Fear of childbirth and use of labor analgesia: A nationwide register‐based analysis in Finland

Objective To calculate the rates of labor analgesia among women with fear of childbirth (FOC) in multiparous and nulliparous women, because FOC might be associated with higher rates of labor analgesia. Methods In this retrospective register‐based cohort study, data from the National Medical Birth Re...

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Vydáno v:International journal of gynecology and obstetrics Ročník 162; číslo 3; s. 945 - 949
Hlavní autoři: Vaajala, Matias, Kekki, Maiju, Mattila, Ville M., Kuitunen, Ilari
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.09.2023
Témata:
Cohort Studies
epidemiology
Fear
fear of childbirth
Female
Finland
Humans
labor analgesia
Mothers
obstetrics
Pregnancy
Retrospective Studies
Finland
epidemiology
labor analgesia
obstetrics
fear of childbirth
ISSN:0020-7292, 1879-3479, 1879-3479
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Shrnutí:Objective To calculate the rates of labor analgesia among women with fear of childbirth (FOC) in multiparous and nulliparous women, because FOC might be associated with higher rates of labor analgesia. Methods In this retrospective register‐based cohort study, data from the National Medical Birth Register was used to evaluate the usage of labor analgesia in pregnancies with FOC, when compared with those without. The analgesia methods were stratified into neuraxial analgesia, pudendal, paracervical, nitrous oxide, other medical, other non‐medical, and no analgesia. Results A total of 19 285 pregnancies with diagnosed maternal FOC were found during our study period. The control group consisted of 757 997 pregnancies without diagnosed maternal FOC. Nulliparous women with diagnosed FOC had a higher rate of epidural analgesia (70.2% vs 67.1%), spinal analgesia (12.3% vs 7.6%), and pudendal block (17.6% vs 9.6%). Multiparous women with FOC had a notably higher rate for epidural analgesia (47.0% vs 29.0%). Conclusion The main finding in this study was that women with diagnosed FOC had a higher rate of labor analgesia. The results of this study can be used by midwives, obstetricians, and anesthesiologists to provide optimal pain relief for mothers with FOC. Synopsis Women with diagnosed fear of childbirth have higher rates of labor analgesia, especially neuraxial, and pudendal block. Epidural analgesia was more common, especially among multiparous women.
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ISSN:0020-7292
1879-3479
1879-3479
DOI:10.1002/ijgo.14781