Our Summary

This research paper looks at the relationship between a pregnant woman’s fear of childbirth and whether she ends up having an emergency cesarean section (C-section). The fear of childbirth is a common feeling for expectant mothers, but when severe, it can interfere with her daily life and ability to cope during labor and delivery. Some studies have tried to connect this fear with the type of birth a woman has, but results have been mixed.

In this study, they reviewed other research papers on this topic published up to the end of 2018. After looking at 14 studies, they concluded that neither the characteristics of the women studied nor the tools used to measure their fear could explain the different results.

The paper suggests that it is important to distinguish between general fear and severe fear of childbirth. The impact on the type of birth was only significant for cases of severe fear. However, the researchers found it challenging to determine a clear result due to varying levels of ‘severe’ fear across the studies. As such, they recommend more research on this topic.

FAQs

  1. Does a pregnant woman’s fear of childbirth influence her chances of having an emergency C-section?
  2. How does severe fear of childbirth impact a pregnant woman’s ability to cope during labor and delivery?
  3. Why is there a need for more research on the relationship between fear of childbirth and the type of birth a woman has?

Doctor’s Tip

One helpful tip a doctor might tell a patient about cesarean section is to discuss any fears or concerns they have about childbirth with their healthcare provider. It is important for the patient to feel comfortable and informed about the process of a C-section, as well as any potential risks or complications. Open communication with their doctor can help alleviate anxiety and ensure the best possible outcome for both the mother and baby.

Suitable For

In general, patients who are typically recommended for a cesarean section include:

  1. Women with a previous history of cesarean section: Women who have had a previous cesarean section may be recommended for a repeat cesarean section due to the increased risk of uterine rupture during a vaginal birth after cesarean (VBAC).

  2. Multiple pregnancies: Women carrying twins, triplets, or other multiples may be recommended for a cesarean section due to the increased risk of complications during vaginal birth.

  3. Breech presentation: Babies in breech position (feet or buttocks first) may be recommended for a cesarean section to reduce the risk of birth complications.

  4. Placenta previa: Women with placenta previa, where the placenta covers the cervix, may be recommended for a cesarean section to avoid excessive bleeding during vaginal birth.

  5. Fetal distress: In cases where the fetus shows signs of distress during labor, a cesarean section may be recommended to deliver the baby quickly and safely.

  6. Maternal health conditions: Women with certain health conditions such as high blood pressure, diabetes, or infections may be recommended for a cesarean section to reduce the risk of complications during labor and delivery.

It is important for healthcare providers to consider the individual circumstances of each patient when recommending a cesarean section to ensure the safety and well-being of both the mother and the baby.

Timeline

Before cesarean section:

  • Pregnant woman experiences fear of childbirth, which may be mild or severe
  • Woman may undergo prenatal care, attend childbirth education classes, and prepare for labor and delivery
  • Woman goes into labor, experiences contractions, and progresses through the stages of labor
  • If complications arise, such as fetal distress or failure to progress, a decision may be made to proceed with a cesarean section
  • Woman undergoes preoperative preparations, such as fasting and receiving anesthesia

After cesarean section:

  • Woman is taken to the operating room for the procedure
  • Surgeon makes an incision in the abdomen and uterus to deliver the baby
  • Baby is born and taken to be evaluated by medical staff
  • Woman is monitored for any complications during the surgery
  • Woman is transferred to a recovery room for postoperative care
  • Woman may experience pain, discomfort, and fatigue as she recovers from the surgery
  • Woman receives postoperative care, including pain management, wound care, and monitoring for any complications
  • Woman may have a longer recovery time compared to vaginal delivery, and may require additional support with breastfeeding and caring for her newborn.

What to Ask Your Doctor

Some questions a patient should ask their doctor about cesarean section include:

  1. What are the potential reasons that may require a cesarean section during my labor and delivery?
  2. What are the risks and benefits of having a planned cesarean section versus a vaginal delivery?
  3. How can I prepare for a cesarean section, both physically and mentally?
  4. What is the recovery process like after a cesarean section, and how can I best care for myself and my baby during this time?
  5. Are there any long-term implications or risks associated with having a cesarean section?
  6. How will having a cesarean section impact future pregnancies and deliveries?
  7. Are there alternative options or interventions that could potentially help reduce the likelihood of needing a cesarean section?
  8. What are the potential complications or challenges that may arise during a cesarean section, and how are they typically managed?
  9. How can I advocate for myself and communicate my preferences and concerns regarding the birth plan, including the possibility of a cesarean section?
  10. Are there any specific factors or conditions in my medical history that could increase the likelihood of needing a cesarean section, and how can we address or manage these potential risks?

Reference

Authors: Molgora S, Fenaroli V, Cracolici E, Saita E. Journal: J Reprod Infant Psychol. 2020 Sep;38(4):436-454. doi: 10.1080/02646838.2019.1636216. Epub 2019 Jul 4. PMID: 31271306