The Effect of Psychoeducation on Fear of Birth and Anxiety Symptoms in Pregnant Women: A Meta-Analysis
Abstract views: 251
/ 
PDF downloads: 88
DOI:
https://doi.org/10.5281/zenodo.10611839Keywords:
Anxiety, Fear of Childbirth, Meta Analysis, Psychoeducation InterventionAbstract
Bu çalışma, gebelere yönelik uygulanan psikoeğitimsel müdahalelerin anksiyete semptomlarının ve doğum korkusunun azalması üzerindeki etkisini ortaya koymayı amaçlamıştır. Bu meta-analiz çalışması için Ekim 2022-Ocak 2023 tarihleri arasında herhangi bir yıl sınırlaması olmadan PubMed, EBSCOhost, Web of Science, YÖK Tez Merkezi ve Google Scholar veri tabanları tarandı ve 10 çalışma bu meta analize dahil edildi. Veriler meta-analiz ve öyküsel anlatım yöntemleriyle sentezlendi. Bu meta-analiz, doğum korkusu yaşayan kadınlara uygulanan eğitim müdahalelerinin gebelerde doğum korkusunun azalması üzerinde etkili olduğunu göstermiştir (SMD: -0.749, %95 CI: (-1.021)-(-0.478), Z: -5.411, p: 0.002, I2: %73.819). Psikoeğitimsel müdahalelerin gebelerin yaşadığı anksiyete semptomları üzerinde müdahale grubu lehine anlamlı bir etkiye sahipti ve çalışmalar arasında yüksek heterojenite vardı (SMD: -0.862, %95 CI: (-1.319)- (-0.404), Z: -3.690, p = 0.000, I2= %80.755). Alt grup analizlerinde, müdahale türlerinin hem anksiyete semptomlarının hem de doğum korkusunun azalmasında etkili olduğu belirlenmiştir. Doğum korkusu ve anksiyete semptomları yaşayan kadınlarda uygulanan psikoeğitimsel müdahalelerin doğum korkusunda ve anksiyete semptomlarında anlamlı bir azalma olduğu görülmüş ve bu durumda daha olumlu doğum deneyimi yaşanmasını sağlamaktadır.
References
*Abdollahi, S., Faramarzi, M., Delavar, MA., Bakouei, F., Chehrazi, M. & Gholinia, H. (2020). Effect of psychotherapy on reduction of fear of childbirth and pregnancy stress: A randomized controlled trial. Front. Psychol, 11, 787. doi: 10.3389/fpsyg.2020.00787
Akgün, M., Boz, İ. & Özer, Z. (2020). The effect of psychoeducation on fear of childbirth and birth type: Systematic review and meta-analysis. Journal of Psychosomatic Obstetrics & Gynecology, 41(1), 253-265. doi:10.1080/0167482X.2019.1689950.
Alehagen, S., Wijma, K. & Wijma, B. (2001). Fear during labor. Acta Obstet Gynecol Scand, 80(4), 315-320. doi:10.1034/j.1600- 0412.2001.080004315
Alipour, Z., Lamyian, M., Hajizadeh, E. & Agular Vafaei, M. (2011). The association between antenatal anxiety and fear of childbirth in nulliparous women: A prospective study. Iran J Nurs Midwifery Res, 16(2), 169-173.
Bayrampour, H., Trieu, J. & Tharmaratnam, T. (2019). Effectiveness of health ınterventions to reduce perinatal anxiety: A systematic review and meta-analysis. J. Clin. Psychiatry, 80(1), 18r12386. doi: 10.4088/JCP.18r12386
Bennett, HA., Einarson, A., Taddio, A., Koren, G. & Einarson, TR. (2004). Prevalence of depression during pregnancy: Systematic review. Obstet Gynecol, 103, 698-709.
Chae, J. & Kim, HK. (2021). Internet-based prenatal interventions for maternal health among pregnant women: A systematic review and meta-analysis. Child Youth Services Review, 127, 106079. doi:10.1016/j.childyouth.2021.106079
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates, Inc. Retrieved from http://books.google.com.tr/
*Çankaya, S. & Şimşek, B. (2021). Effects of antenatal education on fear of birth, depression, anxiety, childbirth self-efficacy, and mode of delivery in primiparous pregnant women: A prospective randomized controlled study. Clin Nurs Res, 30(6), 818-829. doi:10.1177/1054773820916984
Fenwick, J., Toohill, J., Creedy, DK., Smith, J. & Gamble, J. (2015). Sources, responses and moderators of childbirth fear in australian women: A qualitative investigation. Midwifery, 31(1), 239-246. doi:10.1016/j.midw.2014.09.003
Gargari, MA., Esmailpour, K., Mirghafourvand, M., Nourizadeh, R. & Mehrabi, E. (2021). Effects of psycho-education ınterventions on perceived childbirth fear and anxiety by pregnant women: a systematic review and meta-analysis. International Journal of Women’s Health and Reproduction Sciences, 9(4), 230-237. https://doi.org/10.15296/ijwhr.2021.44
Grissom, RJ. & Kim, JJ. (2005). Effect sizes for research: a broad practical approach. Lawrence Erlbaum Associates Publishers.
