Fear of Childbirth, Desire to Avoid Pregnancy and Marital Adjustment Among Married Females

Authors

  • Asma Mukhtar Undergraduate Scholar, Department of Psychology, Rawalpindi Women University, Rawalpindi, Punjab, Pakistan.
  • Umm Eman Syed Lecturer, Department of Psychology, Rawalpindi Women University, Rawalpindi, Pakistan.
  • Dr. Anam Khan Assistant Professor, Department of Psychology, Rawalpindi Women University, Rawalpindi, Pakistan.
  • Syeda Rubab Zahra Undergraduate Scholar, Department of Psychology, Rawalpindi Women University, Rawalpindi, Pakistan.
  • Neelam Bibi Clinical Psychologist, Rawalpindi Institute of Cardiology, Rawalpindi, Punjab, Pakistan. https://orcid.org/0009-0002-1115-0736

DOI:

https://doi.org/10.55737/qjss.v-iv(CP).24235

Keywords:

Fear of Childbirth, Desire to Avoid Pregnancy, Marital Adjustment, Married Females

Abstract

With the advancement in the world, there are many phenomena that are increasing, but the Fear of childbirth is still an issue that goes unnoticed. Birth is a unique and also a painful experience for a woman. It is recognized that because of Fear, women tend to avoid becoming pregnant, which affects their marital life. The present study explains the relationship between Fear of childbirth, the desire to avoid pregnancy, and marital adjustment. The sample comprised of 154 married females. It was a correlational study accompanied by a convenient sampling technique. For data collection, the Fear of Childbirth Questionnaire (FCQ), Desire to Avoid Pregnancy (DAP) Scale, and Marital Adjustment Test (MAT) were used. Findings show that Fear of childbirth is positively correlated with the desire to avoid pregnancy, and Fear of childbirth is negatively correlated with marital adjustment. Results showed a significant relationship between all three variables. Findings show that the Fear of childbirth positively predicts the desire to avoid pregnancy. On the contrary, Fear of childbirth negatively predicts marital adjustment among married females. This study would be helpful for counselors, practitioners, researchers, therapists, psychologists, medical experts, and especially midwives to explore this domain while dealing with married females.

Author Biography

  • Umm Eman Syed, Lecturer, Department of Psychology, Rawalpindi Women University, Rawalpindi, Pakistan.

References

Alemu, C., Wudu, H., & Lakew, S. (2024). Fear of childbirth and its associated factors among pregnant women in Dejen Woreda, East Gojjam Zone, Northwest Ethiopia: a community-based cross-sectional study. Scientific Reports, 14(1), 9319. https://doi.org/10.1038/s41598-024-58855-5

Ali, M. H., Seif, S. A., & M. Kibusi, S. (2022). The Influence of Fear During Pregnancy, Labour and Delivery on Birth Outcome Among Post-Delivery Women: A Case Control Study in Zanzibar. East African Health Research Journal, 6(2), 147–154. https://doi.org/10.24248/eahrj.v6i2.693

Amjad, A., Imran, A., Shahram, N., Zakar, R., Usman, A., Zakar, M. Z., & Fischer, F. (2020). Trends of caesarean section deliveries in Pakistan: secondary data analysis from Demographic and Health Surveys, 1990–2018. BMC Pregnancy and Childbirth, 20(1), 753. https://doi.org/10.1186/s12884-020-03457-y

Ansari, A., & Irum, S. (2022). Association of Fear of Childbirth with the Preference for Cesarean Section; A Cross Sectional Study. Pakistan Armed Forces Medical Journal, 72(2), 535–538. https://doi.org/10.51253/pafmj.v72i2.5219

Bali, A., Dhingra, R., & Baru, A. (2010). Marital Adjustment of Childless Couples. Journal of Social Sciences, 24(1), 73–76. https://doi.org/10.1080/09718923.2010.11892839

Bhatia, M. S., & Jhanjee, A. (2012). Tokophobia: A dread of pregnancy. Industrial Psychiatry Journal, 21(2), 158. https://doi.org/10.4103/0972-6748.119649

