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Table 3 Adjusted odds ratios (ORs) with 95% confidence intervals (Cis) for the event of the development of maternal fear of childbirth (FOC) in the 2nd pregnancy

From: Factors associated with fear of childbirth in a subsequent pregnancy: a nationwide case–control analysis in Finland

 

Development of FOC in the 2nd pregnancy

Event in the first pregnancy

 

Women with FOC in the first pregnancy included (n = 3606)

aOR* (CI)

FOC in the first pregnancy

14.9 (13.9–16.0)

Delivery mode

 

Vacuum delivery

1.51 (1.45–1.58)

Emergency caesarean section

4.71 (4.31–5.13)

Unplanned caesarean section

3.65 (3.51–3.80)

Obstetric challenge

 

Very or extremely preterm delivery (< 31 + 6 weeks of gestation)

0.97 (0.75–1.21)

Uterine curettage or manual placenta removal

1.38 (1.24–1.54)

Third- or fourth-degree tear of the perineum

2.68 (2.41–2.96)

Shoulder dystocia*

2.69 (2.08–3.42)

Adverse neonatal outcome

 

Neonatal intensive care (in vaginal delivery)

1.10 (0.95–1.08)

Perinatal mortality**

1.89 (1.54–2.30)

Women with FOC in the first pregnancy excluded

 

Delivery mode

 

Vacuum delivery

1.69 (1.61–1.77)

Emergency caesarean section

5.27 (4.83–5.75)

Unplanned caesarean section

3.93 (3.77–4.10)

Obstetric challenge

 

Uterine curettage or manual placenta removal

1.52 (1.36–1.69)

Third- or fourth-degree tear of the perineum

2.99 (2.69–3.31)

Shoulder dystocia

2.82 (2.16–3.62)

Adverse neonatal outcome

 

Neonatal intensive care (in vaginal delivery)

1.12 (1.05–1.19)

Neonatal mortality*

2.17 (1.77–2.64)

Very or extremely preterm delivery (< 31 + 6 weeks of gestation)

1.12 (0.88–1.42)

  1. *Adjusted by maternal age, diagnosed gestational diabetes and weight of the neonate in the second pregnancy
  2. **Only in deliveries registered as vaginal (spontaneous vaginal or instrumental vaginal)
  3. ***Includes stillbirth and those who died during the first week