Haines, H., Pallant, JF., Karlström, A. & Hildingsson, I. (2011). Cross-cultural comparison of levels of childbirth-related fear in an australian and swedish sample. Midwifery, 27(4), 560-567. doi:10.1016/j. midw.2010.05.004
Hall, WA., Hauck, YL., Carty, EM., Hutton, EK., Fenwick, J. & Stoll, K. (2009). Childbirth fear, anxiety, fatigue, and sleep deprivation in pregnant women. J Obstet Gynecol Neonatal Nurs, 38(5), 567-576. doi:10.1111/j.1552-6909.2009.01054
Hofberg, K. & Ward, MR. (2004). Fear of childbirth, tocophobia, and mental health in mothers: the obstetric-psychiatric ınterface. Clin Obstet Gynecol, 47(3), 527-534. doi:10.1097/01. grf.0000132527.62504.ca
Kalmbach, DA., Roth, T., Cheng, P., Ong, JC., Rosenbaum, E. & Drake, CL. (2020). Mindfulness and nocturnal rumination are independently associated with symptoms of insomnia and depression during pregnancy. Sleep Health, 6(2), 185-191. https://doi.org/10.1016%2Fj.sleh.2019.11.011
*Karabulut, Ö., Coşkuner Potur, D., Doğan Merih, Y., Cebeci Mutlu, S. & Demirci, N. (2016). Does antenatal education reduce fear of childbirth? International Nursing Review, 63, 60-67.
*Khojasteh, F., Afrashte, M., Khayat, S. & Navidian. A. (2022). Effect of cognitive–behavioral training on fear of childbirth and sleep quality of pregnant adolescent slum dwellers. J Edu Health Promot, 11, 311. doi: 10.4103/jehp.jehp_133_22
Klabbers, GA., Wijma, K., Paarlberg, KM., Emons, WHM. & Vingerhoets, AJJM. (2019). Haptotherapy as a new intervention for treating fear of childbirth: A randomized controlled trial. J Psychosom Obstet Gynaecol, 40(1), 38-47. doi: 10.1080/0167482X.2017.1398230
Koehn, M. (2008). Contemporary women’s perceptions of childbirth education. J Perinat Educ, 17(1), 8-11.
*Kordi, M., Bakhshi, M., Masoudi, S. & Esmaily, H. (2017). Effect of a childbirth psychoeducation program on the level of fear of childbirth in primigravid women. Evidence Based Care Journal, 7(3), 26-34. doi: https://doi. org/10.22038/EBCJ.2017.25676.1575
Lau, Y., Cheng, JY., Wong, SH., Yen, KY. & Cheng, LJ. (2021). Effectiveness of digital psychotherapeutic ıntervention among perinatal women: A systematic review and meta-analysis of randomized controlled trials. World J. Psychiatry, 11(4), 133-152. https://doi.org/10.5498%2Fwjp.v11.i4.133
Leeuw, M., Goossens, ME., Linton, SJ., Crombez, G., Boersma, K. & Vlaeyen, JW. (2007). The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med, 30(1), 77-94. doi:10.1007/s10865-006-9085-0
Moghaddam Hosseini, V., Nazarzadeh, M. & Jahanfar, S. (2018). Interventions for reducing fear of childbirth: a systematic review and meta-analysis of clinical trials. Women Birth, 31(4), 254-262. https://doi.org/10.1016/j.wombi.2017.10.007
Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, LA. & PRISMA-P Group (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic reviews, 4(1), 1. https://doi.org/10.1186/2046-4053-4-1
Neo, HS., Tan, JH., Ang, WHD. & Lau, Y. (2022). Internet-delivered psychological interventions for reducing depressive, anxiety symptoms and fear of childbirth in pregnant women: A meta-analysis and meta-regression. Journal of Psychosomatic Research, 157, 110790. https://doi.org/10.1016/j.jpsychores.2022.110790
Nerum, H., Halvorsen, L., Sørlie, T. & Oian, P. (2006). Maternal request for cesarean section due to fear of birth: Can it be changed through crisis oriented counseling?. Birth, 33(3), 221-228. doi:10.1111/j.1523-536X.2006.00107.x
Nieminen, K., Stephansson, O. & Ryding, EL. (2009). Women’s fear of childbirth and preference for cesarean section a cross-sectional study at various stages of pregnancy in Sweden. Acta Obstet Gynecol Scand, 88(7), 807-813. doi:10.1080/00016340902998436
Nieminen, K., Wijma, K., Johansson, S., Kinberger, EK., Ryding, EL., Andersson, G., Bernfort, L. & Wijma, B. (2017). Severe fear of childbirth ındicates high perinatal costs for swedish women giving birth to their first child. Acta Obstetricia Et Gynecologica Scandinavica, 96(4), 438-446. https://doi.org/10.1111/aogs.13091
Räisänen, S., Lehto, SM., Nielsen, HS., Gissler, M., Kramer, MR. & Heinonen, S. (2014). Fear of childbirth in nulliparous and multiparous women: A population-based analysis of all singleton births in Finland in 1997-2010. BJOG, 121(8), 965-970. doi:10.1111/1471-0528.12599
