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Birth preference in...
Birth preference in women undergoing treatment for childbirth fear : A randomised controlled trial
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- Larsson, Birgitta (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Sundsvall Hosp, Res & Dev Ctr, S-84653 Sundsvall, Sweden,Uppsala University, Uppsala; Sundsvall Hospital,Uppsala universitet, Obstetrisk och reproduktiv hälsoforskning
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- Karlström, Annika, 1953- (författare)
- Mittuniversitetet,Avdelningen för omvårdnad,Mid Sweden Univ, Dept Nursing Sci, S-85170 Sundsvall, Sweden
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- Rubertsson, Christine, 1962- (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Uppsala universitet, Obstetrisk och reproduktiv hälsoforskning
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- Ternström, Elin, 1982- (författare)
- Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Uppsala universitet, Obstetrisk och reproduktiv hälsoforskning
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- Ekdahl, Johanna, 1978- (författare)
- Mittuniversitetet,Avdelningen för psykologi,Mid Sweden Univ, Dept Psychol, S-83125 Ostersund, Sweden
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- Segebladh, Birgitta, 1956- (författare)
- Uppsala universitet,Reproduktiv hälsa,Uppsala universitet, Reproduktiv hälsa
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- Hildingsson, Ingegerd (författare)
- Mittuniversitetet,Avdelningen för omvårdnad,Uppsala universitet, Obstetrisk och reproduktiv hälsoforskning,Obstetrisk och reproduktiv hälsoforskning,Mid Sweden Univ, Dept Nursing Sci, S-85170 Sundsvall, Sweden
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(creator_code:org_t)
- Elsevier BV, 2017
- 2017
- Engelska.
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Ingår i: Women and Birth. - : Elsevier BV. - 1871-5192 .- 1878-1799. ; 30:6, s. 460-467
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Childbirth fear is the most common underlying reason for requesting a caesarean section without medical reason. The aim of this randomised controlled study was to investigate birth preferences in women undergoing treatment for childbirth fear, and to investigate birth experience and satisfaction with the allocated treatment. Methods: Pregnant women classified with childbirth fear (≥60 on the Fear Of Birth Scale) (n = 258) were recruited at one university hospital and two regional hospitals over one year. The participants were randomised (1:1) to intervention (Internet-based Cognitive Behaviour Therapy (ICBT)) (n = 127) or standard care (face-to-face counselling) (n = 131). Data were collected by questionnaires in pregnancy week 20-25 (baseline), week 36 and two months after birth. Results: Caesarean section preference decreased from 34% to 12% in the ICBT group and from 24% to 20% in the counselling group. Two months after birth, the preference for caesarean increased to 20% in the ICBT group and to 29% in the counselling group, and there was no statistically significant change over time. Women in the ICBT group were less satisfied with the treatment (OR 4.5). The treatment had no impact on or worsened their childbirth fear (OR 5.5). There were no differences between the groups regarding birth experience. Conclusion: Women's birth preferences fluctuated over the course of pregnancy and after birth regardless of treatment method. Women felt their fear was reduced and were more satisfied with face-to-face counselling compared to ICBT. A higher percentage were lost to follow-up in ICBT group suggesting a need for further research.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- Caesarean section
- Childbirth fear
- Counselling
- Internet based cognitive behavioural therapy
- Randomised controlled trial
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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