Comparing Fear of Childbirth and Labor Pain Intensity among Primiparous and Multiparous Women: A Cross-Sectional Study.

Background & aim: Fear of Childbirth (FOC) can range from a general anxiety disorder to a specific, intense phobia related to pregnancy and childbirth. Labor pain, as an inevitable and multidimensional experience, is closely related to women's perception of childbirth and may interact with FOC. We c...

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Publicado en:Journal of Midwifery & Reproductive Health Vol. 13; no. 4; pp. 5085 - 5094
Autores principales: Nikpour, Maryam, Alijanpour, Masoumeh, Behmanesh, Fereshteh, Omrani, Atefeh, Yahyavi-Koochaksaraei, Fatemeh, Karimnezhad-Sorkhi, Fatemeh, Haghighi-Kenari, Tahereh, Hajian-Tilaki, Karimollah, Mohsenzadeh-Ledari, Farideh, Faramarzi, Mahbobeh
Formato: research tables/charts Journal Article
Publicado: Mashhad University of Medical Science Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Mashhad University of Medical Science
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        10.22038/jmrh.2024.75434.2219
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        atl: Comparing Fear of Childbirth and Labor Pain Intensity among Primiparous and Multiparous Women: A Cross-Sectional Study.
      aug:
        au:
          Nikpour, Maryam
          Alijanpour, Masoumeh
          Behmanesh, Fereshteh
          Omrani, Atefeh
          Yahyavi-Koochaksaraei, Fatemeh
          Karimnezhad-Sorkhi, Fatemeh
          Haghighi-Kenari, Tahereh
          Hajian-Tilaki, Karimollah
          Mohsenzadeh-Ledari, Farideh
          Faramarzi, Mahbobeh
        affil: Assistant Professor, Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
      sug:
        subj:
          Childbirth
          Fear
          Labor Pain
          Pain Measurement
          Expectant Mothers
          Primiparas
          Multiparas
          Human
          Cross Sectional Studies
          Female
          Adult
          Iran
          Questionnaires
          Visual Analog Scaling
          T-Tests
          Paired T-Tests
          Multiple Linear Regression
          Confidence Intervals
          Descriptive Statistics
          Convenience Sample
          Summated Rating Scaling
          Data Analysis Software
          Chi Square Test
          Funding Source
          Adult: 19-44 years
          Female
      ab: Background & aim: Fear of Childbirth (FOC) can range from a general anxiety disorder to a specific, intense phobia related to pregnancy and childbirth. Labor pain, as an inevitable and multidimensional experience, is closely related to women's perception of childbirth and may interact with FOC. We conducted this study to compare the FOC and labor pain intensity in multiparous and primiparous women. Methods: This cross-sectional study was conducted on 432 pregnant women using convenience sampling in Babol, Iran, between January 2018 and June 2019. All pregnant women completed the demographic and fear of childbirth (FOC) questionnaires. Then, labor pain intensity was measured four times in labor and postpartum using a visual analog scale (VAS). Data were analyzed with student ttest, paired t-test and linear regression model using SPSS version 16. Results: FOC in primiparous women was significantly higher than in multiparous mothers (MD: 12.08, P<0.001). The multivariate linear regression showed that after adjusting the counfounding variables, in terms of intensity of pain in the active phase of labor (MD: 0.07; CI 95% -0.32, 0.47; P=0.71) and the phase of fetus expulsion (MD: 0.02; CI 95% -0.38, 0.44; P=0.89), there was no statistically significant difference between primiparous and multiparous women. However, multiparous women significantly experienced higher levels of pain compared with primiparous women during placental expulsion (MD: 0.52; CI 95% 0.01; P = 0.043). Conclusion: This study provides basic information for policy makers to pay more attention to reducing the fear and pain of childbirth in both primiparous and multiparous women.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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