Frequency of Psycho-Social Characteristics of Pregnant Females Fearing Vaginal Birth

Authors

  • Zahra Fatima , Sharif Medical and Dental College, Lahore
  • shazia Tazion Sharif Medical and Dental College Lahore
  • Shazia Rasul Shalamar Medical and Dental College, Lahore
  • Maimoona Hafeez Sharif Medical and Dental College Lahore

DOI:

https://doi.org/10.51273/esc25.251321120

Keywords:

Vaginal birth, fear of childbirth, psychosocial characteristics, Primiparity, Medical record.

Abstract

Abstract
Objective: To determine the frequency of psycho-social characteristics of pregnant females fearing vaginal
Birth.
Material and Methods: A cross-sectional survey was conducted at Sharif Medical City, Lahore, involving
st 120 patients. The duration of the study was six months from 1 January 2024 to 30 June 2024 (6 months).
Ethical approval from the institutional review board was taken with letter number SMDC/ SMRC 128-20.
Patient's medical records, demographic information, and fear of childbirth were collected, and psycho-social
characteristics like labor pain, socioeconomic status, younger age, and primipara were assessed.
Results: In our study, the mean age of the participants was 26.18+3.23 years. Frequency of psycho-social
characteristics of pregnant females fearing vaginal birth shows that 65(54.2%) cases had a fear of labor pain,
81(67.5%) cases had less than general secondary education, 44(36.7%) cases had primiparity whereas
38(31.7%) cases had younger age. The P-value for the relationship of socioeconomic status with fear of pain,
primiparity, and younger age was 0.941, 0.325, and 0.132 respectively, which is not significant.
Conclusion: It is concluded that low education levels (<general secondary education), fear of labor pain, and
primiparity are the leading psychosocial characteristics associated with fear of vaginal birth (FOC) among
pregnant women. Younger age (<25 years) and poor socioeconomic status also contribute significantly to
FOC.
Keywords: Vaginal birth, fear of childbirth, psychosocial characteristics, Primiparity, Medical record.
How to cite: Fatima Z, Tazion S, Rasul S, Hafeez M. Frequency of Psycho-Social Characteristics of Pregnant Females
Fearing Vaginal Birth. Esculapio - JSIMS 2025;21(01): 110-115
DOI: https://doi.org/10.51273/esc25.251321120

References

- Wigert H, Nilsson C, Dencker A, et al. Women's

experiences of fear of childbirth: a meta synthesis of

qualitative studies. lnt J Qual Stud Health Well-being

;1 5(1):17 04484. https://doi.org/10.1080/

2019.1704484.

Bernitz S, Dalbye R, Zhang J, Eggebø TM, Frøslie

KF, Olsen IC, Blix E, Øian P. The frequency of

intrapartum caesarean section use with the WHO

partograph versus Zhang's guideline in the Labour

Progression Study (LaPS): a multicentre, cluster

randomised controlled trial. The Lancet. 2019 Jan

;393(10169):340-8. DOI: 10.1016/S0140

(18)31991-3.

Głuszak M, Dziadecki W, Wielgoś M, Węgrzyn P.

Evaluation of sonographic assessment of the progress

of labor. Ginekologia polska. 2015;86(2).

Nassr AA, Berghella V, Hessami K, et al. Intrapartum

ultrasound measurement of angle of progression at

the onset of the second stage of labor for prediction of

spontaneous vaginal delivery in term singleton

pregnancies: a systematic review and meta-analysis.

Am J Obstet Gynecol 2022; 226:205.https://

doi.org/10.1016/-j.ajog.2021.07.031.

Hjartardóttir H, Lund SH, Benediktsdóttir S,

Geirsson RT, Eggebø TM. Fetal descent in

nulliparous women assessed by ultrasound: a

longitudinal study. American Journal of Obstetrics

and Gynecology. 2021 Apr 1;224(4):378-e1.

https://doi.org/10.1016/-j.ajog.2020.10.004.

Challacombe FL, Nath S, Trevillion K, Pawlby S,

Howard LM. Fear of childbirth during pregnancy:

associations with observed mother-infant

interactions and perceived bonding. Archives of

women's mental health. 2021 Jun;24(3):483-92.

DOI; https://doi.org/10.1007/-s00737-020-01098-w.

Mortazavi, F., Mehrabadi, M. Predictors of fear of

childbirth and normal vaginal birth among Iranian

postpartum women: a cross-sectional study. BMC

Pregnancy Childbirth 2021;21:316. DOI;

https://doi.org/10.1186/s12884-021-03790-w.

Mortazavi F, Agah J. Childbirth fear and associated

factors in a sample of pregnant Iranian women. OMJ

;33(6):497–505. doi: 10.5001/omj.2018.91.

O'Connell MA, Leahy-Warren P, Kenny LC, O'Neill

SM, Khashan AS. The prevalence and risk factors of

fear of childbirth among pregnant women: a cross

sectional study in Ireland. Acta Obstet Gynecol

Scand. 2019;98(8):1014–23. https://doi.org/10.

/aogs.13599.