Gatchel, R. J., Neblett, R., Kishino, N., & Ray, C. T. (2016). Fear-Avoidance Beliefs and Chronic Pain. Journal of Orthopaedic & Sports Physical Therapy, 46(2), 38–43. https://doi.org/10.2519/jospt.2016.0601

Güney, E., Karataş Okyay, E., & Uçar, T. (2022). The Relationship between Fear of Childbirth and the Desire to Avoid Pregnancy among Young Unmarried Women. Turkish Journal of Family Medicine and Primary Care, 16(4), 736–743. https://doi.org/10.21763/tjfmpc.1132535

Hall, J. A., Barrett, G., Stephenson, J., Rocca, C. H., & Edelman, N. (2023). Predictive ability of the Desire to Avoid Pregnancy scale. Reproductive Health, 20(1). https://doi.org/10.1186/s12978-023-01687-9

Hofberg, K., & Ward, M. R. (2003). Fear of pregnancy and childbirth. Postgraduate medical journal, 79(935), 505-510. https://doi.org/10.1136/pmj.79.935.505

Humayun, A., & Haider, I.I. (2013). Antenatal depression and its predictors in Lahore, Pakistan. Eastern Mediterranean Health Journal, 19(4), 327-332. https://pesquisa.bvsalud.org/portal/resource/pt/emr-158872

Jiang, Y & Terhorst, L. (2013). Locke-Wallace short marital-adjustment test: Psychometric evaluation in caregivers for persons with primary malignant brain tumor. J Nurs Meas, 21(3), 502-515. https://doi.org/10.1891/1061-3749.21.3.502

Kempe, A., & Theorell, T. (2015). Exploring women's Fear of childbirth in a high maternal mortality setting on the Arabian Peninsula. Global Mental Health, 2. https://doi.org/10.1017/gmh.2015.6

Kendrick, H. M., & Drentea, P. (2016). Marital Adjustment. Encyclopedia of Family Studies, 1–2. https://doi.org/10.1002/9781119085621.wbefs071

Kurji, Z., & Khowaja, A.A. (2017). Exploring the fears of Pakistani primi gravidas about childbirth. Journal of Asian Midwives, 4(2), 15-24. https://ecommons.aku.edu/jam/vol4/iss2/3/

Lethem, J., Slade, P. D., Troup, J. D. G., & Bentley, G. (1983). Outline of a fear-avoidance model of exaggerated pain perception—I. Behaviour Research and Therapy, 21(4), 401–408. https://doi.org/10.1016/0005-7967(83)90009-8

Locke, H. J., & Wallace, K. M. (1959). Short marital-adjustment and prediction tests: Their reliability and validity. Marriage and Family Living, 21(3), 251-255. https://doi.org/10.2307/348022

Maryam, N., Tahere, A., Sedighe, R., Leili Ehsan, K., & Robabe, S. (2020). Survey of the Relationship between fear of childbirth, pain and delivery outcomes. Pakistan Journal of Medical and Health Sciences, 14(4), 947–954. https://pjmhsonline.com/2020/oct_dec/2076.pdf

Melender, H.-L. (2002). Experiences of Fears Associated with Pregnancy and Childbirth: A Study of 329 Pregnant Women. Birth, 29(2), 101–111. https://doi.org/10.1046/j.1523-536x.2002.00170.x

Mortazavi, F., & Mehrabadi, M. (2021). Predictors of fear of childbirth and normal vaginal birth among Iranian postpartum women: a cross-sectional study. BMC Pregnancy and Childbirth, 21(1), 316.https://doi.org/10.1186/s12884-021-03790-w

Nguyen, L. D., Nguyen, L. H., Ninh, L. T., Nguyen, H. T. T., Nguyen, A. D., Vu, L. G., Nguyen, C. T., Vu, G. T., Doan, L. P., Latkin, C. A., Ho, C. S. H., & Ho, R. C. M. (2021). Fear of Childbirth and Preferences for Prevention Services among Urban Pregnant Women in a Developing Country: A Multicenter, Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18(10), 5382. https://doi.org/10.3390/ijerph18105382

