XXXX : a neglected dilemma.

@entity1 @entity308 @entity15892 @entity148 @entity158
@entity15892 complicates 6% to 10% of parturients and is manifested as nightmares, physical complaints and difficulties in concentrating on work or on family activities. Very often fear of childbirth leads to request for an elective cesarean section (CS). In Finland, Sweden, and the United Kingdom, fear of childbirth or maternal request is the reason for about 7-22% of CS births. @entity15892 is as common in nulliparous as in parous @entity1 . Fear of @entity158 is strongly associated with the fear of @entity158 in general, and a previous complicated childbirth or inadequate @entity158 relief are the most common reasons for requesting a CS among parous @entity1 . Previous psychological morbidity and a great number of daily stressors expose a @entity1 to a great risk of fear of childbirth. @entity15892 is not an isolated problem but associated with the @entity1 's personal characteristics, mainly general @entity148 , low self-esteem, and @entity308 , and dissatisfaction with their partnership, and lack of support. Also the partners of @entity1 with fear have a certain pattern of low psychological well-being, resulting in low life-satisfaction, dissatisfaction with partnerships, and @entity308 . A vivid debate about the @entity1 's right to choose the mode of delivery is going on in obstetric literature, but discussion on the reasons for @entity1 to request a CS, or on the possibilities to help them overcome the fear of vaginal childbirth is scanty. Preliminary Swedish and Finnish reports demonstrated the results of treatment during pregnancy, when more than half of the @entity1 withdrew their request after being able to discuss their @entity148 and fear, and vaginal deliveries after treatment were successful.
