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Two previous studies of antenatal interventions by midwives to reduce childbirth fear showed reduction in requests for cesarean.
The efficacy of interventions to reduce childbirth fear is unclear, with no previous randomised controlled trials reporting birth outcomes or postnatal psychological wellbeing following a midwife led intervention.
Our results suggest attention be given to ameliorating women's childbirth fear to reduce their exposure to epidural anaesthesia and to interventions for multiparous women to reduce childbirth fear arising from previous birth experiences.
Australian New Zealand Controlled Trials Registry ACTRN12612000526875, 17th May 2012 Few randomised controlled trials (RCT) have tested interventions to reduce childbirth fear in pregnant women and improve birth outcomes and emotional wellbeing.
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Mortality audits have demonstrated success in helping to reduce childbirth-related deaths in lower income countries [ 9– 11].
Caseload midwifery reduces childbirth interventions and increases women's satisfaction with care.
After adjusting for preintervention scores, a significant difference resulted between groups on postintervention W-DEQ A scores for fear of birth, (F 1, 191) = 11.6, p = 0.001, partial eta squared = 0.06) with medium effect 33. Women receiving the intervention reported reduced childbirth fear at 36 weeks compared to women in the control group.
The establishment of baby hatches or other anonymous delivery systems is likely to reduce dangerous childbirths.
Psycho-education by trained midwives was effective in reducing high childbirth fear levels and increasing childbirth confidence in pregnant women.
This results in a high incidence of maternal and infant mortality that could be reduced if childbirth were to occur in health centers or under the supervision of trained TBAs (TTBAs).
There are also plans to train attendants to help reduce deaths in childbirth.
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CEO of Professional Science Editing for Scientists @ prosciediting.com