Fear of Childbirth After Major Orthopedic Traumas: A Nationwide Multi‐Register Analysis

ABSTRACT Background The aim of this study was to evaluate the association between previous major traumas and the prevalence of fear of childbirth (FOC) and the subsequent effects of FOC on the intended mode of delivery. Methods In this nationwide retrospective register‐based cohort study, data from...

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Published in:Birth (Berkeley, Calif.) Vol. 52; no. 1; pp. 123 - 128
Main Authors: Vaajala, Matias, Liukkonen, Rasmus, Kuitunen, Ilari, Ponkilainen, Ville, Mattila, Ville M., Kekki, Maiju
Format: Journal Article
Language:English
Published: United States Wiley Subscription Services, Inc 01.03.2025
John Wiley and Sons Inc
Subjects:
Adult
Brain damage
cesarean birth
Cesarean Section - psychology
Cesarean Section - statistics & numerical data
Childbirth & labor
Cohort analysis
Control groups
Delivery, Obstetric - psychology
Delivery, Obstetric - statistics & numerical data
epidemiology
Fear & phobias
Fear - psychology
fear of childbirth
Female
Fractures
Fractures, Bone - psychology
Groups
Health care
Health services
Humans
Logistic Models
Odds Ratio
Original
Parturition - psychology
Patients
Pregnancy
Registries
Retrospective Studies
Trauma
Traumatic brain injury
Women
Womens health
Young Adult
trauma
epidemiology
fear of childbirth
cesarean birth
ISSN:0730-7659, 1523-536X, 1523-536X
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Summary:ABSTRACT Background The aim of this study was to evaluate the association between previous major traumas and the prevalence of fear of childbirth (FOC) and the subsequent effects of FOC on the intended mode of delivery. Methods In this nationwide retrospective register‐based cohort study, data from the Care Register for Health Care were linked with the National Medical Birth Register (MBR) to evaluate the prevalence of FOC after major traumas. A total of 18,573 pregnancies met the inclusion criteria. A multivariable logistic regression model was used to assess the effects of FOC on the intended mode of delivery. Women with major traumas before pregnancy were compared to individuals with wrist fractures. Adjusted odds ratios (aORs) with 95% CIs between the groups were compared. Results Of those pregnancies that occurred after major traumas, 785 (6.2%) women were diagnosed with FOC after traumatic brain injury (TBI), 111 (6.1%) women after spine fracture, 38 (5.0%) women after pelvic fracture, 22 (3.2%) women after hip or thigh fracture, and 399 (5.2%) women in the control group. Among those women diagnosed with FOC, the adjusted odds for elective CB as an intended mode of delivery were highest among women with previous spine fractures (aOR 2.28, CI 1.45–3.60) when compared to the control group. Conclusions We found no evidence of differences in maternal FOC in patients with preceding major traumas when compared to the control group. Therefore, it seems highly likely that the major trauma itself is the explanatory factor for the increased rate of elective CB. The incidence of fear of childbrith after major orthopedic traumas.
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ISSN:0730-7659
1523-536X
1523-536X
DOI:10.1111/birt.12869