From: The influence of women’s fear, attitudes and beliefs of childbirth on mode and experience of birth
Self Determiners (Reference group) | Takes it as it comes | Fearful | Fearful | Take it as it comes | ||||
---|---|---|---|---|---|---|---|---|
n = 145 | n = 102 | n = 110 | X2 (DF) p | Crude Odds Ratios | Adjusted Odds Ratios | Crude Odds Ratios | Adjusted Odds Ratios | |
n (%) | n (%) | n (%) | (95% CI) | (95% CI) | (95% CI) | (95% CI) | ||
Counselling due to childbirth fear | ||||||||
Yes | 6 (21.4) | 3 ( 10.7) | 19 ( 67.8) | 19.7 (2) <0.001 | 4.8 (1.9- 12.6) *** | 5.0 (1.9-13.2) *** | 0.7 ( 0.7- 2.9) | 0.7 (0.2-3.9) |
No | 139 (42.2) | 99 ( 30.1) | 91 (27.7) | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. | |
Onset of labour (vaginal births only) | ||||||||
Spontaneous | 119 (45.2) | 75 (28.5) | 69 ( 26.2) | 0.68 (2) 0.71 | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. |
Induction | 24 (42.1) | 15 (26.3) | 18 (31.5) | 1.3 (0.6-2.5) | 1.3 (0.6-2.8) | 1.0 (0.5-2.0) | 0.9 (0.4-2.0) | |
Mode of birth | ||||||||
Vaginal birth | 113 (44.7) | 73 (28.8) | 67 (26.5) | 6.7 (2) 0.04 | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. |
Instrumental vaginal | 15 (48.4) | 5 ( 16.1) | 11 (35.5) | 2.9 (2) 0.24 | 1.2 (0.5-2.8) | 1.0 (0.4- 2.5) | 0.5 (0.2-1.5) | 0.5 (0.1- 1.4) |
Elective caesarean section | 7 (17.1) | 14 (34.1) | 20 (48.8) | 12.1 (2) 0.002 | 4.8 (2.0-12.0)*** | 5.4 (2.1 - 14.2)*** | 3.1 (1.2 -8.0) * | 3.0 (1.1 - 8.0)* |
Emergency caesarean section | 14 (33.3) | 16 (38.1) | 12 (28.5) | 1.9 (2) 0.39 | 1.4 (0.6- 3.3) | 1.2 (0.5-2.8) | 1.8 (0.8- 3.8) | 1.5 (0.6-3.3) |
Epidural | ||||||||
Yes | 28 (30.8) | 25 (27.5) | 38 (41.8) | 4.9 (2) 0.09 | 1.8 (1.07-3.2)* | 1.9 (1.1-3.2)* | 1.4 (0.7-2.5) | 1.4 (0.7-2.6) |
No | 123 (43.9) | 83 (29.6) | 74 (26.5) | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. |
Birth experience | ||||||||
Positive | 101 (43.0) | 73 (31.1) | 61 (25.9) | 5.48 (2) 0.06 | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. |
Less than positive | 49 (36.8) | 34 (25.6) | 50 (37.5) | 1.7 (1.02- 2.8 )* | 1.7 (1.01-2.9)* | 0.9 (0.6- 2.1 ) | 1.1 (0.6-1.7) | |
Baby transferred to NICU | ||||||||
Yes | 15 (41.7) | 11 (30.5) | 10 (27.7) | 0.09 (2) 0.96 | 1.1 (0.5 -2.6) | 1.0 (0.9 -1.1) | 1.0 (0.4 -2.2) | 1.1 (0.5 -2.6) |
No | 135 (40.7) | 97 (29.2) | 100 (30.1) | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. | 1.0 Ref. |