Determination of Childbirth Readiness and Fear of Childbirth in Multiple Pregnancy and Related Factors: A Cross-Sectional Study

Serpil Abali Cetin, Özlem Çiçek
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Abstract

Background: The effects of multiple pregnancies on childbirth readiness (CR) and fear of childbirth (FC) have not been investigated in previous studies. Objectives: This study aims to determine the childbirth readiness and fear of childbirth in multiple pregnancies and factors affecting CR and FC. Methods: This cross-sectional descriptive study was conducted from April to November 2022. The study data were collected using an online questionnaire created with Google Forms and the CR and FC sub-dimensions of the Prenatal Self-evaluation Questionnaire. Seventy-one women who filled out the data collection form were included in the study. Results: The mean CR score was 23.19 ± 6.35, and the mean FC score was 26.54 ± 5.68. A statistically significant relationship was found between the mean scores of readiness for delivery and the fear of childbirth scores of multiple pregnant women (r = 0.42, P < 0.001). Regarding the pregnant women's readiness for birth, a statistically significant relationship was found between education status, employment status, duration of the marriage, desire for pregnancy, family type, and the way in which they became pregnant (F (122.136) = 4.575, P < 0.001). Accordingly, there was a negative significant relationship between the independent variables, the duration of marriage and income, and the mean birth readiness score, while a positive significant relationship was found between a desire for pregnancy and the mean fear of childbirth (R2 = 0.043, P < 0.05). Conclusions: It was determined that the mean scores of readiness for childbirth and fear of birth in multiple pregnant women were moderate, and the most important effect for these variables was related to willingness for pregnancy.
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确定多胎妊娠的分娩准备和分娩恐惧及相关因素:横断面研究
背景:以往的研究尚未调查过多胎妊娠对分娩准备(CR)和分娩恐惧(FC)的影响。研究目的:本研究旨在确定多胎妊娠妇女的分娩准备度和分娩恐惧感:本研究旨在确定多胎妊娠妇女的分娩准备度和分娩恐惧感,以及影响分娩准备度和分娩恐惧感的因素。研究方法这项横断面描述性研究于 2022 年 4 月至 11 月进行。研究数据通过谷歌表格创建的在线问卷和产前自我评估问卷的 CR 和 FC 子维度收集。71名填写了数据收集表的妇女被纳入研究。研究结果平均 CR 得分为 23.19 ± 6.35,平均 FC 得分为 26.54 ± 5.68。多胎孕妇的分娩准备平均得分与分娩恐惧得分之间存在明显的统计学关系(r = 0.42,P < 0.001)。关于孕妇的分娩准备程度,教育程度、就业状况、结婚时间、怀孕意愿、家庭类型和怀孕方式之间存在统计学意义上的显著关系(F(122.136)=4.575,P<0.001)。因此,自变量、结婚时间和收入与生育准备平均得分之间存在显著的负相关关系,而怀孕意愿与生育恐惧平均得分之间存在显著的正相关关系(R2 = 0.043,P < 0.05)。结论多胎妊娠妇女的分娩准备度和分娩恐惧度的平均得分处于中等水平,对这些变量的最重要影响与怀孕意愿有关。
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