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Fear of Childbirth PowerPoint Presentation

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Description : Childbirth has always been an event connected to the existence of life, and thereby it is rational to feel fearful that something uncontrollable could happen. The paradox is that even if maternity care today is very safe, fear of childbirth is a problem, often manifested as stress symptoms, an influence on everyday life, a request for a caesarean section or a wish to avoid pregnancy and childbirth.

Tags : childbirth,Fear of Childbirth,pregnancy

Published on : Dec 23, 2023 | Views : 1266 | Downloads : 0

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Slide 1-

Women's lived experience of fear of childbirth: A qualitative study BY: NASIM TOLOOYI KASHTIBAN
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Introduction Childbirth has always been an event connected to the existence of life, and thereby it is rational to feel fearful that something uncontrollable could happen. The paradox is that even if maternity care today is very safe, fear of childbirth is a problem, often manifested as stress symptoms, an influence on everyday life, a request for a caesarean section or a wish to avoid pregnancy and childbirth.
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Introduction Fear of childbirth is related to depression, vulnerability, lack of social support, lack of trust in health-care staff and a previous negative childbirth experience. Fear of childbirth can increase the risk of complicated childbirth and emergency caesarean section. A traumatic birth experience or a complicated birth increases the risk for posttraumatic stress disorder.
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Introduction At the time of this study, women with signs of severe fear of childbirth could contact the ‘Aurorateam’ by phone after receiving advice from her midwife or doctor at the maternity centre. After appraisal from the team, the woman had two or three counselling sessions with a specialist midwife at the hospital, with some women receiving five or more sessions.
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Introduction They were focused on the woman’s fear, how it was experienced by her and how it affected her. Information and education were given by the midwife, including visits to the labour ward. A birth plan according to the woman’s wishes was developed. Women expressing severe psychological or psychiatric difficulties were also referred to a psychologist.
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Introduction Studies about the effectiveness of treatment for fear of childbirth show that individual psychological and obstetric support is successful: women who were treated showed a reduction of pregnancy-related concerns, a withdrawal of requests for caesarean sections by 50–62%, and successful and shorter vaginal births compared with women who were not treated.
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Methods Setting: Sahlgrenska University Hospital, Go¨teborg, Sweden in 2013. Participants: eight pregnant women (24–37 gestational weeks) seeking help within an outpatient clinic for women with severe fear of childbirth (experience of fear in previous delivery) Two of the women were primiparous. and 10 women in post partum. Findings: 10 constituents were identified. “ 10 themes and statements”
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Not getting to the hospital in time Not getting to the hospital in time "My fear was giving birth on the side of the road!" "I was afraid I'd have the baby in the car." "My fear was having my water break and needing to quickly get to the hospital while my husband was at work."
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Life-threatening complications Life-threatening complications "My fear was there would be serious complications endangering both the baby's life and mine." "I worried about me or the baby dying during the delivery."
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The baby not being healthy The baby not being healthy "This was our fifth child, so the birthing experience wasn't scary – but the thought of her not being okay was." "I feared that there would be something – anything – wrong with the baby." "I was mostly concerned about the baby's health. I was horrified the baby would be sick or die. I know it's morbid, but it was my biggest fear!"
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Unwanted interventions Unwanted interventions "I was afraid of ending up with a c-section or an episiotomy." "I was afraid of getting a cascade of medical interventions that involved more drugs than I wanted." "I feared ending up with a c-section – which I did." "I was scared that I'd have to be induced, which ended up happening anyway since I was 10 days late."
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Being in pain Being in pain "I was terrified of the pain (it wasn't as bad as I anticipated!)." "I was worried about pain and not getting the epidural in time." "I was most scared about the pain of pushing."
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Not knowing how to care for the baby Not knowing how to care for the baby "I worried about how my husband and I were going to take care of this tiny human being." "The fact that I was about to be a mom was so scary to me! I don't know why, but it was." "It was scary to realize that I would soon be fully responsible for another life."
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Loss of modesty Loss of modesty "I am worry about my water breaking in a public place." "Honestly, I was worried how my bladder would do. I have a chronic condition. Looking back, that seems silly, but I was worried about it!" "I am afraid that I'd have a bowel movement during pushing." "I was scared about being naked in front of a bunch of people." "I'm a very modest person, and I don't like to be 'out in the open,' and that's what I was most concerned with."
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Facing the unknown Facing the unknown "I think the biggest fear I had was that I just didn't know what to expect." "The unknown was really my biggest fear. I didn't know how it would hurt, just that it would. There was also a bit of 'Now what do we do?!' panic."
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Not being able to give birth Not being able to give birth "I was afraid that I wouldn't be able to do it." "My biggest fear about giving birth was not being able to push enough for my baby to be born!" "I was nervous that I wouldn't be physically able to push my child out." "I just didn't think I'd be able to push a baby out of my vagina."
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Tearing Tearing "Tearing has always been my biggest fear." "I was particularly afraid of tearing."
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In the hope of giving birth without fear