Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis

被引:234
作者
O'Connell, Maeve A. [1 ]
Leahy-Warren, Patricia [2 ]
Khashan, Ali S. [1 ,3 ]
Kenny, Louise C. [1 ]
O'Neill, Sinead M. [1 ]
机构
[1] Cork Univ, Irish Ctr Fetal & Neonatal Translat Res, INFANT Ctr, Dept Obstet & Gynecol, Cork, Ireland
[2] Univ Coll Cork, Sch Nursing & Midwifery, Brookfield Hlth Sci Complex, Cork, Ireland
[3] Univ Coll Cork, Dept Epidemiol & Publ Hlth, Western Gateway Bldg, Cork, Ireland
基金
爱尔兰科学基金会;
关键词
Epidemiology; fear of childbirth; pregnancy; systematic review; tocophobia; W-DEQ A; DELIVERY EXPECTANCY/EXPERIENCE QUESTIONNAIRE; RANDOMIZED CONTROLLED-TRIAL; CHILDBIRTH-RELATED FEAR; SHARED DECISION-MAKING; CESAREAN-SECTION; SELF-EFFICACY; MENTAL-HEALTH; ANTENATAL FEAR; ANXIETY; BIRTH;
D O I
10.1111/aogs.13138
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
IntroductionTocophobia is defined as a severe fear of pregnancy and childbirth. There is increasing evidence that tocophobia may have short-term and long-term adverse effects on mother and baby. We performed a systematic review and meta-analysis to determine the global prevalence of tocophobia in pregnancy. Material and methodsRelevant articles were identified through searching six relevant databases: MEDLINE, CINAHL, Pubmed, PsycINFO, Maternity & Infant Care and Scopus between 1946 and April 2016. We used search terms for tocophobia prevalence in pregnant women that we agreed on with a medical librarian. There were no language restrictions. Two review authors independently assessed data for inclusion, extracted data and assessed quality using a standardized appraisal tool. Meta-analysis was performed to determine the overall pooled-prevalence of tocophobia. Several subgroup and sensitivity analyses were conducted. ResultsThirty-three studies were included in the systematic review from 18 countries of which data from 29 studies were used in the meta-analysis of 853 988 pregnant women. Definition of tocophobia varied, whereas prevalence rates ranged between 3.7 and 43%. The overall pooled prevalence of tocophobia, using a random-effects model, was 14% (95% CI 0.12-0.16). Significant heterogeneity was observed (I-2 = 99.25%, p = 0.00), which was not explained in subgroup analyses including tocophobia definition used, screening trimester and parity. ConclusionThe prevalence of tocophobia is estimated at 14% and appears to have increased in recent years (2000 onwards). Considerable heterogeneity (99.25%) was noted that may be attributed to lack of consensus on the definition of tocophobia, so our results should be interpreted with caution.
引用
收藏
页码:907 / 920
页数:14
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