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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| Vydané v: | Birth (Berkeley, Calif.) Ročník 52; číslo 1; s. 123 - 128 |
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United States
Wiley Subscription Services, Inc
01.03.2025
John Wiley and Sons Inc |
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| Abstract | 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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| AbstractList | 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.BACKGROUNDThe 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.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.METHODSIn 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.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.RESULTSOf 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.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.CONCLUSIONSWe 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. 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. 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. 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. 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. 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. BackgroundThe 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.MethodsIn 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.ResultsOf 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.ConclusionsWe 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. |
| Author | Ponkilainen, Ville Kuitunen, Ilari Liukkonen, Rasmus Vaajala, Matias Kekki, Maiju Mattila, Ville M. |
| AuthorAffiliation | 1 Faculty of Medicine and Life Sciences University of Tampere Tampere Finland 3 Institute of Clinical Medicine and Department of Pediatrics University of Eastern Finland Kuopio Finland 6 Department of Obstetrics and Gynecology Tampere University Hospital Tampere Finland 2 Department of Pediatrics Mikkeli Central Hospital Mikkeli Finland 4 Department of Surgery Central Finland Central Hospital Nova Jyväskylä Finland 5 Department of Orthopaedics and Traumatology Tampere University Hospital Tampere Finland 7 Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology Tampere University Tampere Finland |
| AuthorAffiliation_xml | – name: 3 Institute of Clinical Medicine and Department of Pediatrics University of Eastern Finland Kuopio Finland – name: 2 Department of Pediatrics Mikkeli Central Hospital Mikkeli Finland – name: 5 Department of Orthopaedics and Traumatology Tampere University Hospital Tampere Finland – name: 6 Department of Obstetrics and Gynecology Tampere University Hospital Tampere Finland – name: 7 Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology Tampere University Tampere Finland – name: 4 Department of Surgery Central Finland Central Hospital Nova Jyväskylä Finland – name: 1 Faculty of Medicine and Life Sciences University of Tampere Tampere Finland |
| Author_xml | – sequence: 1 givenname: Matias orcidid: 0000-0002-1294-6173 surname: Vaajala fullname: Vaajala, Matias email: matias.vaajala@tuni.fi organization: University of Tampere – sequence: 2 givenname: Rasmus surname: Liukkonen fullname: Liukkonen, Rasmus organization: University of Tampere – sequence: 3 givenname: Ilari surname: Kuitunen fullname: Kuitunen, Ilari organization: University of Eastern Finland – sequence: 4 givenname: Ville surname: Ponkilainen fullname: Ponkilainen, Ville organization: Central Finland Central Hospital Nova – sequence: 5 givenname: Ville M. surname: Mattila fullname: Mattila, Ville M. organization: Tampere University Hospital – sequence: 6 givenname: Maiju orcidid: 0000-0002-3316-7021 surname: Kekki fullname: Kekki, Maiju organization: Tampere University |
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| Keywords | trauma epidemiology fear of childbirth cesarean birth |
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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... 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... BackgroundThe aim of this study was to evaluate the association between previous major traumas and the prevalence of fear of childbirth (FOC) and the... The incidence of fear of childbrith after major orthopedic traumas. |
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| SubjectTerms | 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 |
| Title | Fear of Childbirth After Major Orthopedic Traumas: A Nationwide Multi‐Register Analysis |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fbirt.12869 https://www.ncbi.nlm.nih.gov/pubmed/39215429 https://www.proquest.com/docview/3166984900 https://www.proquest.com/docview/3099806923 https://pubmed.ncbi.nlm.nih.gov/PMC11829265 |
| Volume | 52 |
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