0000000000285974
AUTHOR
Erja Halmesmäki
Couples share similar changes in depressive symptoms and marital satisfaction anticipating the birth of a child
The birth of a child is a demanding family life situation. This longitudinal study investigated to what extent spouses' depressive symptoms and marital dissatisfaction associated with pregnancy and childbirth (and their changes over time) were characteristic of the spousal relationship and/or the individual spouses. Pregnant women (N= 320) and their spouses (N = 259) were examined twice before and twice following childbirth. Results indicated that changes in depressive symptoms and marital satisfaction during pregnancy were characteristic of the spousal relationship, whereas changes after birth were characteristic of both the relationship and the individual spouses. Couples with initially …
Fear of childbirth according to parity, gestational age, and obstetric history.
Objective To examine fear of childbirth according to parity, gestational age, and obstetric history. Design A questionnaire study. Population and setting 1400 unselected pregnant women in outpatient maternity clinics of a university central hospital. Methods Visual analogue scale (VAS) and Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) and preferred mode of delivery. Main outcome measures W-DEQ and VAS scores according to parity, gestational age, obstetric history, and preferred mode of delivery. Results The W-DEQ and VAS scores were higher in nulliparous (W-DEQ 72.0 ± 20.0 [mean ± SD] and VAS 4.7 [median]) than parous women (65.4 ± 21.9; 3.2, P < 0.001 for both W-DEQ and …
Partners of nulliparous women with severe fear of childbirth: A longitudinal study of psychological well-being.
Background Little is known about the psychological status of partners of women with severe fear of childbirth (FOC). In this longitudinal study from Helsinki University Central Hospital, we investigated FOC, depression, and posttraumatic stress in the partners of women with severe FOC, and possible effects of group psychoeducation and mode of birth.Methods: During pregnancy, 250 partners of nulliparous women with severe FOC participated, 93 in the intervention group and 157 in the control group. At 3 months postpartum, 52 partners in the intervention group and 93 in the control group participated. Both the partners and the childbearing women filled in the Wijma Delivery Expectancy/Experienc…
Therapeutic group psychoeducation and relaxation in treating fear of childbirth
The increase in the numbers of women fearing childbirth and requesting cesarean sections call for new forms of antenatal treatment.Finnish nulliparous women experiencing severe fear of childbirth (experimental group, n = 102) attended 5 group sessions with a psychologist, once together with a midwife, during the third trimester. One session was held 3 months after the delivery. Each session consisted of a discussion of fear and feelings towards the impending birth and parenthood in a psychotherapeutic atmosphere and of relaxation exercises focused on an imaginary childbirth. The results were compared with those of 85 women treated for fear of childbirth by 2 appointments with an obstetricia…
Group psychoeducation with relaxation for severe fear of childbirth improves maternal adjustment and childbirth experience – a randomised controlled trial
Previous studies on the treatment of women with fear of childbirth have focused on the delivery mode. Women with fear of childbirth often suffer from anxiety and/or depression, and treatment therefore also needs to target postnatal psychological well-being and the early mother-infant relationship.Three hundred and seventy-one nulliparous women out of 4575 scored ≥100 in prospective screening (Wijma Delivery Expectancy Questionnaire, W-DEQ-A), indicating severe fear of childbirth. These women were randomised to psychoeducative group intervention with relaxation (n = 131; six sessions during pregnancy, one postnatal) or to conventional care (n = 240) by community nurses (referral if necessary…
Spousal support for personal goals and relationship satisfaction among women during the transition to parenthood
The aim of this three-wave cross-lagged longitudinal study was to examine the prospective relationships between women’s goal-related spousal support and their relationship satisfaction during the transition to parenthood. Two-hundred and forty-six Finnish women who were either married or cohabited (45% primiparous; 55% multiparous) filled in questionnaires on personal projects (Little, 1983) and related spousal support, relationship satisfaction (Spanier, 1976), and background data three times: in their early pregnancy; one month before childbirth; and three months after childbirth. Among the primiparous women the results showed a cumulative cycle of goal-related spousal support and relati…
Life satisfaction, general well-being and costs of treatment for severe fear of childbirth in nulliparous women by psychoeducative group or conventional care attendance.
Objective Fear of childbirth is a common reason for seeking cesarean section. It is important to consider outcomes and costs associated with alternative treatment and delivery mode. We compared well-being and costs of group psychoeducation and conventional care for fear of childbirth. Design Randomized controlled trial. Population A total of 371 nulliparous women scoring over the 95th centile in the Wijma Delivery Expectancy Questionnaire (W-DEQ) during the first trimester. Setting Finland, data from obstetrical patient records and questionnaires. Methods Randomization to group psychoeducation with relaxation (six sessions during pregnancy, one after childbirth, n = 131), or surveillance an…