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Eğitimin Doğum Korkusu ve Doğum Sonrası Sonuçlara Etkisi: Sistematik İnceleme ve Meta Analiz

Yıl 2023, Cilt: 33 Sayı: 4, 399 - 411, 31.08.2023
https://doi.org/10.54005/geneltip.1227723

Öz

Amaç: Eğitimin FOC ve postpartum dönemdeki sonuçlar üzerindeki etkilerini inceleyen bazı çalışmalar olmasına rağmen, yüksek kalitede kanıt yoktur. Bu sistematik inceleme ve meta analiz çalışması, psikoeğitimin FOC ve postpartum sonuçlar üzerindeki etkilerini araştırmayı amaçlamıştır.
Yöntemler: Literatür araştırması, Aralık 2022’ye kadar PubMed, CINAHL, Scopus ve Science Citation Index (Web of Science)’ta gerçekleştirildi. Bu çalışma, Cochrane yönergelerinin önerilerine dayanmaktadır. The data were analyzed using the Review Manager computer program (Version 5.3).
Bulgular: Sekiz randomize kontrollü çalışma meta-analize dahil edildi: Sekiz çalışmanın tamamı FOC için birleştirildi. Meta-analiz, psikoeğitimin hamile kadınların FOC oranını (MD: 10.18 95% CI: 9.32 to 11.05, Z = 23.09, p < 0.00001), anksiyete ve depresyon oranına bakıldığında (SMD: -0.36 95% CI: -0.57 to -0.15, Z = 3.34, p=0.0008) anksiyeteyi azalttığı, depresyonda fark olmadığı , sezaryen oranında(SMD: -0.35 95% CI: -0.49 to -0.22, Z = 5.19, p<0.00001) azaltmada , öz-yeterlilik oranını (SMD: 0.38 95% CI:0.25 to 0.51, Z =5.58 p <0.00001) arttırmada etkili olduğunu ortaya koydu.
Sonuç: Bu çalışma, psikoeğitimin FOC, anksiyete ve CS oranını azaltmada, öz-yeterlilik durumunun ise arttırmada etkili olduğuna dair yeterli kanıt sunmaktadır.

