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Interventions to treat fear of childbirth in pregnancy: a systematic review and meta-analysis
| Content Provider | Scilit |
|---|---|
| Author | Webb, Rebecca Bond, Rod Romero-Gonzalez, Borja Mycroft, Rachel Ayers, Susan |
| Copyright Year | 2021 |
| Description | Background Between 5% and 14% of women suffer from fear of childbirth (FOC) which is associated with difficulties during birth and in postnatal psychological adjustment. Therefore, effective interventions are needed to improve outcomes for women. A systematic review and meta-analysis was used to identify effective interventions for treating women with FOC. Methods Literature searches were undertaken on online databases. Hand searches of reference lists were also carried out. Studies were included in the review if they recruited women with FOC and aimed to reduce FOC and/or improve birth outcomes. Data were synthesised qualitatively and quantitatively using meta-analysis. The literature searches provided a total of 4474 citations. Results After removing duplicates and screening through abstracts, titles and full texts, 66 papers from 48 studies were identified for inclusion in the review. Methodological quality was mixed with 30 out of 48 studies having a medium risk of bias. Interventions were categorised into six broad groups: cognitive behavioural therapy, other talking therapies, antenatal education, enhanced midwifery care, alternative interventions and interventions during labour. Results from the meta-analysis showed that most interventions reduced FOC, regardless of the approach (mean effect size = −1.27; z = −4.53, p < 0.0001) and that other talking therapies may reduce caesarean section rates (OR 0.48, 95% CI 0.48–0.90). Conclusions Poor methodological quality of studies limits conclusions that can be drawn; however, evidence suggests that most interventions investigated reduce FOC. Future high-quality randomised controlled trials are needed so that clear conclusions can be made. |
| Related Links | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/E089749F73812B7A82403BBFAC9F8EAB/S0033291721002324a.pdf/div-class-title-interventions-to-treat-fear-of-childbirth-in-pregnancy-a-systematic-review-and-meta-analysis-div.pdf |
| Ending Page | 1977 |
| Page Count | 14 |
| Starting Page | 1964 |
| ISSN | 00332917 |
| e-ISSN | 14698978 |
| DOI | 10.1017/s0033291721002324 |
| Journal | Psychological Medicine |
| Issue Number | 12 |
| Volume Number | 51 |
| Language | English |
| Publisher | Cambridge University Press (CUP) |
| Publisher Date | 2021-09-01 |
| Access Restriction | Open |
| Subject Keyword | Psychological Medicine Primary Health Care Public, Environmental and Occupational Health Fear of Childbirth Systematic Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Applied Psychology Psychiatry and Mental Health |
