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08-06-2024 | ORIGINAL PAPER

Spiritual Health, Anxiety and Fear of Childbirth in Iran: Is there Any Relationship?

Authors: Fereshteh Behmanesh, Masoumeh Alijanpour, Fatemeh Yahyavi, Maryam Nikpour, Tahereh Haghighi, Fatemeh Karimnezhad Sorkhi, Farideh Mohsenzadeh, Karimollah Hajian, Mahbobeh Faramarzi

Published in: Journal of Religion and Health

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Abstract

The most common reason for mothers’ request for a cesarean section is fear of childbirth. The present study was conducted to determine the relationship between spiritual health and anxiety and fear of childbirth in pregnant women. This correlational cross-sectional study was performed on 426 pregnant women who were referred to Yahyanejad Hospital in Babol, Iran, during 2018–2021. These pregnant women were hospitalized in the maternity ward for vaginal delivery. Convenience sampling bases on inclusion criteria were done to select the subjects. The questionnaires used in this study included Demographic and Obstetric Questionnaire, Anxiety and Fear of Childbirth Questionnaire by Pirdel et al., and Palutzian & Ellison Spiritual Well-being Scale. Data were analyzed using SPSS version 16 using descriptive and analytical indicators and linear and multiple correlation tests. The results of the study showed that all pregnant women experienced moderate (23.1) or severe (76.9) fear and anxiety, and none of the women had low fear and anxiety. Moreover, all women in this study had moderate (50.5) or high (49.5) spiritual health. The results of linear regression test showed that there is a significant and inverse relationship between spiritual health and anxiety and fear of childbirth (R: − 0.12, CI − 0.14, − 0.019, P = 0.011). Furthermore, the results of multivariate linear regression test after adjustments for intervening demographic and midwifery variables showed a significant relationship between spiritual health (R: − 0.12, CI − 0.14, − 0.02, P = 0.009), education level and number of pregnancies, and anxiety and fear of childbirth. The results of the study showed that with the increase in spiritual health, anxiety and fear of childbirth decreases. Therefore, it can be inferred that women need spiritual care in addition to medical care to deal with fear and anxiety during pregnancy and childbirth.
Literature
go back to reference Dehestani, H., Moshfeghy, Z., Ghodrati, F., & Akbarzadeh, M. (2019). The relationship of spiritual health and mother’s forgiveness with her anxiety in the labor of the pregnant women. International Journal of Women’s Health and Reproduction Sciences, 7(2), 174–179. https://doi.org/10.15296/ijwhr.2019.29CrossRef Dehestani, H., Moshfeghy, Z., Ghodrati, F., & Akbarzadeh, M. (2019). The relationship of spiritual health and mother’s forgiveness with her anxiety in the labor of the pregnant women. International Journal of Women’s Health and Reproduction Sciences, 7(2), 174–179. https://​doi.​org/​10.​15296/​ijwhr.​2019.​29CrossRef
go back to reference Klabbers, G. A., van Bakel, H. J., van den Heuvel, M. M., & Vingerhoets, A. J. (2016). Severe fear of childbirth: its features, assesment, prevalence, determinants, consequences and possible treatments. Psychological Topics, 25(1), 107–127. https://hrcak.srce.hr/156335 Klabbers, G. A., van Bakel, H. J., van den Heuvel, M. M., & Vingerhoets, A. J. (2016). Severe fear of childbirth: its features, assesment, prevalence, determinants, consequences and possible treatments. Psychological Topics, 25(1), 107–127. https://​hrcak.​srce.​hr/​156335
go back to reference Nieminen, K., Wijma, K., Johansson, S., Kinberger, E. K., Ryding, E. L., Andersson, G., Bernfort, L., & Wijma, B. (2017). Severe fear of childbirth indicates high perinatal costs for Swedish women giving birth to their first child. Acta Obstetricia Et Gynecologica Scandinavica, 96(4), 438–446. https://doi.org/10.1111/aogs.13091CrossRefPubMed Nieminen, K., Wijma, K., Johansson, S., Kinberger, E. K., Ryding, E. L., Andersson, G., Bernfort, L., & Wijma, B. (2017). Severe fear of childbirth indicates high perinatal costs for Swedish women giving birth to their first child. Acta Obstetricia Et Gynecologica Scandinavica, 96(4), 438–446. https://​doi.​org/​10.​1111/​aogs.​13091CrossRefPubMed
go back to reference Nilsson, C., Hessman, E., Sjöblom, H., Dencker, A., Jangsten, E., Mollberg, M., Patel, H., Sparud-Lundin, C., Wigert, H., & Begley, C. (2018). Definitions, measurements and prevalence of fear of childbirth: A systematic review. BMC Pregnancy and Childbirth, 18(1), 1–15. https://doi.org/10.1186/s12884-018-1659-7CrossRef Nilsson, C., Hessman, E., Sjöblom, H., Dencker, A., Jangsten, E., Mollberg, M., Patel, H., Sparud-Lundin, C., Wigert, H., & Begley, C. (2018). Definitions, measurements and prevalence of fear of childbirth: A systematic review. BMC Pregnancy and Childbirth, 18(1), 1–15. https://​doi.​org/​10.​1186/​s12884-018-1659-7CrossRef
go back to reference Olza, I., Uvnas-Moberg, K., Ekström-Bergström, A., Leahy-Warren, P., Karlsdottir, S., Nieuwenhuijze, M., et al. (2020). Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth. PLoS ONE, 15(7), 75–84. https://doi.org/10.1371/journal.pone.0230992CrossRef Olza, I., Uvnas-Moberg, K., Ekström-Bergström, A., Leahy-Warren, P., Karlsdottir, S., Nieuwenhuijze, M., et al. (2020). Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth. PLoS ONE, 15(7), 75–84. https://​doi.​org/​10.​1371/​journal.​pone.​0230992CrossRef
go back to reference Sanjari, S., Chaman, R., Salehin, S., Goli, S., & Keramat, A. (2022). Update on the global prevalence of severe fear of childbirth in low-risk pregnant women: A systematic review and meta-analysis. International Journal of Women’s Health and Reproduction Sciences, 10(1), 3–10. https://doi.org/10.15296/ijwhr.2022.02CrossRef Sanjari, S., Chaman, R., Salehin, S., Goli, S., & Keramat, A. (2022). Update on the global prevalence of severe fear of childbirth in low-risk pregnant women: A systematic review and meta-analysis. International Journal of Women’s Health and Reproduction Sciences, 10(1), 3–10. https://​doi.​org/​10.​15296/​ijwhr.​2022.​02CrossRef
Metadata
Title
Spiritual Health, Anxiety and Fear of Childbirth in Iran: Is there Any Relationship?
Authors
Fereshteh Behmanesh
Masoumeh Alijanpour
Fatemeh Yahyavi
Maryam Nikpour
Tahereh Haghighi
Fatemeh Karimnezhad Sorkhi
Farideh Mohsenzadeh
Karimollah Hajian
Mahbobeh Faramarzi
Publication date
08-06-2024
Publisher
Springer US
Published in
Journal of Religion and Health
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-024-02067-8