{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T17:33:09Z","timestamp":1772040789440,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T00:00:00Z","timestamp":1543795200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010805","name":"Forskningsr\u00e5det i Syd\u00f6stra Sverige","doi-asserted-by":"publisher","award":["FORSS\u2010558091"],"award-info":[{"award-number":["FORSS\u2010558091"]}],"id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>About 8% of the pregnant women in Sweden receive counseling for fear of childbirth (<jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content>) during pregnancy. Little is known about the long\u2010term reproductive and obstetric outcomes after counseling for <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content>: Therefore, the objective of this historical cohort study was to compare the long\u2010term reproductive and obstetric outcomes in women treated for <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content> in their first pregnancy to women without <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>All nulliparas consecutively referred for treatment of severe <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content> between 2001 and 2007 (n\u00a0=\u00a0608) were compared with all other nulliparas giving birth on the same day (n\u00a0=\u00a0431). Women who were not fluent in Swedish, missing a postal address, had moved out of the area, given birth at another hospital or had a late spontaneous abortion were excluded (n\u00a0=\u00a0555). A total of 235 women agreed to participate in the study, 63 (39%) women in the index group and 172 (53%) in the reference group. The women were contacted by letter in 2015, ie 7\u201014\u00a0years after first childbirth, and asked to permit access to their medical charts from pregnancies and childbirths and to fill out a study specific questionnaire. Based on data from the medical charts and questionnaire, the mode of delivery, birth experience, obstetric complications, <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content>, counseling for <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content> and number of childbirths were compared in the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women in the index group less often gave birth more than twice compared with the reference group (8.2% vs 22.0%, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.012). We found no significant differences in complications during subsequent pregnancies and deliveries. Women in the index group more often gave birth by <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> in their first (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.002) and second childbirth (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001), more often had a less positive birth experience (index group NRS: median 6.0, interquartile range 6 vs reference group NRS: 7.0, interquartile range 5, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.004) in their first delivery and more often received counseling for <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content> (58.7% vs 12.5%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) in subsequent pregnancies. Women in the index group more often experienced <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content> (18% vs 5.3%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.001) 7\u201014\u00a0years after first childbirth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content> is not easily treated. Despite treatment and exposure to childbirth many women received treatment in their next pregnancy and still suffered from <jats:styled-content style=\"fixed-case\">FOC<\/jats:styled-content> 7\u201014\u00a0years after the first childbirth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13503","type":"journal-article","created":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T20:51:45Z","timestamp":1542315105000},"page":"374-381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Reproduction, fear of childbirth and obstetric outcomes in women treated for fear of childbirth in their first pregnancy: A historical cohort"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1967-6599","authenticated-orcid":false,"given":"Louise","family":"M\u00f6ller","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3238-3811","authenticated-orcid":false,"given":"Ann","family":"Josefsson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9491-9728","authenticated-orcid":false,"given":"Caroline","family":"Lilliecreutz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Gunnervik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology V\u00e4rnamo County Hospital V\u00e4rnamo Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6681-8601","authenticated-orcid":false,"given":"Marie","family":"Bladh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7477-0364","authenticated-orcid":false,"given":"Gunilla","family":"Sydsj\u00f6","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/0167482X.2014.980722"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2017.02.003"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2011.01274.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13138"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2014.06.007"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-012-0278-y"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01323.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340902998436"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01583.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2014.11.011"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12714"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12599"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02967.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340500432507"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12593"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148343"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016340903418777"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12011"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2006.00107.x"},{"key":"e_1_2_9_21_1","unstructured":"Svensk f\u00f6rening f\u00f6r Obstetrik och Gynekologi (SFOG).F\u00f6rlossningsr\u00e4dsla. Arbets\u2010 och referensgrupp f\u00f6r psykosocial obstetrik och gynekologi. Rapport nr 77. [Fear of Childbirth. Working and reference group for psychosocial obstetrics and gynecology. Report No. 77.]Stockholm Sweden:SFOG;2017."},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12634"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2003.820102.x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01200.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-126"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00950.x"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1514-2"},{"key":"e_1_2_9_28_1","unstructured":"National Board of Health and Welfare.Statistikdatabas f\u00f6r graviditeter f\u00f6rlossningar och nyf\u00f6dda. [Statistics database for pregnancies births and newborns].http:\/\/www.socialstyrelsen.se\/statistik\/statistikdatabas\/graviditeter-forlossningarochnyfodda. Accessed November 29 2017"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.3109\/01674829809048501"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02002.x"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faogs.13503","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.13503","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T07:29:55Z","timestamp":1694676595000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.13503"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,3]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1111\/aogs.13503"],"URL":"https:\/\/doi.org\/10.1111\/aogs.13503","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,3]]},"assertion":[{"value":"2018-08-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}