| چکیده انگلیسی مقاله |
Background & aim: Fear of Childbirth (FOC) can be seen as an anxiety disorder or as a phobia that women experience during pregnancy and childbirth. Labor pain, as an inevitable and multidimensional experience, is closely related to women’s perception of childbirth and may interact with FOC. We conducted this study to compare the intensity of labor pain with the FOC in multiparous and primiparous women.Methods: This cross-sectional study was conducted using convenience sampling on 432 pregnant women in Babol, Iran, between January 2018 and June 2019.. All pregnant women completed the demographic and fear of childbirth (FOC) questionnaires. Then, labor pain intensity, four times measured in labor and postpartum using a visual analog scale (VAS). Data were analyzed using SPSS version 16 software and descriptive and analytical indices.Results: FOC in primiparous women was significantly higher than in multiparous mothers (MD: 12.08<0.001, P). The multivariate linear regression test showed that after adjusting the counfounding and obstetric variables, in terms of intensity of pain in the active phase of labor (MD: 0.07; CI 95% -0.32, 0.47; P=0.71) and the expulsion of the fetus (MD: 0.02; CI 95% -0.38, 0.44; P=0.89), there was no statistically significant difference between primiparous and multiparous women. However, multiparous women reported significantly more pain compared with primiparous women during placental expulsion (MD: 0.52; CI 95% 0.01; P = 0.043).Conclusion: This study provides basic information for policy makers to pay more attention to reducing the fear and pain of childbirth, in primiparous and multiparous women. |
| نویسندگان مقاله |
| Maryam Nikpour
Assistant Professor, Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| Masoumeh Alijanpoor
Assistant Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| Fereshteh Behmanesh
Associate Professor, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| Atefeh Omrani
Lecturer and Researcher in Health and Social Care and Public Health, Department of Health and Social Care, Faculty of Education and Society, University of Sunderland in London, London, United Kingdom
| Fatemeh Yahyavi
Assistant Professor, Department of Nursing and Midwifery, Bab.C., Islamic Azad University, Babol, Iran
| Fatemeh Karimnezhad Sorkhi
MSc in Midwifery, Mehregan Hospital, Babol University of Medical Sciences, Babol, Iran
| Tehereh Haghighi Kenari
Lecturer, Department of Midwifery, Babol University of Medical Sciences, Babol, Iran
| Karimollah Hajian
Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| Farideh Mohsenzadeh Ledari
Assistant Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| Mahbobeh Faramarzi
Professor, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
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