International Journal of Women's Health and Reproduction Sciences

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Oct 2021, Vol 9, Issue 4

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Review
Effects of Psycho-education Interventions on Perceived Childbirth Fear and Anxiety by Pregnant Women: A Systematic Review and Meta-analysis
Masomeh Adeli Gargari¹, Khalil Esmailpour², Mojgan Mirghafourvand³, Roghaiyeh Nourizadeh⁴, Esmat Mehrabi⁴
¹Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran ²Department of Psychology, Faculty of Education and Psychology, Tabriz University, Tabriz, Iran ³Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran ⁴Midwifery Department, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran
IJWHR 2021; 9: 230-237 DOI: 10.15296/ijwhr.2021.44 Viewed : 2400 times Downloaded : 1526 times. Keywords : Phobia of childbirth (Tokophobia), Counseling, Psychodrama, Systematic review
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Abstract

Objectives: Phobia of natural childbirth is one of the most important and influencing factors leading women to request cesarean sections. The present study aimed to prepare a systematic review and meta-analysis to investigate the type of interventions related to fear of childbirth (FOC). Materials and Methods: The data collection was based on an extensive search of articles related to clinical trials (1990-2019) posted on Google Scholar, Cochran, SID, Magiran, Web of Science, Scopus, and PubMed electronic databases. In general, 109 abstracts were selected after eliminating similar publications. As a result of the qualitative evaluations of these articles, 11 studies were kept for investigation. Results: The studies were categorized into three groups including prenatal education with childbirth counseling, yoga courses, and psychoeducational-based interventions. Based on the meta-analysis, psychoeducational interventions have a significant effect on childbirth fears and anxiety in comparison with the control group (mean difference: 0.85, 95% CI: -1.20–0.45, P < 0.0001, I2 = 82%). Conclusions: Psychologically-based interventions, can creatively play an essential role in reducing the FOC during pregnancy and even childbirth. It can also create a pleasant and traumatic-free experience which is essential for encouraging women to have a natural childbirth.