↓ Skip to main content

Fear of childbirth and elective caesarean section: a population-based study

Overview of attention for article published in BMC Pregnancy and Childbirth, September 2015
Altmetric Badge

About this Attention Score

  • Average Attention Score compared to outputs of the same age
  • Average Attention Score compared to outputs of the same age and source

Mentioned by

twitter
2 tweeters

Citations

dimensions_citation
47 Dimensions

Readers on

mendeley
139 Mendeley
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
Fear of childbirth and elective caesarean section: a population-based study
Published in
BMC Pregnancy and Childbirth, September 2015
DOI 10.1186/s12884-015-0655-4
Pubmed ID
Authors

Hege Therese Størksen, Susan Garthus-Niegel, Samantha S. Adams, Siri Vangen, Malin Eberhard-Gran

Abstract

This population-based cohort study aimed to investigate the demographic and psychosocial characteristics associated with fear of childbirth and the relative importance of such fear as a predictor of elective caesarean section. A sample of 1789 women from the Akershus Birth Cohort in Norway provided data collected by three self-administered questionnaires at 17 and 32 weeks of pregnancy and 8 weeks postpartum. Information about the participants' childbirths was obtained from the hospital records. Eight percent of the women reported fear of delivery, defined as a score of ≥85 on the Wijma Delivery Expectancy Questionnaire. Using multivariable logistic regression models, a previous negative overall birth experience exerted the strongest impact on fear of childbirth, followed by impaired mental health and poor social support. Fear of childbirth was strongly associated with a preference for elective caesarean section (aOR 4.6, 95 % CI 2.9-7.3) whereas the association of fear with performance of caesarean delivery was weaker (aOR 2.4, 95 % CI 1.2-4.9). The vast majority (87 %) of women with fear of childbirth did not, however, receive a caesarean section. By contrast, a previous negative overall birth experience was highly predictive of elective caesarean section (aOR 8.1, 95 % CI 3.9-16.7) and few women without such experiences did request caesarean section. Results suggest that women with fear of childbirth may have identifiable vulnerability characteristics, such as poor mental health and poor social support. Results also emphasize the need to focus on the subjective experience of the birth to prevent fear of childbirth and elective caesarean sections on maternal request. Regarding the relationship with social support, causality has to be interpreted cautiously, as social support was measured at 8 weeks postpartum only.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 139 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Sweden 1 <1%
Italy 1 <1%
Canada 1 <1%
Unknown 136 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 39 28%
Student > Bachelor 20 14%
Researcher 18 13%
Student > Ph. D. Student 15 11%
Student > Doctoral Student 14 10%
Other 17 12%
Unknown 16 12%
Readers by discipline Count As %
Medicine and Dentistry 48 35%
Nursing and Health Professions 27 19%
Psychology 15 11%
Social Sciences 5 4%
Agricultural and Biological Sciences 3 2%
Other 15 11%
Unknown 26 19%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 November 2015.
All research outputs
#7,784,882
of 12,409,489 outputs
Outputs from BMC Pregnancy and Childbirth
#1,722
of 2,264 outputs
Outputs of similar age
#133,012
of 252,003 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#2
of 7 outputs
Altmetric has tracked 12,409,489 research outputs across all sources so far. This one is in the 23rd percentile – i.e., 23% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,264 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.5. This one is in the 17th percentile – i.e., 17% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 252,003 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 7 others from the same source and published within six weeks on either side of this one. This one has scored higher than 5 of them.