Prevalence and Risk Factors for Serious Birth Concerns in Unselected Population of Mothers

Study Overview
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Brief Summary
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The aim of this study is to determine the prevalence of significant concerns about childbirth and their impact on the course and outcome of childbirth. By identifying a group of mothers who have an excessive fear of childbirth, the occurrence of surgical births can be influenced by the right intervention.

Detailed Description
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The fear of childbirth is one of the most common mental health concerns during pregnancy. Elevated levels of anxiety during childbirth may lead to increased risk of elective caesarean section or prolonged labour. About 80% of pregnant women suffer from certain kind of childbirth fear. The most commonly used tool for assessment and diagnosis of childbirth fear is Wijma Delivery Expectance Questionnaire (WDEQ). This questionnaire has been translated and validated into several languages. In 2020 the Slovak version of the questionnaire was validated. All women who completed antenatal counseling at 36 weeks of gestation were included in the cohort. A slovak version of questionnaire was issued to all women and the results were recorded in the protocol. Subsequently, demographic data, medical facts and childbirth outcome were added from the medical documentation. The results of the birth were compared with the results of the questionnaire.

Official Title
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Prevalence and Risk Factors for Serious Birth Concerns in Unselected Population of Mothers

Conditions
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Serious Concerns

Intervention / Treatment
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* Other: Wijma Delivery Expectancy Questionnaire
* Other: Clinical data collection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The investigators involve every nullipara and multipara giving birth at 2nd Department of Obstetrics and Gynecology, University Hospital Bratislava and Comenius University, Bratislava, Slovak Republic in a period of two years Exclusion Criteria: unwilling to participate, minors (under 18 years old), high risk pregnancy, foetus mortus or perinatal death of the newborn, with slovak language, previous Caesarean section (for multipara)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| nulliparas with no existing complications in the third trimester<br>The investigators involve every nullipara giving birth in a period of two years. Exclusion criteria: unwilling to participate, minors (under 18 years old), high risk pregnancy, foetus mortus or perinatal death of the newborn, with slovak language | Other: Wijma Delivery Expectancy Questionnaire<br>* Simple questionaire identifying the level of fear of childbirth in pregnancy<br>Other: Clinical data collection<br>* Collection of the standard clinical data during hospitalization<br>|
| multiparas with no existing complications in the third trimester<br>The investigators involve every multipara giving birth in a period of two years. Exclusion criteria: unwilling to participate, minors (under 18 years old), high risk pregnancy, foetus mortus or perinatal death of the newborn, with slovak language, previous caesarean section | Other: Wijma Delivery Expectancy Questionnaire<br>* Simple questionaire identifying the level of fear of childbirth in pregnancy<br>Other: Clinical data collection<br>* Collection of the standard clinical data during hospitalization<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Significant fear of childbirth | Identifying the level of fear of childbirth in pregnancy by using a most widely used tool Wijma Delivery Expectancy Questionnaire | 15 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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fear of childbirth, Wijma Delivery Expectancy Questionnaire