W291 RELATION BETWEEN DEPRESSION, ANXIETY, SELF-ESTEEM, MARITAL SATISFACTION, DEMOGRAPHICAL FACTOR AND MATERNAL COMPLICATIONS WITH FEAR OF CHILDBIRTH IN NULLIPAROUS WOMEN

Abstract

Introduction: In the present study, the relation of depression, anxiety, self-esteem, marital satisfaction, demographical factor and early maternal complications with Fear of childbirth in primiparous women have been analyzed. Materials and Methods: This study which was done on 100 term primiparous women who referred for caring in last month of pregnancy to prenatal clinic of Omolbanin hospital. Women who had inclusion criteria and consented for participation in this study, filled the questionnaires include personal, demographic, and social characteristics. Fear of childbirth was assessed by a research designed questionnaire, satisfaction from matrimonial life, self-esteem, anxiety, and depression in participants were determined by using Enrich marital satisfaction questionnaire, Rosenberg scale, Spiel-berger test, Beck depression inventory. After delivery outcomes of their childbirth were recorded and data were analyzed by using SPSS software (version 13) and statistical tests (Pearson correlation, Spearman rating, Man-Whitney, Kolmogorov-Smirnov). Results: The average age was 22.54 +/-3.7 within the range of 16-36 years. There was a positive and significant correlation between the level of individual's covert and overt anxiety and fear of childbirth (P 0.5). Conclusion: Fear of childbirth in primiparous had a positive and significant correlation with covert and overt anxiety but a negative and significant relationship with level of knowledge about the process of natural childbirth, rate of cooperation in childbirth and Apgar score.