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Global Perspectives of Childbirth Fear Including the Relevant Evidence

  • Helen Haines
Chapter

Abstract

This chapter examines the universality of fear of birth across societies and cultures. It highlights that multiple cultures exist within a country with concomitant multiplicity in the origin and content of a woman’s fear. The level of resourcing available to the health system and the people who work within it can lead to some fears such as fear of death or disability being more likely for women in low income countries than for women in high income countries. While for some women the possibility of choosing significant interventions such as caesarean is a way to deal with their fear of birth, for others the fear of too much technology and intervention conversely is a key driver for choosing alternatives to the dominant medicalised birthing context. The importance of traditional cultural practices surrounding birth remains for many women. As modernity imposes new practices upon them a fear of losing key rites of passage and connection is an important fear. The significance of kind, compassionate care from trusted caregivers no matter what cultural or social setting the woman is in remains paramount to working with all women and especially those who are highly fearful.

Keywords

Culture Norms Society Systems of care 

References

  1. Australian Institute of Health and Welfare (2018) In: AIHW (ed) Australia’s women and babies 2016. Australian Institute of Health and Welfare, CanberraGoogle Scholar
  2. Behruzi R, Hatem M, Goulet L, Fraser W, Misago C (2013) Understanding childbirth practices as an organizational cultural phenomenon: a conceptual framework. BMC Pregnancy Childbirth 13:205PubMedPubMedCentralCrossRefGoogle Scholar
  3. Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP et al (2015) The mistreatment of women during childbirth in health facilities globally: a mixed-methods systematic review. PLoS Med 12(6):e1001847; discussion ePubMedPubMedCentralCrossRefGoogle Scholar
  4. Byrne J, Hauck Y, Fisher C, Bayes S, Schutze R (2014) Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. J Midwifery Women’s Health 59(2):192–197CrossRefGoogle Scholar
  5. Calderani E, Giardinelli L, Scannerini S, Arcabasso S, Compagno E, Petraglia F et al (2019) Tokophobia in the DSM-5 era: outcomes of a new cut-off analysis of the Wijma delivery expectancy/experience questionnaire based on clinical presentation. J Psychosom Res 116:37–43PubMedCrossRefPubMedCentralGoogle Scholar
  6. Craig BJ, Kabylbekova Z (2015) Culture and maternity care in Kazakhstan: what new women expected. Health Care Women Int 36(1):41–56PubMedCrossRefPubMedCentralGoogle Scholar
  7. d’Ambruoso L, Abbey M, Hussein J (2005) Please understand when I cry out in pain: women’s accounts of maternity services during labour and delivery in Ghana. BMC Public Health 5(1):140–111PubMedPubMedCentralCrossRefGoogle Scholar
  8. Dahlen HG, Caplice S (2014) What do midwives fear? Women Birth 27(4):266–270PubMedPubMedCentralCrossRefGoogle Scholar
  9. Dahlen HG, Tracy S, Tracy M, Bisits A, Brown C, Thornton C (2014) Rates of obstetric intervention and associated perinatal mortality and morbidity among low-risk women giving birth in private and public hospitals in NSW (2000–2008): a linked data population-based cohort study. BMJ Open 4(5):e004551PubMedPubMedCentralCrossRefGoogle Scholar
  10. Davis-Floyd R (2003, 2004) Birth as an American rite of passage, 2nd edn. University of California Press, BerkeleyCrossRefGoogle Scholar
  11. Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H et al (2018) Causes and outcomes in studies of fear of childbirth: a systematic review. Women Birth 32(2):99–111PubMedCrossRefPubMedCentralGoogle Scholar
