Document Type : Original Article

Authors

Departement of Human Resource Management, Dehaghan Branch, Azad University, Dehaghan, Iran

Abstract

INTRODUCTION: Childbirth fear is one of the major problems during pregnancy and postpartum,
and it assesses the sense of management coherence in stress. Therefore, the present study was
conducted to compare the association between the sense of coherence and childbirth fear in high‑risk
and low‑risk pregnant women.
MATERIALS AND METHODS: This was a cross‑sectional correlation study performed on 440
low‑risk and high‑risk pregnant women referred to health centers in Isfahan in 2016. Sampling was
carried out in several stages and clustered and accessible. The data gathering tool was Sense of
Coherence and Fear of Childbirth Questionnaires.
RESULTS: The results showed that in high‑risk pregnant women, the mean score of the sense of
coherence was 108.23 and the fear of delivery was 41.7, and in low‑risk pregnant women, the sense
of integrity and fear of delivery were 19.109 and 42.25, respectively. In addition, the results of t‑test
showed that there is no significant relationship between the fear of delivery in high‑risk and low‑risk
pregnant women (P = 0.056), while there is a significant relationship between sense of coherence
score in high‑risk and low‑risk pregnant women (P = 0.02).
CONCLUSION: Having the desired level of success, happiness, well‑being, ability to cope with stress
and overcoming psychological crisis, and pleasant social relationships can increase the sense of
coherence in pregnant mothers.

Keywords

  1. Mohamadirizi S, Dehnavi ZM, Torabi F, mohamadirizi M. The
    relationship between spiritual intelligence and fear of childbirth
    in low‑risk pregnant women. J Babol Univ Med Sci 2017;19:26‑31.
    2. Ghazaie M, Davoodi I, Neysi A .The effectiveness of
    cognitive‑behavioral therapy on fear of childbirth, fear of pain,
    self‑efficacy of childbirth and tendency to caesarean in nulliparous
    women. Iran J Obstet Gynecol Infertil 2016;19:1‑12.
    3. Mohamadirizi S, Kordi M, Shakeri MT, Modares‑Gharavi M. The
    relationship between eating disorder symptoms and obsessive
    compulsive disorder in Primigravida women. Iran J Nurs
    Midwifery Res 2015;20:642‑6.
  2. 4. Mojibian M, Karimi M. The relationship between Stress during
    pregnancy with level of IgE of infants blood of navel. J Shahid
    Sadooghi Yazd Univ Med Sci 2012;85:142‑6.
    5. Wachholtz AB, Pargament KI. Migraines and meditation: Does
    spirituality matter? J Behav Med 2008;31:351‑66.
    6. Marx H, WienerJ, Davies N. A survey of the influence of patients’
    choice on the increase in the caesarean section rate. J Obstet
    Gynaecol 2001;21:124‑7.
    7. Akbarzade M, Toosi M, Zare N, Sharif F. Effect of relaxation and
    attachment behaviors training on anxiety in first‑time mothers
    in Shiraz city: A randomized clinical trial. Qom Univ Med SCIJ
    2013;6:14‑23.
    8. Heron J, O’Connor T, Evans J, Golding J, Glover V. The course of
    anxiety and depression through pregnancy and the postpartum
    in a community sample. J Affect disord 2004;80:65‑73.
    9. Mirzaee F. High Risk Pregnancy. 33rd ed. Tehran: Nore Andishe
    Pub; 2009.
    10. Sekizuka N, Nakamura H, Shimada K, Tabuchi N, Kameda Y,
    Sakai A. Relationship between sense of coherence in final stage
    of pregnancy and postpartum stress reactions. Environ Health
    Prev Med 2006;11:199‑205.
    11. Takegata M, Haruna M, Matsuzaki M, Shiraishi M, Okano T,
    Severinsson E, et al. Antenatal fear of childbirth and sense
    of coherence among healthy pregnant women in Japan:
    A cross‑sectional study. Arch Womens Ment Health 2014;17:403‑9.
    12. Alipour A, Sharif N. Validity and reliability of the sense of
    coherence (SOC) questionnaire in university students. Pajoohande
    2012;17:50‑6.
    13. Khanjari S, Mosavlpoor SS, Oskouie F, Haghani H. Quality of
    life and sense of coherence in the mothers with term and preterm
    infants. Iran Journal of Nursing 2017;30:57‑67.
    14. Alireza AY, Nasim S. Analysis of the relationship between sense
    of coherence and emotional intelligence in university students.
    Psychol Stud 2011;7:51‑73.
    15. Krantz G, Ostergren PO. Does it make sense in a coherent way?
    Determinants of sense of coherence in Swedish women 40 to
    50 years of age. Int J Behav Med 2004;11:18‑26.
    16. Taheri Z, Khorsandi M, Amiri M, Hasanzade A. Investigating
    the causes of fear of childbirth in Shahrekord pregnant women,
    in 2013: A short report. J Rafsanjan Univ Med Sci 2015;14:345‑50.
    17. Gavam SD, Goradel JA. The role of metacognitive beliefs and
    positive and negative affect in the Fear of childbirth of pregnant
    women with first experience. Nurs Res 2014;9(3):10‑18.
    18. Pournamdarian S, Birashk B, Farid AA. The clarification of
    contribution of metacognitive beliefs in explaining the symptoms
    of depression, anxiety and stress in nurses. Knowl Res Appl
    Psychol 2012;13:86‑94.
    19. Avaznejad N, Ravanipour M, Bahreini M, Motamed N.
    Comparison of the sense of coherence between mothers with
    healthy children and mothers of children with chronic disease
    in Kerman. Q J Health Res 2015;2:183‑96.
    20. Olsson MB, Hwang CP. Sense of coherence in parents of children
    with different developmental disabilities. J Intellect Disabil Res
    2002;46:548‑59.
    21. Delgado C. Sense of coherence, spirituality, stress and quality of
    life in chronic illness. J Nurs Scholarsh 2007;39:229‑34.
    22. Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E,
    et al. A randomized controlled trial of a psycho‑education
    intervention by midwives in reducing childbirth fear in pregnant
    women. Birth 2014;41:384‑94.