Gaining Insight from Future Mothers: A Survey of Attitudes and Perspectives of Childbirth

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aut.relation.articlenumber103499en_NZ
aut.relation.issueDecemberen_NZ
aut.relation.journalMidwiferyen_NZ
aut.relation.volume115en_NZ
aut.researcherPlank, Sarah
dc.contributor.authorClemons, Jen_NZ
dc.contributor.authorPayne, Den_NZ
dc.contributor.authorGarrett, Nen_NZ
dc.contributor.authorFarry, Aen_NZ
dc.contributor.authorMcAra-Couper, Jen_NZ
dc.contributor.authorSwift, Een_NZ
dc.contributor.authorStoll, Ken_NZ
dc.date.accessioned2022-10-20T01:43:19Z
dc.date.available2022-10-20T01:43:19Z
dc.date.copyright2022en_NZ
dc.date.issued2022en_NZ
dc.description.abstractObjective: To determine whether participant characteristics and/or birth preferences of future mothers are associated with a fear of birth. Design: A cross-sectional survey was used to determine if fear of birth could be profiled in specific participant characteristics and birth choices. Setting: Urban New Zealand university. Participants: A convenience sample of women (final n=339) who were <40 years old, attending university, not pregnant nor had been pregnant but wished for at least one child in the future. Findings: Multivariable analysis identified a subset of four variables that were independently associated with the instrument Childbirth Fear Prior to Pregnancy (CFPP) measuring fear of birth (mean CFPP=38.0, SE=10.1). Preferences of birth by caesarean section (n=32, mean CFPP=44.3, SE=1.8, p <0.0001), use of epidural analgesia (n=255, mean CFPP=45.0, SE=1.1, p <0.0001), participants born outside of New Zealand (n=123, mean CFPP=42.9, SE=1.4, p <0.0001), and participants who scored >20 (‘severe’) for depression on DASS-21 scale (n=11, mean CFPP=44.8, SE=1.7, p <0.0001) were all positively associated with CFPP. Post-hoc analyses revealed that mean CFPP was higher for those that perceived birth technologies as easier, safer, necessary, and required. Conclusions: Women born outside of New Zealand and/or suffering ‘severe’ depression were more likely to have a fear of birth. Fear of birth was associated with the participants choices towards medicalised childbirth. Familiarising women with the provision of maternity care in New Zealand and identifying mental health status early could reduce fear of birth and possibly support the vaginal birth intentions of future parents.en_NZ
dc.identifier.citationMidwifery, Volume 115, December 2022, 103499.
dc.identifier.doi10.1016/j.midw.2022.103499en_NZ
dc.identifier.issn0266-6138en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/15534
dc.languageEnglishen_NZ
dc.publisherElsevieren_NZ
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0266613822002509
dc.rights© 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectFear of birthen_NZ
dc.subjectMaternity systemen_NZ
dc.subjectMental healthen_NZ
dc.subjectUniversity studentsen_NZ
dc.titleGaining Insight from Future Mothers: A Survey of Attitudes and Perspectives of Childbirthen_NZ
dc.typeJournal Article
pubs.elements-id478398
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/Biostatistics & Epidemiology Department
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/Faculty Central - HES
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences/Midwifery Department
pubs.organisational-data/AUT/Faculty of Health & Environmental Sciences/School of Clinical Sciences/Nursing Department
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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