title: An evaluation of midwives' counseling of pregnant women in fear of childbirth.
abstract: BACKGROUND
  The aim of this clinical evaluation was to study birth experience, post-traumatic stress symptoms, and satisfaction with care in new mothers who had consulted specially trained midwives because of a fear of childbirth during pregnancy.
  
  
  METHODS
  Sixty-two women were eligible for the study, of whom 53 (85%) participated at 1-14 months postpartum. For comparison, a group of 53 women were matched for parity and mode of delivery. All 106 women completed two self-rating scales, the Wijma Delivery Experience Questionnaire (W-DEQ) and the Impact of Event Scale (IES), and answered several open questions about their opinion of the antenatal preparation given.
  
  
  RESULTS
  Those women who had been treated for fear of childbirth reported a rather more frightening experience of delivery, and more frequent symptoms of post-traumatic stress related to delivery than did the women in the comparison group. Nevertheless, satisfaction with care was manifest in the study group.
  
  
  CONCLUSIONS
  Women who seek help for fear of childbirth are a vulnerable group. Because the counseling received by the women in this study did not accord them the same positive experience of childbirth as the average parturient at the unit, more effective forms of treatment may be necessary. However, as most of the women were very satisfied with their care and with the outcome, one may assume that the care given had improved their situation to some degree.
authors.affiliation: Department of Obstetrics and Gynecology, Helsingborg Hospital, Helsingborg, Sweden. elsa.lena@ryding.net
authors.forename: Elsa Lena
authors.initials: EL
authors.lastname: Ryding
authors.forename: Asa
authors.initials: A
authors.lastname: Persson
authors.forename: Cecilia
authors.initials: C
authors.lastname: Onell
authors.forename: Linda
authors.initials: L
authors.lastname: Kvist
mesh_terms: D000328:Adult; D001007:Anxiety; D016022:Case-Control Studies; D016001:Confidence Intervals; D003376:Counseling; D003627:Data Interpretation, Statistical; D036861:Delivery, Obstetric / Q000523:psychology*; D005239:Fear; D005260:Female; D006801:Humans; D008880:Midwifery; D016017:Odds Ratio; D017060:Patient Satisfaction; D011247:Pregnancy / Q000523:psychology; D011256:Pregnancy Outcome; D011569:Psychiatric Status Rating Scales; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000523:psychology; D011795:Surveys and Questionnaires