancy},
  language     = {eng},
  number       = {1},
  pages        = {58--63},
  publisher    = {Elsevier},
  series       = {Women and Birth},
  title        = {Women with fear of childbirth might benefit from having a known midwife during labour},
  url          = {http://dx.doi.org/10.1016/j.wombi.2018.04.014},
  volume       = {32},
  year         = {2019},
}