Rondung, E., Thomtén, J. & Sundin, Ö. (2016). Psychological perspectives on fear of childbirth. J Anxiety Disord, 44, 80-91. doi:10.1016/j. janxdis.2016.10.007
Rouhe, H., Salmela-Aro, K., Halmesmäki, E. & Saisto, T. (2009). Fear of childbirth according to parity, gestational age, and obstetric history. BJOG, 116(1), 67-73. doi:10.1111/j.1471-0528.2008.02002.x
Saisto, T., Salmela-Aro, K., Nurmi, JE. & Halmesmäki, E. (2001). Psychosocial characteristics of women and their partners fearing vaginal childbirth. BJOG, 108(5), 492-498. doi:10.1111/j.1471- 0528.2001.00122.x
Saisto, T., Toivanen, R., Salmela-Aro, K. & Halmesmäki, E. (2006). Therapeutic group psychoeducation and relaxation in treating fear of childbirth. Acta Obstet Gynecol Scand, 85(11), 1315-1319. doi:10.1080/00016340600756920
*Scherer, S., Alder, J., Gaab, J., Berger, T., Ihde, K. & Urech, C. (2016). Patient satisfaction and psychological well-being after ınternet-based cognitive behavioral stress management (ıb-cbsm) for women with preterm labor: A randomized controlled trial. Journal of Psychosomatic Research, 80, 37-43. https://doi.org/10.1016/j.jpsychores.2015.10.011
Stoll, K., Swift, EM., Fairbrother, N., Nethery, E. & Janssen, P. (2018). A systematic review of nonpharmacological prenatal ınterventions for pregnancy specific anxiety and fear of childbirth. Birth (Berkeley, Calif), 45(1), 7-18. doi: https://doi.org/10.1111/birt.12316
The Joanna Briggs Institute Critical Appraisal Tools Foruse in IBI Systematic Reviews. http://joannabriggs.org/research/critical-appraisal-tools.html(25.11.2022).
Toohill, J., Fenwick, J., Gamble, J., Creedy, DK., Buist, A., Turkstra, E. & Ryding, EL. (2014). A randomized controlled trial of a psycho-education ıntervention by midwives ın reducing childbirth fear in pregnant women. Birth, 41(4), 384-394. https://doi.org/10.1111/birt.12136
*Toohill, J., Callander, E., Gamble, J., Creedy, DK. & Fenwick, J. (2017). A cost effectiveness analysis of midwife psycho-education for fearful pregnant women a health system perspective for the antenatal period. BMC Pregnancy Childb, 17(1), 217-224. https://doi.org/10.1186/s12884-017-1404-7
Tufanaru, C., Munn, Z., Aromataris, E., Campbell, J. & Hopp, L. (2017). Chapter 3: Systematic Reviews of Effectiveness. In: Aromataris E, Munn Z (Editors). Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute.
Uçar, T. & Gölbaşı, Z. (2019). Effect of an educational program based on cognitive behavioral techniques on fear of childbirth and the birth process. J Psychosom Obstet Gynaecol, 40(2), 146-155. https://doi.org/10.1080/0167482x.2018.1453800
*Van der Meulen, RT., Veringa-Skiba, IK., Van Steensel, FJA., Bögels, SM. & De Bruin, EI. (2013). Mindfulness-based childbirth and parenting for pregnant women with high fear of childbirth and their partners: outcomes of a randomized controlled trial assessing short- and longer-term effects on psychological well-being, birth and pregnancy experience. Midwifery, 116, 103545. https://doi.org/10.1016/j.midw.2022.103545
van Ravesteyn, LM., Lambregtse-van den Berg, MP., Hoogendijk, WJG. & Kamperman, AM. (2017). Interventions to treat mental disorders during pregnancy: A systematic review and multiple treatment meta-analysis. PLoS One, 12(3), e0173397. https://doi.org/10.1371/journal.pone.0173397
*Veringa‐Skiba, IK., de Bruin, EI., van Steensel, FJA. & Bögels, SM. (2021). Fear of childbirth, nonurgent obstetric ınterventions, and newborn outcomes: A randomized controlled trial comparing mindfulness‐based childbirth and parenting with enhanced care as usual. Birth, 49(1), 40-51. https://doi. org/10.1111/birt.12571
Webb, R., Bond, R., Romero- Gonzalez, B., Mycroft, R. & Ayers, S. (2021). Interventions to treat fear of childbirth in pregnancy: a systematic review and meta analysis. Psychological Medicine, 51, 1964-1977. https://doi.org/10.1017/S0033291721002324
*Yazdanimehr, R., Omidi, A., Sadat, Z. & Akbari, H. (2016). The effect of mindfulness-ıntegrated cognitive behavior therapy on depression and anxiety among pregnant women: A randomized clinical trial. J Caring Sci, 5(3), 195-203. doi:10.15171/jcs.2016.021
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The journal is licensed under a 