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A Comparison of Fear of Childbirth and Labor Pain Intensity among Primiparous and Multiparous Women: A Cross-Sectional Study

Nikpour, M, Alijanpoor, M, Behmanesh, F, Omrani, Atefeh, Yahyavi, F, Karimnezhad Sorkhi, F, Haghighi Kenari, T, Hajian, K, Mohsenzadeh Ledari, F and Faramarzi, M (2024) A Comparison of Fear of Childbirth and Labor Pain Intensity among Primiparous and Multiparous Women: A Cross-Sectional Study. The Journal of Midwifery & Reproductive health. p. 211. ISSN 2345-4792 (In Press)

Item Type: Article


Background & aim: Fear of Childbirth (FOC) can be seen as an anxiety disorder or as a phobia that women experience in relation to pregnancy and childbirth. We conducted this study to compare the intensity of labor pain with the FOC in multiparous and primiparous women.
Methods: This cross-sectional study was conducted using convenience sampling on 432 pregnant women in Babol, Iran, between 2018 and 2019. All pregnant women completed the demographic and FOC questionnaires, as well as labor pain intensity, four times measured using a visual analog scale (VAS). Data were analyzed using SPSS version 16 software and descriptive and analytical indices.
Results: FOC in primiparous women was significantly higher than in multiparous mothers (MD: 12.08<0.001, P). The multivariate linear regression test showed that after adjusting the intervening and obstetric variables, in terms of the intensity of pain in the active phase of labor (MD: 0.07; CI 95% -0.32, 0.47; P=0.71) and the expulsion of the fetus (MD: 0.02; CI 95% -0.38, 0.44; P=0.89), there was no statistically significant difference between primiparous and multiparous women. However, a statistically significant difference was found in placental discharge (MD: 0.52; CI 95% 0.01, 1.02; P = 0.043).
Conclusion: FOC in primiparous women was significantly higher than that of multiparous women after adjusting the intervening variables. The results of this study provide basic information for policy makers to pay more attention to reducing the fear of childbirth, especially in primiparous women.

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Uncontrolled Keywords: Childbirth Labor pain Women Pregnancy Parity
Depositing User: Ati Omrani


Item ID: 17647
Identification Number:
ISSN: 2345-4792
Official URL:

Users with ORCIDS

ORCID for Atefeh Omrani: ORCID iD

Catalogue record

Date Deposited: 28 May 2024 09:48
Last Modified: 28 May 2024 09:48


Author: Atefeh Omrani ORCID iD
Author: M Nikpour
Author: M Alijanpoor
Author: F Behmanesh
Author: F Yahyavi
Author: F Karimnezhad Sorkhi
Author: T Haghighi Kenari
Author: K Hajian
Author: F Mohsenzadeh Ledari
Author: M Faramarzi

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University of Sunderland in London


Social Sciences > Health and Social Care
Sciences > Nursing

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