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    Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy

    Access Status
    Fulltext not available
    Authors
    Stoll, K.
    Hauck, Yvonne
    Downe, S.
    Edmonds, J.
    Gross, M.
    Malott, A.
    McNiven, P.
    Swift, E.
    Thomson, G.
    Hall, W.
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    Stoll, K. and Hauck, Y. and Downe, S. and Edmonds, J. and Gross, M. and Malott, A. and McNiven, P. et al. 2015. Cross-cultural development and psychometric evaluation of a measure to assess fear of childbirth prior to pregnancy. Sexual & Reproductive Healthcare. 8: pp. 49-54.
    Source Title
    Sexual & Reproductive Healthcare
    DOI
    10.1016/j.srhc.2016.02.004
    ISSN
    1877-5756
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/23598
    Collection
    • Curtin Research Publications
    Abstract

    © 2016. Background: Assessment of childbirth fear, in advance of pregnancy, and early identification of modifiable factors contributing to fear can inform public health initiatives and/or school-based educational programming for the next generation of maternity care consumers. We developed and evaluated a short fear of birth scale that incorporates the most common dimensions of fear reported by men and women prior to pregnancy, fear of: labour pain, being out of control and unable to cope with labour and birth, complications, and irreversible physical damage. Methods: University students in six countries (Australia, Canada, England, Germany, Iceland, and the United States, n = 2240) participated in an online survey to assess their fears and attitudes about birth. We report internal consistency reliability, corrected-item-to-total correlations, factor loadings and convergent and discriminant validity of the new scale. Results: The Childbirth Fear - Prior to Pregnancy (CFPP) scale showed high internal consistency across samples (a > 0.86). All corrected-item-to total correlations exceeded 0.45, supporting the uni-dimensionality of the scale. Construct validity of the CFPP was supported by a high correlation between the new scale and a two-item visual analogue scale that measures fear of birth (r > 0.6 across samples). Weak correlations of the CFPP with scores on measures that assess related psychological states (anxiety, depression and stress) support the discriminant validity of the scale. Conclusion: The CFPP is a short, reliable and valid measure of childbirth fear among young women and men in six countries who plan to have children.

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