Shirzad M, Shakibazadeh E, Betran AP, Bohren MA,

Abedini M. Women's perspectives on health facility

and system levels factors influencing mode of

delivery in Tehran: a qualitative study. Reprod

Health. 2019;16(1):15. https://doi.org/10.1186/

s12978-019-0680-2.

Zengin H, Bafali IO, Caka SY, Tiryaki O, Cinar N.

Childbirth and postpartum period fear and the related

factors in pregnancy. J Coll Physicians Surg Pak.

;30(2):144–8.https://doi.org/10.29271/

jcpsp.2020.02.144.

Fathi A, Rostami H, Pourfathiyeh A, Mohammadi S,

Khanalizadeh R. Investigating the relationship

between marital satisfaction and pregnancy concerns

in pregnant women. Nurs Midwifery J.

;18(1):11–9. http://unmf.umsu.ac.ir/article-1

-en.html.

Shirzad M, Shakibazadeh E, Hajimiri K, Betran AP,

Jahanfar S, Bohren MA, et al. Prevalence of and

reasons for women's, family members', and health

professionals' preferences for cesarean section in

Iran: a mixed-methods systematic review. Reprod

Health. 2021;18(1):3. DOI; https://doi.org/10.1186/

s12978-020-01047-x.

Wigert H, Nilsson C, Dencker A, Begley C, Jangsten

E, Sparud-Lundin C, Mollberg M, Patel H. Women's

experiences of fear of childbirth: a metasynthesis of

qualitative studies. Int J Qual Stud Health Well

being.2020Dec;15(1):1704484.https://

doi.org/10.1080/-17482631.2019.1704484.

Zeng T, Yuan M, Wu M, Chen Y, Zhang K. Why do

pregnant women with fear of birth prefer vaginal

birth? A qualitative study in China. Frontiers in

Psychology.2023Feb 23;14:1110116.https://

doi.org/10.3389/-fpsyg.2023.1110116.

Zhang T, Liu M, Min F, Wei W, Liu Y, Tong J, Meng

Q, Sun L, Chen X. Fear of childbirth and its

determinants in pregnant women in the third

trimester: a cross-sectional study. BMC psychiatry.

Aug 8;23(1):574.

Massae AF, Larsson M, Leshabari S, Mbekenga C,

Pembe AB, Svanberg AS. Predictors of fear of

childbirth and depressive symptoms among pregnant

women: a cross-sectional survey in Pwani region,

Tanzania. BMC Pregnancy and Childbirth. 2021

Dec;21:1-3. DOI; https://doi.org/10.1186/s12884

-04169-7.

Ilska M, Brandt-Salmeri A, Kołodziej-Zaleska A,

Banaś E, Gelner H, Cnota W. Factors associated with

fear of childbirth among Polish pregnant women.

Scientific Reports. 2021 Feb 23;11(1):4397. DOI;

https://doi.org/-10.1038/s41598-021-83915-5.

Zhou X, Liu H, Li X, Zhang S. Fear of childbirth and

associated risk factors in healthy pregnant women in

northwest of China: a cross-sectional study.

Psychology Research and Behavior Management.

Jun 9:731-41.

Sharma B, Jungari S, Lawange A. Factors affecting

fear of childbirth among urban women in India: a

qualitative study. Sage Open. 2022

May;12(2):21582440221089485. https://doi.org

/10.1177/21582440221089485.

Odabasi NC, Calim SI, Demirci H. Are Future

Midwives Afraid of Vaginal Deliveries?.

International Journal of Caring Sciences. 2021 Sep

;14(3):1794.

Huang J, Huang J, Li Y, Liao B. The prevalence and

predictors of fear of childbirth among pregnant

Chinese women: a hierarchical regression analysis.

BMC Pregnancy and Childbirth. 2021 Dec;21:1-0.

DOI; https://doi.org/10.1186/s12884-021-04123-7.

Berhanu RD, Abathun AD, Negessa EH, Amosa LG.

The magnitude and associated factors of childbirth

fear among pregnant women attending antenatal care

at public hospitals in Ethiopia: a cross-sectional

study. BMC Pregnancy and Childbirth. 2022 Mar

;22(1):222. DOI; https://doi.org/10.1186/s12884

-04544-y.

Fairbrother N, Collardeau F, Albert A, Stoll K.

Screening for perinatal anxiety using the childbirth

fear questionnaire: A new measure of fear of

childbirth. International journal of environmental

research and public health. 2022 Feb 16;19(4):2223.

DOI; https://doi.org/10.1186/s12884-022-04544-y.

Langen ES, Weiner SJ, Bloom SL, et al. Association

of Cervical Effacement With the Rate of Cervical

Change in Labor Among Nulliparous Women. Obstet

Gynecol 2016; 127:489. DOI: 10.1097/

AOG.0000000000001299.

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Published

2025-03-31

How to Cite

1.
Zahra Fatima, shazia Tazion, Shazia Rasul, Maimoona Hafeez. Frequency of Psycho-Social Characteristics of Pregnant Females Fearing Vaginal Birth. Esculapio - JSIMS [Internet]. 2025 Mar. 31 [cited 2025 May 13];21(1):110-5. Available from: https://esculapio.pk/journal/index.php/journal-files/article/view/1306

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