  12. Donaldson C, Hundley V, Mapp T (1998) Willingness to pay: a method for measuring preferences for maternity care? Birth 25(1):32–39PubMedCrossRefPubMedCentralGoogle Scholar
  13. Downe S, Finlayson K, Oladapo OT, Bonet M, Gülmezoglu AM (2018) What matters to women during childbirth: a systematic qualitative review. PLoS One 13(4):e0194906-eCrossRefGoogle Scholar
  14. Rigg EC, Schmied V, Peters K, Dahlen HG (2017) Why do women choose an unregulated birth worker to birth at home in Australia: a qualitative study. BMC Pregnancy Childbirth 17(1):1–14Google Scholar
  15. Feeley C, Thomson G (2016) Tensions and conflicts in ‘choice’: womens’ experiences of freebirthing in the UK. Midwifery 41:16–21PubMedPubMedCentralCrossRefGoogle Scholar
  16. Fenwick J, Toohill J, Creedy DK, Smith J, Gamble J (2015) Sources, responses and moderators of childbirth fear in Australian women: a qualitative investigation. Midwifery 31:239–246PubMedPubMedCentralCrossRefGoogle Scholar
  17. Fenwick J, Toohill J, Slavin V, Creedy DK, Gamble J (2018) Original research - quantitative: improving psychoeducation for women fearful of childbirth: evaluation of a research translation project. Women Birth 31:1–9PubMedCrossRefPubMedCentralGoogle Scholar
  18. Forster DA, McLachlan HL, Davey M-A, Biro MA, Farrell T, Gold L et al (2016) Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial. BMC Pregnancy Childbirth 16(1):28PubMedPubMedCentralCrossRefGoogle Scholar
  19. Geissbuehler V, Eberhard J (2002) Fear of childbirth during pregnancy: a study of more than 8000 pregnant women. J Psychosom Obstet Gynaecol 23(4):229PubMedPubMedCentralCrossRefGoogle Scholar
  20. Gert AK, van Bakel HJ, van den Heuvel M, Vingerhoets AJ (2016) Severe fear of childbirth: its features, assessment, prevalence, determinants, consequences and possible treatments. Psychol Top 25(1):107–127Google Scholar
  21. Haines H, Pallant JF, Karlström A, Hildingsson I (2011) Cross-cultural comparison of levels of childbirth-related fear in an Australian and Swedish sample. Midwifery 27:560–567PubMedPubMedCentralCrossRefGoogle Scholar
  22. Haines H, Rubertsson C, Pallant JF, Hildingsson I (2012a) Womens’ attitudes and beliefs of childbirth and association with birth preference: a comparison of a Swedish and an Australian sample in mid-pregnancy. Midwifery 28(6):e850–e856PubMedCrossRefGoogle Scholar
  23. Haines HM, Rubertsson C, Pallant Julie F, Hildingsson I (2012b) The influence of women’s fear, attitudes and beliefs of childbirth on mode and experience of birth. BMC Pregnancy Childbirth 12(1):55PubMedPubMedCentralCrossRefGoogle Scholar
  24. Halperin O, Sarid O, Cwikel J (2014) A comparison of Israeli Jewish and Arab women’s birth perceptions. Midwifery 30:853–861PubMedCrossRefPubMedCentralGoogle Scholar
  25. Hamama-Raz Y, Sommerfeld E, Ken-Dror D, Lacher R, Ben-Ezra M (2017) The role of intra-personal and inter-personal factors in fear of childbirth: a preliminary study. Psychiatry Q 88(2):385–396CrossRefGoogle Scholar
  26. Hildingsson I, Nilsson C, Karlström A, Lundgren I (2011) Research: a longitudinal survey of childbirth-related fear and associated factors. J Obstet Gynecol Neonatal Nurs 40:532–543PubMedCrossRefPubMedCentralGoogle Scholar
  27. Hildingsson I, Haines H, Karlstrom A, Nystedt A (2017) Presence and process of fear of birth during pregnancy-findings from a longitudinal cohort study. Women Birth 30:E242–E2E7PubMedCrossRefPubMedCentralGoogle Scholar
  28. Hildingsson I, Karlström A, Rubertsson C, Haines H (2018) Women with fear of childbirth might benefit from having a known midwife during labour. Women Birth 32(1):58–63PubMedCrossRefPubMedCentralGoogle Scholar
  29. Hollander M, de Miranda E, van Dillen J, de Graaf I, Vandenbussche F, Holten L (2017) Women’s motivations for choosing a high risk birth setting against medical advice in the Netherlands: a qualitative analysis. BMC Pregnancy Childbirth 17(1):423PubMedPubMedCentralCrossRefGoogle Scholar
