The effect of the systematic birth preparation program on fear of vaginal delivery and quality of life
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The aim of this study was to assess the impact of systematic birth preparation program on fear of vaginal delivery and quality of life (QoL) in pregnant women who request elective cesarean delivery without any obstetric indication.
This study was conducted prospectively. A total of 100 women who requested elective cesarean delivery due to psychosocial reasons were included into the study. Women were divided into two groups according to their desire to participate in the systematic birth preparation program. Group A: case group (n = 50) consisted of women who participated in the systematic birth preparation program. Group B: control group (n = 50) received usual antenatal care. All patients were interviewed with questionnaires including the World Health Organization Quality of Life Assessment-BREF (WHOQOL-BREF) and Edinburgh Postnatal Depression Scale (EPDS) at postpartum 6th week. Type of delivery, maternal request for cesarean section, scores for QoL, and postpartum depression were compared between the two groups.
Vaginal delivery rate was significantly higher in among the patients who received the systematic birth preparation program (group A: 78%, group B: 56%). Maternal request for elective cesarean section significantly decreased after the systematic birth preparation program (group A: 8%, group B: 28%). In group A, the WHOQOL-BREF-TR mean scores (SD) for physical domain, psychological domain, and environmental domain were significantly higher than the values exhibited in group B. In scores of the postpartum depression scale, there were no significant differences between the two groups (p = 0.075).
The current study indicates that systematic birth preparation program may decrease the rate of elective cesarean delivery by reducing fear of vaginal delivery and improve the quality of life at postpartum period.
KeywordsPregnancy Quality of life Systematic birth preparation program Vaginal delivery
The authors wish to thank all midwives and participants who made this study possible.
EOM protocol development, project development, data collection, and manuscript writing/editing. UCI protocol development and manuscript editing. IG data collection. YE data collection.
Compliance with ethical standards
Conflict of interest
The authors declare that there is no conflict of interest.
- 1.James D, Steer P, Weiner C, Gonik B (2010) High risk pregnancy: management options—expert consult, 4th edn. Saunder, LouisGoogle Scholar
- 2.World Health Organization (2015) WHO statement on caesarean section rates http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/. Accessed 21 May 2017
- 4.Eynsheykh ZD, Shaahmadi F, Taslimi S, Emamiureh F, Moeinaldini S (2013) Investigating the relationship between demographic factors and choice of delivery method in pregnant women in the city of Savojbolagh. J Fam Reprod Health 7:35–38Google Scholar
- 6.Cohen W, Friedman EA (1983) Management of labor. University, BaltimoreGoogle Scholar
- 7.Cunningham FG, Leveno KJ, Bloom S et al (2017) Williams Obstetrics, Abnormal Labor, 24th edn. McGraw-Hill Education, p 463Google Scholar
- 8.World Health Organization (1996) WHOQOL-BREF Introduction, administration, scoring and generic version of the assessment, programme on mental health. World Health Organization, GenevaGoogle Scholar
- 12.Masoumi SZ, Kazemi F, Oshvandi K, Jalali M, Esmaeili-Vardanjani A, Rafiei H (2016) Effect of training preparation for childbirth on fear of normal vaginal delivery and choosing the type of delivery among pregnant women in Hamadan, Iran: a randomized controlled trial. J Family Reprod Health 10(3):115–121PubMedPubMedCentralGoogle Scholar
- 18.Campell D (2008) Fear of pain causes a big rise in cesareans. https://www.theguardian.com/society/2008/oct/26/health-women. Accessed 19 May 2017
- 21.Howard LM, Flach C, Mehay A, Sharp D, Tylee A (2011) The prevalence of suicidal ideation identified by the Edinburgh Postnatal Depression Scale in postpartum women in primary care: findings from the RESPOND trial. BMC Pregnancy Childbirth 11:57. https://doi.org/10.1186/1471-2393-11-57 CrossRefPubMedPubMedCentralGoogle Scholar