Proje Numarası

CRD42022379561

Kaynakça

  • Demšar K, Svetina M, Verdenik I, Tul N, Blickstein I, Globevnik Velikonja V. Tokophobia (fear of childbirth): prevalence and risk factors. Journal of Perinatal Medicine 2018;46(2): 151-154. https://doi.org/10.1515/jpm-2016-0282
  • Dencker A, Nilsson C, Begley C, et al. Causes and outcomes in studies of fear of childbirth: A systematic review. Women Birth 2019;32(2):99-111. doi:10.1016/j.wombi.2018.07.004
  • Eide KT, Morken NH, Bærøe K. Maternal reasons for requesting planned cesarean section in Norway: a qualitative study. BMC Pregnancy Childbirth 2019;19(1):102. Published 2019 Mar 29. doi:10.1186/s12884-019-2250-6
  • Fairbrother N, Thordarson DS, Stoll K. Fine tuning fear of childbirth: the relationship between Childbirth Fear Questionnaire subscales and demographic and reproductive variables. J Reprod Infant Psychol 2018;36(1):15-29. doi:10.1080/02646838.2017.1396300
  • Gluck O, Pinchas-Cohen T, Hiaev Z, Rubinstein H, Bar J, Kovo M. The impact of childbirth education classes on delivery outcome. Int J Gynaecol Obstet 2020;148(3):300-304. doi:10.1002/ijgo.13016Henriksen L, Grimsrud E, Schei B, Lukasse M. Factors related to a negative birth experience – a mixed method study. Midwifery 2017;51:33–9.
  • Karabulutlu O, Yesil Cicek Calik K, Akar N. Fear of childbirth and related obstetric variables. Nurs Pract Today 2016;3(4):161–70.
  • Larsson B, Hildingsson I, Rubertsson C, Ternström E, Karlström A. Women’s experience of midwife-led counselling and its influence on childbirth fear – a qualitative study. Women Birth 2019;32:e88–94.
  • Larsson B, Karlström A, Rubertsson C, Ternström E, Ekdahl J, Segebladh B, et al. Birth preference in women undergoing treatment for childbirth fear: a randomised controlled trial. Women Birth 2017;30:460–7.
  • Logtenberg SLM, Verhoeven CJ, Oude Rengerink K, Sluijs A-M, Freeman LM, Schellevis FG, et al. Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study. BMC Pregnancy Childbirth. 2018;18(1):347. https://doi.org/10.1186/s12884-018-1986-8.
  • Lukasse M, Schei B, Ryding EL; Bidens Study Group. Prevalence and associated factors of fear of childbirth in six European countries. Sex Reprod Healthc. 2014;5(3):99‐106.
  • Moghaddam Hosseini V, Nazarzadeh M, Jahanfar S. Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women Birth. 2018;31(4):254-262. doi:10.1016/j.wombi.2017.10.007
  • Nilsson C., Hessman E, Sjöblom H, Dencker A, Jangsten E, Mollberg M, et al. Definitions, measurements and prevalence of fear of childbirth: a systematic review. BMC Pregnancy Childbirth 2018;18(1):28.
  • 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):1014-1023. doi:10.1111/aogs.13599
  • Poggi L, Goutaudier N, Séjourné N, Chabrol H. When Fear of Childbirth is Pathological: The Fear Continuum. Matern Child Health J 2018;22(5):772-778. doi: 10.1007/s10995-018-2447-8. PMID: 29484511.
  • Rouhe H, Salmela-Aro K, Toivanen R, et al. Obstetric outcome after intervention for severe fear of childbirth in nulliparous women – randomised trial. BJOG 2013;120(1):75–84.
  • Toohill J, Callander E, Gamble J, et al. A cost effectiveness analysis of midwife psycho-education for fearful pregnant women – a health system perspective for the antenatal period. BMC Pregnancy Childb 2017; 17(1):217–224.
  • Fenwick J, Toohill J, Slavin V, et al. Improving psychoeducation for women fearful of childbirth: evaluation of a research translation project. Women Birth 2018; 31(1):1–9.
  • Firouzan L, Kharaghani R, Zenoozian S, Moloodi R, Jafari E. The effect of midwifery led counseling based on Gamble's approach on childbirth fear and self-efficacy in nulligravida women. BMC Pregnancy Childbirth 2020;20(1):522. Published 2020;9. doi:10.1186/s12884-020-03230-1
  • Klabbers GA, Wijma K, Paarlberg KM, et al. Haptotherapy as a new intervention for treating fear of childbirth: a randomized controlled trial. J Psychocom Obst Gyn 2017;40(1):38–47.
  • Hulsbosch LP, Boekhorst MGBM, Potharst ES, Pop VJM, Nyklíček I. Trait mindfulness during pregnancy and perception of childbirth. Arch Womens Ment Health 2021;24(2):281-292. doi: 10.1007/s00737-020-01062-8.
  • Boz İ, Akgün M, Duman F. A feasibility study of a psychoeducation intervention based on Human Caring Theory in nulliparous women with fear of childbirth. J Psychosom Obstet Gynaecol 2021;42(4):300-312. doi:10.1080/0167482X.2020.1752173
  • Çankaya S, Şimşek B. 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. 2021;30(6):818-829. doi:10.1177/1054773820916984
  • Bolsoy N, Çelik N, Şimşek HN. Doğum Korkusu Yaşayan Kadınlarda Psiko-Eğitim Obstetrik ve Maternal Sonuçları İyileştirir Mi? Sistematik İnceleme. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2009; 12(1), 82-90.
  • Çiftçi A, Karakuş Ö, Kumral, A, Zararsız A, Fatma BAY. Türkiye’de Doğum Korkusu ile Başetme Yöntemleri Konusunda Yapılan Lisansüstü Tezler Üzerine Sistematik İnceleme. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi 2022; 3(1), 43-57.
  • Webb R, Bond R, Romero-Gonzalez B, Mycroft R, Ayers S. Interventions to treat fear of childbirth in pregnancy: a systematic review and meta-analysis. Psychol Med 2021;51(12):1964–77. doi: 10.1017/S0033291721002324.
  • Moghaddam Hosseini V, Nazarzadeh M, Jahanfar S. Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women Birth 2018;31(4):254-262. doi:10.1016/j.wombi.2017.10.007
  • Shorey S, Downe S, Chua JYX, Byrne SO, Fobelets M, Lalor JG. Effectiveness of Psychological Interventions to Improve the Mental Well-Being of Parents Who Have Experienced Traumatic Childbirth: A Systematic Review and Meta-Analysis [published online ahead of print, 2021 Dec 13]. Trauma Violence Abuse 2021;15248380211060808. doi:10.1177/15248380211060808
  • Barut S, Uçar T. Effects of motivational interviews on childbirth perceptions and childbirthself-efficacy in nulliparous pregnant women: a randomised-controlled trial [published online ahead of print, 2022 Jul 19]. J Reprod Infant Psychol. 2022;1-16. doi:10.1080/02646838.2022.2102601