  30. Human Rights and Equal Opportunity Commission (2017) Bringing them home: National Enquiry into the Separation of Aboriginal and Torres Strait Islander Children from their Families Canberra Australia Commonwealth of Australia; 1997 [January 2019]. Available from: https://www.humanrights.gov.au/sites/default/files/content/pdf/social_justice/bringing_them_home_report.pdf
  31. Jha P, Larsson M, Christensson K, Svanberg AS (2018) Fear of childbirth and depressive symptoms among postnatal women: a cross-sectional survey from Chhattisgarh, India. Women Birth 31(2):E122–EE33PubMedCrossRefPubMedCentralGoogle Scholar
  32. Jordan B (1993) Birth in four cultures: a crosscultural investigation of childbirth in Yucatan, Holland, Sweden, and the United States. Waveland Press, Prospect HeightsGoogle Scholar
  33. Karlstrom A, Radestad I, Eriksson C, Rubertsson C, Nystedt A, Hildingsson I (2010) Cesarean section without medical reason, 1997 to 2006: a Swedish register study. Birth 37(1):11–20PubMedCrossRefPubMedCentralGoogle Scholar
  34. Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS, Shackelford KA, Steiner C, Heuton KR et al (2014) Global, regional, and national levels and causes of maternal mortality during 1990–2013: a systematic analysis for the global burden of disease study 2013. Lancet 384(9947):980–1004PubMedPubMedCentralCrossRefGoogle Scholar
  35. Katayoun A, Fatemeh N, Masoumeh S, Maryam B (2017) The role of fear of childbirth in pregnancy related anxiety in Iranian women: a qualitative research. Electron Physician 9(2):3733–3740CrossRefGoogle Scholar
  36. Kildea S (2006) Risky business: contested knowledge over safe birthing services for aboriginal women. Health Sociol Rev 15(4):387–396.  https://doi.org/10.5172/hesr.2006.15.4.387CrossRefGoogle Scholar
  37. Kildea S, Wardaguga M (2009) Childbirth in Australia: aboriginal and Torres Strait islander women. In: Selin H (ed) Childbirth across cultures: ideas and practices of pregnancy, childbirth and the postpartum. Springer, New York, pp 275–285CrossRefGoogle Scholar
  38. Kildea S, Kruske S, Barclay L, Tracy S (2010) ‘Closing the gap’: how maternity services can contribute to reducing poor maternal infant health outcomes for aboriginal and Torres Strait islander women. Rural Remote Health 10(3):1383PubMedPubMedCentralGoogle Scholar
  39. Kildea S, Gao Y, Rolfe M, Josif CM, Bar-Zeev SJ, Steenkamp M et al (2016) Remote links: redesigning maternity care for Aboriginal women from remote communities in Northern Australia – a comparative cohort study. Midwifery 34:47–57PubMedCrossRefPubMedCentralGoogle Scholar
  40. Korukcu O, Bulut O, Kukulu K (2019) From experiences to expectations: a quantitative study on the fear of childbirth among multigravida women. Arch Psychiatr Nurs. 33(3):248–253.  https://doi.org/10.1016/j.apnu.2018.11.002PubMedCrossRefPubMedCentralGoogle Scholar
  41. Kruske S, Kildea S, Barclay L (2006) Cultural safety and maternity care for aboriginal and Torres Strait islander Australians. Women Birth 19(3):73–77PubMedCrossRefPubMedCentralGoogle Scholar
  42. Larsson B, Hildingsson I, Ternström E, Rubertsson C, Karlström A (2018) Original research - qualitative: women’s experience of midwife-led counselling and its influence on childbirth fear: a qualitative study. Women Birth 32(1):e88–e94PubMedCrossRefPubMedCentralGoogle Scholar
  43. Liamputtong P, Yimyam S, Parisunyakul S, Baosoung C, Sansiriphun N (2005) Traditional beliefs about pregnancy and child birth among women from Chiang Mai. Northern Thailand 21(2):139Google Scholar
  44. Lukasse M, Schei B, Ryding EL (2014) Prevalence and associated factors of fear of childbirth in six European countries. Sex Reprod Healthc 5:99–106PubMedCrossRefPubMedCentralGoogle Scholar
  45. Lundberg PC, Gerezgiher A (2008) Experiences from pregnancy and childbirth related to female genital mutilation among Eritrean immigrant women in Sweden. Midwifery 24(2):214–225PubMedCrossRefPubMedCentralGoogle Scholar
