Unravelling the Interplay Between Primigravida Pregnant Women Health Profile, Catastrophic Thinking, Tokophobia and Childbirth Preferences in a Rural Area.

IF 3.8 3区 医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2024-11-25 DOI:10.1111/jan.16635
Heba Saied Ibrahim Ali, Amal Ahmed Abdelhafez, Heba Abdel-Hamid Hammad, Eman Halim AbdElmoneam, Ahmed Abdellah Othman, Mohamed Hussein Ramadan Atta
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Abstract

Aims: To assess the prevalence of tokophobia (fear of childbirth) and evaluate the relationship between catastrophic thinking, tokophobia, childbirth preferences and the health profile of primigravida (first-time pregnant women in rural areas).

Design: A descriptive correlational study.

Method: This study, implemented from January 2024 to March 2024, involved 300 primigravidae. Data collection was carried out using the Socio-Demographic and Clinical Data Sheet, the Pain Catastrophising Scale (PCS) and the Fear of Childbirth Scale, which are specific tools chosen for their relevance to the research objectives.

Results: The mean score for catastrophic thinking is 36.13 (SD = 4.2740), which indicates a clinically significant level of pain catastrophising, and Tokophobia's mean is 42.53, which denotes intense Fear of Childbirth. There are strong positive correlations among catastrophic thinking and its subcomponents, positive correlations between tokophobia and devastating thinking and significant correlations between childbirth preferences and catastrophic thinking.

Conclusion: This study's findings provide compelling insight into the intricate interplay between catastrophic thinking, tokophobia and childbirth preferences. These insights can pave the way for targeted psychological interventions to address catastrophic thinking in pregnant women, potentially alleviating tokophobia and supporting informed, less fear-driven childbirth decisions. This could lead to a more positive childbirth experience for many birthing people, equipping healthcare professionals with actionable knowledge to improve maternal and child health outcomes.

Reporting method: The relevant reporting method, that is, STROBE, has been adhered to.

Impact: This study's findings have significant implications for the healthcare of pregnant women, particularly first-time birthing people deemed high risk. The study suggests that thorough antenatal care can help ease their fear of childbirth, ultimately leading to improved outcomes for both women and babies.

Patient or public contribution: Public contribution by females in the community maternal services.

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揭示农村地区初产妇健康状况、灾难性思维、恐托症和生育偏好之间的相互作用。
目的:评估初产妇(农村地区的初次怀孕妇女)分娩恐惧症(害怕分娩)的患病率,并评估灾难性思维、分娩恐惧症、分娩偏好和健康状况之间的关系:描述性相关研究:本研究于 2024 年 1 月至 2024 年 3 月进行,涉及 300 名初产妇。使用社会人口学和临床数据表、疼痛灾难化量表(PCS)和分娩恐惧量表进行数据收集:灾难性思维的平均值为 36.13(SD = 4.2740),表明疼痛灾难化程度达到了临床显著水平;托克恐惧症的平均值为 42.53,表示强烈的分娩恐惧。灾难性思维及其分项之间存在很强的正相关性,托克恐怖症与破坏性思维之间存在正相关性,分娩偏好与灾难性思维之间存在显著相关性:本研究的结果提供了令人信服的见解,揭示了灾难性思维、托克恐怖症和生育偏好之间错综复杂的相互作用。这些洞察力可以为有针对性的心理干预铺平道路,以解决孕妇的灾难性思维问题,从而有可能减轻托克恐怖症,并支持在知情的情况下做出较少受恐惧驱动的分娩决定。这将为许多分娩者带来更积极的分娩体验,并为医护人员提供可操作的知识,以改善母婴健康状况:影响:影响:这项研究的结果对孕妇,尤其是被视为高风险的初产妇的医疗保健具有重要意义。研究表明,全面的产前护理有助于减轻她们对分娩的恐惧,最终改善妇女和婴儿的预后:社区孕产妇服务中女性的公共贡献。
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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