{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T21:57:52Z","timestamp":1793829472646,"version":"4.6.1"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2012,6,27]],"date-time":"2012-06-27T00:00:00Z","timestamp":1340755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>\n                    <jats:italic>Please cite this paper as:<\/jats:italic>\n                    Adams S, Eberhard\u2010Gran M, Eskild A. Fear of childbirth and duration of labour: a study of 2206 women with intended vaginal delivery. BJOG 2012;119:1238\u20131246.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Objective\u2002<\/jats:bold>\n                    To assess the association between fear of childbirth and duration of labour.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design\u2002<\/jats:bold>\n                    A prospective study of women from 32\u2003weeks of gestation through to delivery.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting\u2002<\/jats:bold>\n                    Akershus University Hospital, Norway.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Population\u2002<\/jats:bold>\n                    A total of 2206 pregnant women with a singleton pregnancy and intended vaginal delivery during the period 2008\u201310.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods\u2002<\/jats:bold>\n                    Fear of childbirth was assessed by the Wijma Delivery Expectancy Questionnaire (W\u2010DEQ) version A at 32\u2003weeks of gestation, and defined as a W\u2010DEQ sum score\u2003\u2265\u200385. Information on labour duration, use of epidural analgesia and mode of delivery was obtained from the maternal ward electronic birth records.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Main outcome measures\u00a0\u2002<\/jats:bold>\n                    Labour duration in hours: from 3\u20134\u2003cm cervical dilatation and three uterine contractions per 10\u2003minutes lasting \u22651\u2003minute, until delivery of the child.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2002<\/jats:bold>\n                    Fear of childbirth (W\u2010DEQ sum score\u2003\u2265\u200385) was present in 7.5% (165) of women. Labour duration was significantly longer in women with fear of childbirth compared with women with no such fear using a linear regression model (crude unstandardised coefficient 1.54; 95% confidence interval 0.87\u20132.22, corresponding to a difference of 1\u2003hour and 32\u2003minutes). After adjustment for parity, counselling for pregnancy concern, epidural analgesia, labour induction, labour augmentation, emergency caesarean delivery, instrumental vaginal delivery, offspring birthweight and maternal age, the difference attenuated, but remained statistically significant (adjusted unstandardised coefficient 0.78; 95% confidence interval 0.20\u20131.35, corresponding to a 47\u2010minute difference).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion\u2002<\/jats:bold>\n                    Duration of labour was longer in women with fear of childbirth than in women without fear of childbirth.\n                  <\/jats:p>","DOI":"10.1111\/j.1471-0528.2012.03433.x","type":"journal-article","created":{"date-parts":[[2012,6,25]],"date-time":"2012-06-25T14:15:57Z","timestamp":1340633757000},"page":"1238-1246","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":269,"title":["Fear of childbirth and duration of labour: a study of 2206 women with intended vaginal delivery"],"prefix":"10.1111","volume":"119","author":[{"given":"SS","family":"Adams","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Eberhard\u2010Gran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Eskild","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,6,27]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016347909154570"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-195512000-00001"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2005.01.001"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02398-0"},{"key":"e_1_2_6_6_2","first-page":"686","article-title":"[What is the duration of normal labour?]. [Norwegian]","volume":"128","author":"Blix E","year":"2008","journal-title":"Tidsskr Nor Laegeforen"},{"key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0002-9378(02)70181-6","article-title":"Unintended effects of epidural analgesia during labor: a systematic review","volume":"186","author":"Lieberman E","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.217"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1989.tb03279.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2003.00114.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00950.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02002.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340500432507"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/pmj.79.935.505"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02967.x"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199609000-00006"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.1998.770512.x"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-0528.2002.01351.x"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.3109\/01674820309042796"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(78)90742-1"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02250.x"},{"key":"e_1_2_6_22_2","unstructured":"Ministry of Health and Care Services [Internet].Fosterdiagnostikk [updated 2002] [Norwegian]. [http:\/\/www.regjeringen.no\/nb\/dep\/hod\/dok\/regpubl\/stmeld\/20012002\/stmeld\u2010nr\u201014\u20102001\u20102002\u2010\/5.html?id=195458]. Accessed 23 March 2012."},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.3109\/01674829809048501"},{"key":"e_1_2_6_24_2","first-page":"303","volume-title":"Practical Statistics for Medical Research","author":"Altman DG","year":"1991"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1080\/01674820902950538"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01323.x"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340500334844"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200111000-00019"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340600756920"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349709034907"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1471-0528.2012.03433.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1471-0528.2012.03433.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T15:50:09Z","timestamp":1698767409000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2012.03433.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,27]]},"references-count":29,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1111\/j.1471-0528.2012.03433.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1471-0528.2012.03433.x","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,27]]},"assertion":[{"value":"2012-06-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}