AimThis cross‐sectional multicentre study aimed to determine the effect of interventions during vaginal birth for fear of childbirth.MethodsIn this cross‐sectional and analytical study, 852 women who had a vaginal birth between 2019 and 2020 were enrolled. Data were collected using the Descriptive Questionnaire and Wijma Birth Expectation/Experience Scale Version B.ResultsThe mean total Wijma Birth Expectation/Experience Scale Version B score of the women was 97.00 ± 24.24, indicating severe and clinical levels of fear of childbirth. Moreover, 69.4% of the women had clinical, 18.6% had severe and 12% had moderate levels of fear of childbirth. During birth, women who had close supporters, who were allowed to move and who did not undergo amniotomy, enema, perineal shaving and electronic foetal monitoring had a low level of fear of childbirth. As the number of pregnant women in the labour room, frequency of vaginal examinations, duration of delivery/hour, severity of labour pain and negative perception of the approach of health professionals increased, the women's fear of childbirth increased. Fear of childbirth decreased as the frequency of antenatal follow‐ups, number of births and satisfaction levels of the women increased (p < 0.05).Low income perception, irregular prenatal follow‐up, severe labour pain and a long duration of labour were strong predictors of increased fear of childbirth. Increasing number of births, high birth satisfaction level and positive perception of the approach of health professionals were strong predictors of reduced fear of childbirth.ConclusionsThe reduction of interventions in vaginal delivery and support from health care providers during delivery can be effective in reducing fear of childbirth.

中文翻译：

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阴道分娩干预措施对分娩恐惧的影响：一项多中心研究

目的这项横断面多中心研究旨在确定阴道分娩过程中对分娩恐惧的干预措施的效果。方法在这项横断面分析研究中，纳入了 2019 年至 2020 年期间阴道分娩的 852 名女性。使用描述性问卷和 Wijma 出生期望/体验量表 B 版收集数据。结果 妇女的 Wijma 出生期望/体验量表 B 版平均总分为 97.00 ± 24.24，表明对分娩的恐惧处于严重和临床水平。此外，69.4%的女性有临床恐惧症，18.6%的女性有严重的恐惧症，12%的女性有中度的恐惧症。分娩过程中，有亲密支持者、被允许活动、未进行羊膜穿刺、灌肠、会阴剃毛和胎儿电子监护的妇女对分娩的恐惧程度较低。随着待产室孕妇人数、阴道检查频率、每小时分娩持续时间、分娩疼痛的严重程度以及对卫生专业人员的负面看法的增加，妇女对分娩的恐惧也随之增加。随着产前随访频率、分娩次数和妇女满意度的增加，对分娩的恐惧减少（p< 0.05)。低收入认知、不规则的产前随访、严重的分娩疼痛和较长的分娩时间是分娩恐惧增加的有力预测因素。分娩数量的增加、高出生满意度以及对卫生专业人员的方法的积极认知是减少分娩恐惧的有力预测因素。结论减少阴道分娩干预以及分娩期间卫生保健提供者的支持可以有效减少对分娩的恐惧。