Anxiety, Depression, Fear of Childbirth
Conditions
Keywords
Multipara, Psychoeducation, Prenatal class, Midwife, Psychiatric nurse
Brief summary
The purpose of the study is to develop and pilot an intervention for the treatment of fear of childbirth for multiparas and to evaluate the feasibility of the intervention in the treatment of fear of childbirth in multiparas.
Interventions
OTHERAn group intervention for multiparas with fear of childbirth
The intervention consists of 4 group meetings, three during pregnancy and once after giving birth. It also includes a phone call.
Sponsors
Finnish Institute for Health and Welfare
Metropolia University of Applied Sciences
Kanta-Häme Central Hospital
Tampere University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* over 18 years of age * understands finnish language * has self reported fear of childbirth * is a multipara * under 35 weeks pregnant * willingness to participate in the study
Exclusion criteria
* openly psychotic * at risk of suicide * serious substance abuse problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Fear of Childbirth from baseline to pregnancy week 36 to 8 weeks after birth | Baseline, week 36 of pregnancy and 8 weeks after birth | The FOBS (Fear of Birth scale) is a validated, self-reported instrument assessing fear of childbirth. Possible scores range from 0 (no fear) to 100 (worst possible fear). Change= (week 36 score - baseline score and 8 weeks after birth - baseline). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depression | Baseline, week 36 of pregnancy and 8 weeks after birth | EPDS (Edinburgh postnatal depression scale) is a validated, self-reported instrument assessing depression.Change= (week 36 score - baseline score and 8 weeks after birth - baseline). Possible scores range from 0 to 30 points. A higher score pointing towards a worse outcome. |
| Anxiety | Baseline, week 36 of pregnancy and 8 weeks after birth | HADS-A (Hospital Anxiety and depression scale - anxiety) is a validated, self-reported instrument assessing anxiety. Change= (week 36 score - baseline score and 8 weeks after birth - baseline).Possible scores range from 0 to 21 points. A higher score pointing towards a worse outcome. |
| Childbirth experience | Only one measurement point, at 8-weeks after birth. | CPS (Childbirth perception scale) is a validated, self-reported instrument assessing childbirth experience. Possible scores range from 0 to 48 points. A higher score pointing towards a worse outcome. |
| Pregnancy related anxiety | Baseline and week 36 of pregnancy | PRAQ-R2 (Pregnancy Related Anxiety Questionnaire for multiparas) is a validated, self-reported instrument assessing pregnancy related anxiety. Possible scores range from 10 to 50 points. A lower score pointing towards a worse outcome. |
| Maternal childbirth experience | Only one measurement point, at 8-weeks after birth. | VAS (the visual analogue scale) is a ten-point horizontal line with verbal anchors at the extremes of the scale, where higher scores mean better outcomes. The minimum value is 1, and maximum value is 10. VAS has been used to measure the childbirth experience or satisfaction with the childbirth experience in various studies. In addition, VAS has been successfully tested against more detailed measurement instruments, such as the childbirth experience questionnaire (CEQ) and the Wijma Delivery Expectations / Experience Questionnaire (WDEQ-B). |
Countries
Finland
Outcome results
None listed