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Related Experiment Videos

Fear during labor.

S Alehagen1, K Wijma, B Wijma

  • 1Department of Health and Environment, Division of Obstetrics and Gynaecology, Faculty of Health Sciences, Linköping University, Linköping, Sweden.

Acta Obstetricia Et Gynecologica Scandinavica
|March 27, 2001
PubMed
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Primiparous women experience greater fear of delivery than multiparous women. This early labor fear predicts the amount of pain relief needed but not delivery outcomes.

Area of Science:

  • Reproductive Health
  • Obstetrics and Gynecology
  • Psychological Aspects of Childbirth

Background:

  • Fear of delivery is a significant concern during labor.
  • Understanding differences in fear between primiparous and multiparous women is crucial for targeted support.
  • Early labor fear may influence labor progression and pain management.

Purpose of the Study:

  • To compare fear of delivery experiences between primiparous and multiparous women in early active labor.
  • To assess if early labor fear predicts pain relief needs, labor duration, and delivery mode (instrumental or cesarean section).

Main Methods:

  • Utilized the Delivery Fear Scale (DFS) to measure fear levels.
  • Assessed 35 primiparous and 39 multiparous women during early active labor (3-5 cm cervical dilation).

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  • Data collected before any pain relief was administered.

    • Main Results:

    • Primiparous women reported significantly higher levels of fear compared to multiparous women.
    • Fear experienced during the first phase of labor was a predictor solely for the total amount of pain relief required.
    • No significant prediction was found for labor duration or the occurrence of instrumental vaginal delivery or emergency cesarean section.

    Conclusions:

    • Clinical staff should acknowledge and address women's fear during labor, particularly in primiparous women.
    • Early identification of high fear levels in primiparous women is essential.
    • Supporting women to reduce fear may decrease their need for pain relief during labor.