Does psycho-education improve the obstetric and maternal outcomes with women have a fear of childbirth? A systematic review; [Doğum Korkusu Yaşayan Kadınlarda Psiko-Eğitim Obstetrik ve Maternal Sonuçları İyileştirir mi? Sistematik İnceleme]
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2019
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Abstract
Background: Fear of childbirth affects obstetric and maternal outcomes. One of the interventions to prevent or treat fear of childbirth is antenatal psycho-education. Objectives: The aim of this systematic review is to review the randomized controlled trial which research the obstetric and maternal results of the effect of antenatal psycho-education of women who have childbirth fear. Methods: This systemic review is performed by retrospective scanning of the studies related the subject. “Google Academic”, “Science direct” and “Wiley Interscience” databases were scanned electronically by using “antenatal”, “psycho-education classes” and “fear of childbirth” keywords. All of the abstracts, titles and articles in electronic databases were detected and reached to 1280 studies; then 685 studies that covered last 5 years were examined, and 7 of randomized controlled study which were met the criteria for including were included to the review. Results: These studies has shown that antenatal psycho-education for women who have fear of childbirth is decreased the fear of childbirth. As a result of decreased fear of childbirth; it was reported that vaginal birth rates, positive chilbirth experience, maternal adjustment increased and motherhood positively affected, whereas cesarean delivery rates and postnatal depressive symptoms decreased. Conclusion: Fear of childbirth has become one of the primacy problems that need to be solved. Psycho-education has a positive effect on obstetric and maternal outcomes in women who have a fear of childbirth. It’s supposed that this review could contribute the studies which would be performed on this area. © 2019, Dokuz Eylul University. All rights reserved.