Pazzagli, C., Laghezza, L., Capurso, M., Sommella, C., Lelli, F., & Mazzeschi, C. (2014). Antecedents And Consequences Of Fear Of Childbirth In Nulliparous And Parous Women. Infant Mental Health Journal, 36(1), 62–74. https://doi.org/10.1002/imhj.21483

Rocca, C. H., Ralph, L. J., Wilson, M., Gould, H., & Foster, D. G. (2018). Psychometric Evaluation of an Instrument to Measure Prospective Pregnancy Preferences. Medical Care, 57(2), 152–158. https://doi.org/10.1097/mlr.0000000000001048

Rondung, E., & Thomten, J. (2016). Psychological perspectives on fear of childbirth. Journal of Anxiety Disorders, 44, 80-91. https://doi.org/10.1016/j.janxdis.2016.10.007

Rondung, E., Magnusson, S., & Ternström, E. (2022). Preconception fear of childbirth: experiences and needs of women fearing childbirth before first pregnancy. Reproductive Health, 19(1), 202. https://doi.org/10.1186/s12978-022-01512-9

Rúger-Navarrete, A., Vázquez-Lara, J. M., Antúnez-Calvente, I., Rodríguez-Díaz, L., Riesco-González, F. J., Palomo-Gómez, R., Gómez-Salgado, J., & Fernández-Carrasco, F. J. (2023). Antenatal Fear of Childbirth as a Risk Factor for a Bad Childbirth Experience. Healthcare, 11(3), 297. https://doi.org/10.3390/healthcare11030297

Sanjari, S., Amir Fakhraei, A., Mohammidi Soleimani, M. R., & Alidousti, K. (2022). Validation of the Slade Fear of Childbirth Scale for Pregnancy in a Sample of Iranian Women: A Crosssectional Study. Crescent Journal of Medical and Biological Sciences, 9(3), 138–146. https://doi.org/10.34172/cjmb.2022.24

Shahjehan, H., & Rahman, S. U. (2021). Laws relating to polygamy in Pakistan: Rights of the polygamous wives. Islamabad Lan Revien, 5(2), 25-42. https://www.iiu.edu.pk/wp-content/uploads/2022/04/ILR-Vol-5-Issue-2-Article-2-15042022.pdf

Sharma, B., Jungari, S., & Lawange, A. (2022). Factors Affecting Fear of Childbirth Among Urban Women in India: A Qualitative Study. SAGE Open, 12(2), 215824402210894. https://doi.org/10.1177/21582440221089485

Slade, P., Balling, K., Houghton, G., & Sheen, K. (2021). A new scale for fear of childbirth: the Fear of Childbirth Questionnaire (FCQ). Journal of Reproductive and Infant Psychology, 1–11. https://doi.org/10.1080/02646838.2021.1928615

Ulu, E., & Ertunc, T. (2022). Being pregnant in Covid-19: Fear of giving birth, Fear of Covid-19, and marital adjustment. Cyprus Turkish Journal of Psychiatry & Psychology J, 4(3), 222-230. https://doi.org/10.35365/ctjpp.22.3.02

Veleti, K. (2001). Family Structure and its Effective Influence on Fertility. Journal of Human Ecology, 12(5), 387–390. https://doi.org/10.1080/09709274.2001.11907639

Vlaeyen, J. W. S., Crombez, G., & Linton, S. J. (2016). The fear-avoidance model of pain. PAIN, 157(8), 1588–1589. https://doi.org/10.1097/j.pain.0000000000000574

Waqas, A., Zubair, M., Zia, S., Meraj, H., Aedma, K. K., Majeed, M. H., & Naveed, S. (2020). Psychosocial predictors of antenatal stress in Pakistan: perspectives from a developing country. BMC Research Notes, 13(1). https://doi.org/10.1186/s13104-020-05007-3

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Published

2024-12-10

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Articles

How to Cite

Mukhtar, A., Syed, U. E., Khan, A., Zahra, S. R., & Bibi, N. (2024). Fear of Childbirth, Desire to Avoid Pregnancy and Marital Adjustment Among Married Females. Qlantic Journal of Social Sciences , 5(4), 197-209. https://doi.org/10.55737/qjss.v-iv(CP).24235