The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis

Yıl 2023, Cilt: 33 Sayı: 4, 399 - 411, 31.08.2023
https://doi.org/10.54005/geneltip.1227723

Öz

Aim: This systematic review and meta-analysis study aimed to investigate the effects of psychoeducation on fear of childbirth and postpartum outcomes.
Methods: Literature search was conducted in PubMed, CINAHL, Scopus and Science Citation Index (Web of Science) until December 2022. This work is based on the recommendations of the Cochrane guidelines. The data were analyzed using the Review Manager computer program (Version 5.3).
Results: Eight randomized controlled trials were included in the meta-analysis: all 8 studies were combined for fear of childbirth. In the meta-analysis, it was seen that psychoeducation decreased the fear of birth (MD: 10.18 95% CI: 9.32 to 11.05, Z = 23.09, p < 0.00001) in pregnant women, when the anxiety and depression rate (SMD: -0.36 95% CI: -0.57 to -0.15, Z = 3.34, p=0.0008) were examined, it was seen that there was no difference in depression, it decreased the cesarean section (SMD: -0.35 95% CI: -0.49 to -0.22, Z = 5.19, p<0.00001) rate and increased the self-efficacy (SMD: 0.38 95% CI:0.25 to 0.51, Z =5.58 p <0.00001) rate.
Conclusion: This study provides sufficient evidence that psychoeducation is effective in reducing fear of childbirth, anxiety, and cesarean section rates, while increasing self-efficacy.

