PIH25 Assessing the Connection between FEAR of Childbirth and Elective Caesarean Delivery

Abstract

Vaginal delivery is a natural way of childbirth, however, a rapidly growing number of caesarean sections (C-sections) can be observed. The aim of our study was to analyse the relation of fear, causes of preferring C-section, and other possible reasons for choosing this type of delivery. Our quantitative, cross-sectional, descriptive study was carried out by a survey between November-December of 2019. Primiparas aged 18-45 were chosen through non-probability sampling method (N=345). Self-administered (socio-demographic data, health behaviour) and standard questionnaires (Wijma Delivery Expectancy Questionnaire ’A’; Rosenberg Self-Esteem Scale; Satisfaction with Life Scale; and the Hungarian “Delivery Attitude Questionnaire”) were used for data collection. Descriptive statistics, χ2-test, independent samples t-test and linear regression were calculated (p<0.05). Lack of proper physical activity proved to be a significant cause for preferring c-sectional deliveries (p=0.017). Fear of childbirth also increases with age (R=0.108; p=0.045). However, religious beliefs are a protective factor against fear from delivery (t=2.003; p=0.046). Based on our calculations, fear causes choosing c-sections over natural delivery (p<0.001). Self-evaluation and satisfaction with life has no impact on delivery methods (p>0.05), but strongly influences the level of fear (p<0.001). Health professionals in prenatal care can positively affect pregnant women’s level of physical activity, preventing fear and the chance of elective c-sections. Health promotion programs about natural birth can inform gravidas, which could change attitudes towards deliveries into a positive direction.