  46. Lupton D (2012) ‘Precious cargo’: foetal subjects, risk and reproductive citizenship. Crit Public Health 22(3):329–340CrossRefGoogle Scholar
  47. Lupton D (2013) Risk, 2nd edn. Routledge, LondonGoogle Scholar
  48. Mahboubeh K, Katayon V, Mona Nasir zadeh M (2014) Investigating different factors of fear in normal delivery among pregnant women. Arak -a cross sectional study. J Fasa Univ Med Sci 4(2):161–167Google Scholar
  49. Mein Smith P (2002) Blood, birth, babies, bodies [expressions of concern about population and race]. Aust Fem Stud 17(39):305–323CrossRefGoogle Scholar
  50. Michael CK (2005) Obstetricianʼs fear of childbirth: how did it happen? Birth 32(3):207CrossRefGoogle Scholar
  51. Miller S, Abalos E, Chamillard M, Ciapponi A, Colaci D, Comande D et al (2016) Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet 388(10056):2176–2192PubMedPubMedCentralCrossRefGoogle Scholar
  52. Moore MF (2016) Multicultural differences in women’s expectations of birth. ABNF J Inc 27(2):39–43Google Scholar
  53. Moore S (2018) Don’t tell women to shut up about childbirth. Sharing stories saves lives The Guardian News and Media (GNM); 2018 [cited 2018 September 2018]. Available from: https://www.theguardian.com/commentisfree/2018/sep/13/women-childbirth-stories-giving-birth-painful
  54. Nilsson C (2014) The delivery room: is it a safe place? A hermeneutic analysis of women’s negative birth experiences. Sex Reprod Healthc 5:199–204PubMedCrossRefPubMedCentralGoogle Scholar
  55. Nilsson C, Hessman E, Sjöblom H, Dencker A, Jangsten E, Mollberg M et al (2018) Definitions, measurements and prevalence of fear of childbirth: a systematic review. BMC Pregnancy Childbirth 18(1):28PubMedPubMedCentralCrossRefGoogle Scholar
  56. Phipps A (2014) The politics of the body: gender in a neoliberal and neoconservative age. Polity Press, MaldenGoogle Scholar
  57. Preis H, Benyamini Y, Eberhard-Gran M, Garthus-Niegel S (2018) Childbirth preferences and related fears - comparison between Norway and Israel. BMC Pregnancy Childbirth 18(1):362PubMedPubMedCentralCrossRefGoogle Scholar
  58. Reiger K, Dempsey R (2006) Performing birth in a culture of fear: an embodied crisis of late modernity. Health Sociol Rev 15(4):364CrossRefGoogle Scholar
  59. Rondung E (2018) Psychological perspectives on fear of birth: heterogeneity, mechanisms and treatment. Doctoral Thesis, Mid Sweden University, SundsvallGoogle Scholar
  60. Rondung E, Thomten J, Sundin O (2016) Psychological perspectives on fear of childbirth. J Anxiety Disord 44:80–91PubMedPubMedCentralCrossRefGoogle Scholar
  61. Rondung E, Ekdahl J, Sundin Ö (2018) Potential mechanisms in fear of birth: the role of pain catastrophizing and intolerance of uncertainty. Birth 46(1):61–68PubMedCrossRefGoogle Scholar
  62. Roosevelt L, Low LK (2016) Research: exploring fear of childbirth in the United States through a qualitative assessment of the Wijma delivery expectancy questionnaire. J Obstet Gynecol Neonatal Nurs 45:28–38PubMedCrossRefGoogle Scholar
  63. Saisto T, Salmela-Aro K, Nurmi J-E, Könönen T, Halmesmäki E (2001) A randomized controlled trial of intervention in fear of childbirth. Obstet Gynecol 98(Part 1):820–826PubMedGoogle Scholar
  64. Salomonsson B (2012) Fear is in the air: midwives’ perspectives of fear of childbirth and childbirth self-efficacy and fear of childbirth in nulliparous pregnant women. Linköping University, LinköpingGoogle Scholar
  65. Sandall J (2016) Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev 4:CD004667PubMedGoogle Scholar
  66. Sercekus P, Okumus H (2009) Fears associated with childbirth among nulliparous women in Turkey. Midwifery 25(2):155–162PubMedCrossRefPubMedCentralGoogle Scholar
