Naime KONAR, Beyzanur ÖZCAN, Ahmet TAŞ, Ezgi YAĞRINCALI, Ece KAPLAN, Alperen ERDURAN, Beria KUZU, Tala AKBARI, Selda SONGUR DAĞLI

Gebelerde Doğum Korkusu Prevalansı ve Risk Faktörleri: Kesitsel Bir Çalışma

GİRİŞ ve AMAÇ: Bu çalışmanın amacı, gebelerde doğum korkusu prevalansını belirlemek ve gebelikte doğum korkusuna etki eden faktörleri araştırmaktır YÖNTEM ve GEREÇLER: Bu kesitsel çalışma Ocak ve Mart 2019 arasında Kırşehir Ahi Evran Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Polikliniği’ne başvuran ve çalışmaya katılmayı kabul eden 150 gebe ile gerçekleştirilmiştir. Çalışma, W-DEQ Doğum Korkusu Ölçeği ve araştırmacılar tarafından oluşturulan Genel Bilgi Formu ile yürütülmüştür. BULGULAR: Tüm grupta, W-DEQ skoruna göre gebelikte doğum korkusu düzeyi 50,97 ± 25,773 olarak elde edilmiştir. Yaş ve gebelik haftası sırasıyla 27,8 ± 6,072 yıl ve 27,16 ± 10,788 hafta olarak bulunmuştur. Çalışmaya katılan gebelerin %18,7’sinde korku varlığı saptanmış (W-DEQ ≥85), gebelik sayısı (p=0,047) ve bebekte doğum sonrasında bir rahatsızlık oluşacağı düşüncesi (p=0,004) korku düzeyini etkileyen faktörler olarak bulunmuştur. Doğum korkusu ile anne yaşı, gebelik haftası ve doğum tipi arasında anlamlı ilişki saptanmamıştır(p>0,05). Gebelik ile ilgili eğitim alma oranı ve doğum süreci ile ilgili sağlık personeline duyulan güven düzeyi düşük bulunmuştur. TARTIŞMA ve SONUÇ: Gebelik ile ilgili eğitim alma oranı ve doğum süreci ile ilgili sağlık personeline duyulan güven düzeyi birbiri ile ilişkili olabilir, bu nedenle Kadın Hastalıkları ve Doğum Polikliniği tarafından gebelik süresince oluşacak korkunun azaltılabilmesi ve gebelikle ilgili bilgilerin arttırılması için gerekli eğitimlerin verilmesi önerilmektedir.

Anahtar Kelimeler:

tokofobi, prevelans, gebe, risk faktörü, doğum korkusu

Prevalence and Predictors of Fear of Childbirth in Unselected Pregnant Women: A Cross-Sectional Study

INTRODUCTION: The aim of this study was to determine the prevalence of fear of childbirth (FOC) during pregnancy and to investigate the factors affecting FOC in pregnant women. METHODS: This cross-sectional study included 150 pregnant women who admitted to Kırşehir Ahi Evran University Faculty of Medicine Gynecology and Obstetrics Polyclinic between January-March 2019. It was carried out using W-DEQ Scale and General Information Form prepared by the researchers. RESULTS: Fear of childbirth in the whole group was found to be 50.97±25.773 according to W-DEQ score. The mean age and gestational week of the pregnant women were 27.8±6.072 years and 27.16±10.788 weeks, respectively. FOC was determined in 18.7% of the participants (W-DEQ≥85). Parity (p=0.047) and a concern of disorder in the baby after delivery (p=0.004) were identified to be significant factors for FOC. No association was found between FOC and maternal age, gestational week or delivery mode (p>0.05). The rate of receiving training about pregnancy and the level of trust in healthcare professionals about the birth process were found to be low. DISCUSSION AND CONCLUSION: The prevalence of training about pregnancy and the level of trust to healthcare staff related with childbirth process may be associated with each other. Thus, it is recommended to provide trainings to reduce the fears that may occur during pregnancy and to elevate the knowledge about pregnancy process by the Polyclinic of Gynecology and Obstetrics

Keywords:

tokophobia, prevalence, pregnant, predictor, fear of childbirth,

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