{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:52:47Z","timestamp":1791388367988,"version":"4.3.3"},"reference-count":28,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:00:00Z","timestamp":1660089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine the relationship between the COVID\u201019 phobia and perinatal anxiety levels and birth type preferences of pregnant women in the third trimester.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This was designed a cross\u2010sectional study using the non\u2010random convenience sampling method following the STROBE checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The research was conducted with 315 pregnant women from April to May 2021. Data were collected using a personal information form, the COVID\u201019 Phobia Scale, and the Perinatal Anxiety Screening Scale (PASS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found a positive and moderate correlation between the total scores for perinatal anxiety and COVID\u201019 phobia. During the COVID\u201019 pandemic, 4.1% of the participants changed their birth type preferences and this change was statistically significant according to McNemar's test. During the COVID\u201019 pandemic, the women changed their birth type preferences in favour of caesarean section. However, there was no statistically significant difference between those who changed their birth type preferences and those who did not in terms of perinatal anxiety or COVID\u201019 phobia levels. Women with no access to prenatal follow\u2010up visits due to the COVID\u201019 pandemic had higher mean PASS scores and higher mean scores for the perfectionism, control and trauma subscale. The scores for general worry and specific fears were lower among individuals who had obtained information about birth types in prenatal follow\u2010up visits. Also, perinatal anxiety and COVID\u201019 phobia levels were higher among pregnant women who were worried about giving birth in hospital compared to those who were not worried.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We conclude that COVID\u201019 phobia has increased women's perinatal anxiety, causing them to change their birth type preferences in favour of caesarean section.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>We recommended that healthcare professionals take COVID\u201019 phobia and perinatal anxiety into account when counselling pregnant women about birth types to improve prenatal care.<\/jats:p><\/jats:sec><jats:sec><jats:title>No patient or public contribution<\/jats:title><jats:p>No patient or public contribution was required to design, to outcome measures or undertake this research. Patients\/members of the public contributed only to the data collection. Data were obtained from pregnant women in the third trimester, who came to a regional hospital\u2010affiliated obstetrics polyclinic for routine prenatal follow\u2010up visits.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16486","type":"journal-article","created":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T05:40:06Z","timestamp":1660196406000},"page":"3820-3830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Examining the relationship between perinatal anxiety, <scp>COVID<\/scp>\u201019 phobia and birth type preferences: A cross\u2010sectional study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2723-7708","authenticated-orcid":false,"given":"Mehtap","family":"Akg\u00fcn","sequence":"first","affiliation":[{"name":"Department of Maternity and Gynecological Nursing, Nursing Faculty Akdeniz University  Antalya 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