title: Swedish couples' attitudes towards birth, childbirth fear and birth preferences and relation to mode of birth - a longitudinal cohort study.
abstract: OBJECTIVE
  Little is known if couples hold similar or different attitudes towards birth or what impact these have on the actual mode of birth. The aim of this study was to compare couples' personal and general attitudes towards birth. An additional aim was to study the relationship between attitudes, birth preferences, and fear of birth in relation to mode of birth.
  
  
  METHODS
  This study is part of a longitudinal cohort study of 1074 pregnant women and their partners recruited during one year in three hospitals in the middle-north part of Sweden. Data was collected by questionnaires. Chi-square test, t-tests and multinominal regression analysis were used in the analyses.
  
  
  RESULTS
  Women held stronger attitudes about the importance of a safe and less stressful birth for the baby, while their partners were most concerned about the woman's health. Women who preferred a caesarean section and reported childbirth fear often prioritized a safe and stressful birth for themselves, wanted to avoid pain, plan the date, and decide about birth themselves and did not view birth as natural. Some of these attitudes were also found in partners who preferred a caesarean section. Birth preference and fear were strongly associated with mode of birth.
  
  
  CONCLUSIONS
  Special attention should be directed towards parents with a caesarean section preference and parents with childbirth related fear as they have certain attitudes to birth and are more likely to have caesarean section for the birth of the baby.
authors.affiliation: Mid Sweden University, Department of Nursing, Sweden; Karolinska Institutet, Stockholm, Sweden; Uppsala University, Uppsala, Sweden. Electronic address: Ingegerd.hildingsson@miun.se.
authors.forename: Ingegerd
authors.initials: I
authors.lastname: Hildingsson
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002585:Cesarean Section / Q000523:psychology* / Q000706:statistics & numerical data; D002755:Choice Behavior; D017558:Elective Surgical Procedures / Q000523:psychology / Q000706:statistics & numerical data; D005191:Family Characteristics; D005220:Fathers / Q000523:psychology*; D005239:Fear / Q000523:psychology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D036801:Parturition / Q000523:psychology*; D057240:Patient Preference / Q000523:psychology*; D061214:Patient Safety; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D011795:Surveys and Questionnaires; D013548:Sweden; D016387:Women's Health; D055815:Young Adult
keywords: Attitudes; Birth; Birth preference; Childbirth fear; Couples