Tokophobia ; Our Clinical Experience

Study Overview
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Brief Summary
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Fear of childbirth, or what has historically been called tokophobia, is often described as a severe fear of birth and pathological fear of childbirth. The reasons for fear of childbirth are stated as biological reasons, psychological reasons and lack of social support. However, it is still not possible to clearly explain the reasons for the fear of childbirth in pregnant women and the risk factors affecting them. The reasons for the fear of childbirth and the affecting factors have not been fully explained.

Detailed Description
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The aim of this study is to examine the relationship between fear of childbirth and anxiety sensitivity in pregnant women, and whether the mode of delivery changes depending on this fear and these data. The aim of the authors is to reveal the frequency and causes of tokophobia in pregnant women followed in their clinics and to show the birth patterns of these patients.

Official Title
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Causes and Frequency of Tokophobia, Its Effect on Cesarean Delivery Rates: Our Clinical Experience

Conditions
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Tocophobia, Pregnancy Complications

Intervention / Treatment
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* Diagnostic Test: pregnant women in the 3rd trimester


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 3rd trimester pregnant women who are followed up in our clinic and will give birth in our clinic. Pregnant women between the ages of 18 and 40 Exclusion Criteria: Those in the risky pregnancy category (preeclampsia, gdm, iugr… etc.) Known to have fetal anomaly during follow-ups Those with chronic disease Those with sexually transmitted diseases Those with a history of cesarean section

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: pregnant women in the 3rd trimester|Pregnant women who are in their third trimester and will give birth in the clinic will form the study group. These pregnant women will be measured by applying a set of questionnaires to measure their fear of childbirth.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| diagnosis of tokophobia | patients will be administered W-DEQ: Wijma Delivery Expectancy/Experience Questionnaire part A. As a result, those who score above 85 will be diagnosed with tokophobia. this test; Each question has a point equivalent, and the diagnosis will be reached by adding all the points at the end. | 2 months | 
| type of birth | The birth types of patients diagnosed with tokophobia will be examined. It will be tried to show statistically whether tokophobia increases cesarean section rates or not. | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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vaginal birth, cesarean delivery, fear of childbirth