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Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis.
O'Connell, Maeve A; Leahy-Warren, Patricia; Khashan, Ali S; Kenny, Louise C; O'Neill, Sinéad M.
Afiliación
  • O'Connell MA; Irish Centre for Fetal and Neonatal Translational Research (INFANT Center), Department of Obstetrics & Gynecology, Cork University Maternity Hospital, Wilton, Cork, Ireland.
  • Leahy-Warren P; School of Nursing & Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.
  • Khashan AS; Irish Centre for Fetal and Neonatal Translational Research (INFANT Center), Department of Obstetrics & Gynecology, Cork University Maternity Hospital, Wilton, Cork, Ireland.
  • Kenny LC; Department of Epidemiology & Public Health, Western Gateway Building, University College Cork, Cork, Ireland.
  • O'Neill SM; Irish Centre for Fetal and Neonatal Translational Research (INFANT Center), Department of Obstetrics & Gynecology, Cork University Maternity Hospital, Wilton, Cork, Ireland.
Acta Obstet Gynecol Scand ; 96(8): 907-920, 2017 Aug.
Article en En | MEDLINE | ID: mdl-28369672
INTRODUCTION: Tocophobia 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 METHODS: Relevant 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. RESULTS: Thirty-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 (I2 = 99.25%, p = 0.00), which was not explained in subgroup analyses including tocophobia definition used, screening trimester and parity. CONCLUSION: The 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Fóbicos / Complicaciones del Embarazo / Parto / Miedo Tipo de estudio: Etiology_studies / Prevalence_studies / Risk_factors_studies / Systematic_reviews Límite: Female / Humans / Pregnancy Idioma: En Revista: Acta Obstet Gynecol Scand Año: 2017 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Fóbicos / Complicaciones del Embarazo / Parto / Miedo Tipo de estudio: Etiology_studies / Prevalence_studies / Risk_factors_studies / Systematic_reviews Límite: Female / Humans / Pregnancy Idioma: En Revista: Acta Obstet Gynecol Scand Año: 2017 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Estados Unidos