Fear of Childbirth and Preferences for Prevention Services among Urban Pregnant Women in a Developing Country: A Multicenter, Cross-Sectional Study

Lam Duc Nguyen, Long Hoang Nguyen, Ly Thi Ninh, Ha Thu Thi Nguyen, Anh Duy Nguyen, Linh Gia Vu, Cuong Tat Nguyen, Giang Thu Vu, Linh Phuong Doan, Carl A. Latkin, Cyrus S. H. Ho and Roger C. M. Ho
Additional contact information
Lam Duc Nguyen: Department of Anaesthesiology, Hanoi Medical University, Hanoi 100000, Vietnam
Long Hoang Nguyen: Department of Global Public Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden
Ly Thi Ninh: Social Affair Department, Ca Mau Obstetrics & Pediatrics Hospital, Ca Mau 98000, Vietnam
Ha Thu Thi Nguyen: Hanoi Obstetrics and Gynecology Hospital, Hanoi 100000, Vietnam
Anh Duy Nguyen: Hanoi Obstetrics and Gynecology Hospital, Hanoi 100000, Vietnam
Linh Gia Vu: Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
Cuong Tat Nguyen: Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
Giang Thu Vu: Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 70000, Vietnam
Linh Phuong Doan: Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
Carl A. Latkin: Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Cyrus S. H. Ho: Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore
Roger C. M. Ho: Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore

IJERPH, 2021, vol. 18, issue 10, 1-12

Abstract: This study aimed to examine fear of childbirth and willingness to pay for fear-prevention services in pregnant women. A multicenter, cross-sectional study was conducted on pregnant women in two obstetric hospitals in Vietnam. The Fear of Birth Scale was utilized to evaluate fear of childbirth. Multivariable, generalized linear regression and logistic regression models were performed to identify associated factors with fear of childbirth, demand, and willingness to pay for prevention services. Of 900 pregnant women, fear of childbirth was moderately high with a mean score of 18.1 (SD = 2.3). Age of partner; ever having complications of pregnancy; attitudes toward different aspects of childbirth delivery; satisfactions with friends, parents, and siblings’ care; and information support were associated with fear of childbirth. Only 33.8% participants had a demand for the prevention service, and 43.7% were willing to pay for this service with an average amount of $US 10.0 per month (SD = 72.0). Our study suggested that individualized psychological counseling and information-seeking guidance should be provided appropriately and differently for multiparous and nulliparous women for reducing fear and improving the acceptability of the prevention services.

Keywords: fear; childbirth; pregnant women; prevention; preferences (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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