  67. Shah R (2016) Bypassing birthing centres for child birth: a community-based study in rural Chitwan Nepal. BMC Health Serv Res 16(1):597PubMedPubMedCentralCrossRefGoogle Scholar
  68. Sheen K, Slade P (2018) Examining the content and moderators of women’s fears for giving birth: a meta-synthesis. J Clin Nurs 27(13–14):2523–2535PubMedPubMedCentralCrossRefGoogle Scholar
  69. Stoll K, Edmonds JK, Hall WA (2015) Fear of childbirth and preference for Cesarean delivery among young American women before childbirth. Birth 42(3):270PubMedCrossRefPubMedCentralGoogle Scholar
  70. Stoll K, Hauck Y, Downe S, Edmonds J, Gross MM, Malott A et al (2016) Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy. Sex Reprod Healthc 8:49–54PubMedCrossRefPubMedCentralGoogle Scholar
  71. Stoll KH, Hauck YL, Downe S, Payne D, Hall WA (2017) International childbirth attitudes- prior to pregnancy study T. Preference for cesarean section in young nulligravid women in eight OECD countries and implications for reproductive health education. Reprod Health 14(1):1–9CrossRefGoogle Scholar
  72. Striebich S, Mattern E, Ayerle GM (2018) Review article: support for pregnant women identified with fear of childbirth (FOC)/tokophobia – a systematic review of approaches and interventions. Midwifery 61:97–115PubMedPubMedCentralCrossRefGoogle Scholar
  73. Sukhee A (2009) Childbirth in Korea. In: Selin H (ed) Childbirth across cultures: ideas and practices of pregnancy, childbirth and the postpartum. Springer, New York, pp 77–85Google Scholar
  74. Takegata M, Haruna M, Matsuzaki M, Shiraishi M, Okano T, Severinsson E (2014) Antenatal fear of childbirth and sense of coherence among healthy pregnant women in Japan: a cross-sectional study. Arch Womens Ment Health 17(5):403PubMedCrossRefPubMedCentralGoogle Scholar
  75. Ternström E, Hildingsson I, Haines H, Rubertsson C (2015) Higher prevalence of childbirth related fear in foreign born pregnant women – findings from a community sample in Sweden. Midwifery 31:445–450PubMedCrossRefPubMedCentralGoogle Scholar
  76. Ternström E, Hildingsson I, Haines H, Karlström A, Sundin Ö, Ekdahl J et al (2017) A randomized controlled study comparing internet-based cognitive behavioral therapy and counselling by standard care for fear of birth – a study protocol. Sex Reprod Healthc 13:75–82PubMedCrossRefPubMedCentralGoogle Scholar
  77. Theuring S, Koroma AP, Harms G (2018) “In the hospital, there will be nobody to pamper me”: a qualitative assessment on barriers to facility-based delivery in post-Ebola Sierra Leone. Reprod Health 15:155PubMedPubMedCentralCrossRefGoogle Scholar
  78. Ünsalver BÖ, Sezen C (2017) EV1538: group art therapy for the management of fear of giving birth. Eur Psychiatry 41(Supplement):S909Google Scholar
  79. Van Hollen C (1994) Perspectives on the anthropology of birth. Culture. Med Psychiat 18(4):501CrossRefGoogle Scholar
  80. Waldenstrom U, Hildingsson I, Ryding EL (2006) Antenatal fear of childbirth and its association with subsequent caesarean section and experience of childbirth. BJOG 113(6):638–646PubMedCrossRefPubMedCentralGoogle Scholar
  81. Wilson JP (2014) Noongar Women’s birth experience. Australia University of Notre Dame ResearchOnline@ND 2014–01-01T08:00:00Z, FremantleGoogle Scholar
  82. Winnicot DW (1971) Playing and reality. Tavistock, LondonGoogle Scholar
  83. World Health Organization (2018) WHO recommendations: intrapartum care for a positive childbirth experience. World Health Organization, GenevaGoogle Scholar
  84. Yuhui S, Ying J, Qingqi Z, Yanfei Y, Hui Y, Chun C et al (2016) Influencing factors associated with the mode of birth among childbearing women in Hunan Province: a cross-sectional study in China. BMC Pregnancy Childbirth 16:1–9CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Helen Haines
    • 1
  1. 1.Department of Rural HealthUniversity of MelbourneSheppartonAustralia

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