Proje Numarası

CRD42022379561

Kaynakça

  • Demšar K, Svetina M, Verdenik I, Tul N, Blickstein I, Globevnik Velikonja V. Tokophobia (fear of childbirth): prevalence and risk factors. Journal of Perinatal Medicine 2018;46(2): 151-154. https://doi.org/10.1515/jpm-2016-0282
  • Dencker A, Nilsson C, Begley C, et al. Causes and outcomes in studies of fear of childbirth: A systematic review. Women Birth 2019;32(2):99-111. doi:10.1016/j.wombi.2018.07.004
  • Eide KT, Morken NH, Bærøe K. Maternal reasons for requesting planned cesarean section in Norway: a qualitative study. BMC Pregnancy Childbirth 2019;19(1):102. Published 2019 Mar 29. doi:10.1186/s12884-019-2250-6
  • Fairbrother N, Thordarson DS, Stoll K. Fine tuning fear of childbirth: the relationship between Childbirth Fear Questionnaire subscales and demographic and reproductive variables. J Reprod Infant Psychol 2018;36(1):15-29. doi:10.1080/02646838.2017.1396300
  • Gluck O, Pinchas-Cohen T, Hiaev Z, Rubinstein H, Bar J, Kovo M. The impact of childbirth education classes on delivery outcome. Int J Gynaecol Obstet 2020;148(3):300-304. doi:10.1002/ijgo.13016Henriksen L, Grimsrud E, Schei B, Lukasse M. Factors related to a negative birth experience – a mixed method study. Midwifery 2017;51:33–9.
  • Karabulutlu O, Yesil Cicek Calik K, Akar N. Fear of childbirth and related obstetric variables. Nurs Pract Today 2016;3(4):161–70.
  • Larsson B, Hildingsson I, Rubertsson C, Ternström E, Karlström A. Women’s experience of midwife-led counselling and its influence on childbirth fear – a qualitative study. Women Birth 2019;32:e88–94.
  • Larsson B, Karlström A, Rubertsson C, Ternström E, Ekdahl J, Segebladh B, et al. Birth preference in women undergoing treatment for childbirth fear: a randomised controlled trial. Women Birth 2017;30:460–7.
  • Logtenberg SLM, Verhoeven CJ, Oude Rengerink K, Sluijs A-M, Freeman LM, Schellevis FG, et al. Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study. BMC Pregnancy Childbirth. 2018;18(1):347. https://doi.org/10.1186/s12884-018-1986-8.
  • Lukasse M, Schei B, Ryding EL; Bidens Study Group. Prevalence and associated factors of fear of childbirth in six European countries. Sex Reprod Healthc. 2014;5(3):99‐106.
  • Moghaddam Hosseini V, Nazarzadeh M, Jahanfar S. Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women Birth. 2018;31(4):254-262. doi:10.1016/j.wombi.2017.10.007
  • Nilsson C., Hessman E, Sjöblom H, Dencker A, Jangsten E, Mollberg M, et al. Definitions, measurements and prevalence of fear of childbirth: a systematic review. BMC Pregnancy Childbirth 2018;18(1):28.
  • 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):1014-1023. doi:10.1111/aogs.13599
  • Poggi L, Goutaudier N, Séjourné N, Chabrol H. When Fear of Childbirth is Pathological: The Fear Continuum. Matern Child Health J 2018;22(5):772-778. doi: 10.1007/s10995-018-2447-8. PMID: 29484511.
  • Rouhe H, Salmela-Aro K, Toivanen R, et al. Obstetric outcome after intervention for severe fear of childbirth in nulliparous women – randomised trial. BJOG 2013;120(1):75–84.
  • Toohill J, Callander E, Gamble J, et al. A cost effectiveness analysis of midwife psycho-education for fearful pregnant women – a health system perspective for the antenatal period. BMC Pregnancy Childb 2017; 17(1):217–224.
  • Fenwick J, Toohill J, Slavin V, et al. Improving psychoeducation for women fearful of childbirth: evaluation of a research translation project. Women Birth 2018; 31(1):1–9.
  • Firouzan L, Kharaghani R, Zenoozian S, Moloodi R, Jafari E. The effect of midwifery led counseling based on Gamble's approach on childbirth fear and self-efficacy in nulligravida women. BMC Pregnancy Childbirth 2020;20(1):522. Published 2020;9. doi:10.1186/s12884-020-03230-1
  • Klabbers GA, Wijma K, Paarlberg KM, et al. Haptotherapy as a new intervention for treating fear of childbirth: a randomized controlled trial. J Psychocom Obst Gyn 2017;40(1):38–47.
  • Hulsbosch LP, Boekhorst MGBM, Potharst ES, Pop VJM, Nyklíček I. Trait mindfulness during pregnancy and perception of childbirth. Arch Womens Ment Health 2021;24(2):281-292. doi: 10.1007/s00737-020-01062-8.
  • Boz İ, Akgün M, Duman F. A feasibility study of a psychoeducation intervention based on Human Caring Theory in nulliparous women with fear of childbirth. J Psychosom Obstet Gynaecol 2021;42(4):300-312. doi:10.1080/0167482X.2020.1752173
  • Çankaya S, Şimşek B. 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. 2021;30(6):818-829. doi:10.1177/1054773820916984
  • Bolsoy N, Çelik N, Şimşek HN. Doğum Korkusu Yaşayan Kadınlarda Psiko-Eğitim Obstetrik ve Maternal Sonuçları İyileştirir Mi? Sistematik İnceleme. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2009; 12(1), 82-90.
  • Çiftçi A, Karakuş Ö, Kumral, A, Zararsız A, Fatma BAY. Türkiye’de Doğum Korkusu ile Başetme Yöntemleri Konusunda Yapılan Lisansüstü Tezler Üzerine Sistematik İnceleme. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi 2022; 3(1), 43-57.
  • Webb R, Bond R, Romero-Gonzalez B, Mycroft R, Ayers S. Interventions to treat fear of childbirth in pregnancy: a systematic review and meta-analysis. Psychol Med 2021;51(12):1964–77. doi: 10.1017/S0033291721002324.
  • Moghaddam Hosseini V, Nazarzadeh M, Jahanfar S. Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women Birth 2018;31(4):254-262. doi:10.1016/j.wombi.2017.10.007
  • Shorey S, Downe S, Chua JYX, Byrne SO, Fobelets M, Lalor JG. Effectiveness of Psychological Interventions to Improve the Mental Well-Being of Parents Who Have Experienced Traumatic Childbirth: A Systematic Review and Meta-Analysis [published online ahead of print, 2021 Dec 13]. Trauma Violence Abuse 2021;15248380211060808. doi:10.1177/15248380211060808
  • Barut S, Uçar T. Effects of motivational interviews on childbirth perceptions and childbirthself-efficacy in nulliparous pregnant women: a randomised-controlled trial [published online ahead of print, 2022 Jul 19]. J Reprod Infant Psychol. 2022;1-16. doi:10.1080/02646838.2022.2102601
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Aysu Yıldız Karaahmet 0000-0003-1134-9016

Ayşenur Turan 0000-0001-9925-1122

Zulfıyya Nuralıyeva 0000-0003-1417-4303

Proje Numarası CRD42022379561
Erken Görünüm Tarihi 29 Ağustos 2023
Yayımlanma Tarihi 31 Ağustos 2023
Gönderilme Tarihi 1 Ocak 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 33 Sayı: 4

Kaynak Göster

Vancouver Yıldız Karaahmet A, Turan A, Nuralıyeva Z. The Effect of Psych-education on Fear of Childbirth and Postpartum Outcome: Systematic Review and Meta Analysis. Genel Tıp Derg. 2023;33(4):399-411.