Susan J. Wegelt Heinz, CNM, MSN 1120 Alder Creek Corvallis Oregon 97330 541-745-7099 [email protected]

Total Page:16

File Type:pdf, Size:1020Kb

Susan J. Wegelt Heinz, CNM, MSN 1120 Alder Creek Corvallis Oregon 97330 541-745-7099 Sjwheinz@Gmail.Com Susan J. Wegelt Heinz, CNM, MSN 1120 Alder Creek Corvallis Oregon 97330 541-745-7099 [email protected] Professional Goal To continue to develop and expand my expertise as Nurse Practitioner and Midwife, clinician, and educator, enhancing that role through doctoral education. Certification and Licensure 1987-present: Certified by the American College of Nurse Midwives as a Certified Nurse Midwife 1987-present: Licensed by the state of Oregon as a Nurse Midwife/Nurse Practitioner. 1989-present: Granted prescriptive authority as a Nurse Practitioner including DEA number by the State of Oregon and the FDA. 2003 – Credentialed NAMS Menopause Practitioner; North American Menopause Society. 2006-present: Certified in Advanced Life Support in Obstetrics (ALSO) by the American Academy of Family Physicians. 2010-present: Certified as a Neonatal Resuscitation Program (NRP) provider by the American Heart Association. Professional Employment Experience 1/97 – present: Samaritan OB/GYN, Corvallis Oregon. Certified Nurse Midwife Initially providing prenatal care, antepartum and postpartum, and gynecologic care to women of all ages. Certified as Menopause Clinician. Large educational component including both staff and patient classes. Involved in writing high risk practice guidelines and educational materials for patients. Clinical supervision of Nurse Practitioner and Nurse Midwife students. Full scope midwifery including intrapartum added to the practice in 2005; Approximately 500 births per year with 4 midwives. 1/94-1/97: Benton County Health Department, Corvallis Oregon Nurse Practitioner, Community Health Program Manager 1/94-4/95: Manager of Family Planning/Reproductive Health Clinic. Responsible for overall clinical direction of RN and NP staff, writing and reviewing standing orders, maintaining laboratory and pharmacy regulations, staffing, scheduling and budgets. Provided direct service as NP approximately 15 hours per week in busy Family Planning/Sexual Health Clinic. 4/95-1/97: Manager of Maternal Child Health (MCH) Services. These services included MCH RN home visiting program, WIC, immunizations and School Based Health Centers. Responsible for HIV counseling and testing program. Chair of the HIV Prevention Community Planning Group for the County. Involved in community education and public speaking. Providing classes to High School on contraception and STIs, guest speaker at OSU on HIV/AIDS, and Maternal Child Health issues. 8/91-1/94: Women’s Health Center, Dallas, Oregon Certified Nurse Midwife Full scope Midwifery service in private practice with OB/GYN, MD. Practice including GYN and family planning services as well as AP, IP, PP and newborn care till two months of age. Averaging 100 births per year at a small community hospital with birthing rooms. This was a solo midwifery practice within an OB/GYN office. 6/87-8/91: Family Health Center of Florence, Florence Oregon Certified Nurse Midwife Full scope midwifery service in a family practice office, located in a rural community. Provided GYN and family planning services as well as AP, IP, PP and newborn care till two months of age. Averaging 120 births per year. Combination home birth, rural health birth center, and hospital births. Large educational component as well – providing in-service to RN OB hospital staff, NALS instructor, as well as community education. Taught childbirth classes and lactation support/education. 9/84-5/87: Kaiser Permanente 9/84-7/86; Kaiser San Francisco, CA. 7/86-6/87; Kaiser San Diego CA. Labor and delivery staff nurse in tertiary care labor and delivery unit. 12/82-8/84: Peoria City/County Health Department (PCCHD), Peoria Illinois. RN/Public Health Nurse Worked in combination with PCCHD and Planned Parenthood of Peoria providing free pregnancy testing and counseling to teens and low-income women. Also worked on Maternal Child Health team as a Public Health Nurse providing home visits to at risk pregnant women, new mothers, sick infants and children Provided follow-up for high risk regional perinatal center. 7/80 – 8/82: Children’s Hospital of Michigan, Detroit Michigan. RN, Neonatal ICU Provided primary care to intensive and intermediate care neonates. Honors and Awards: 7/2009: Dean’s Scholarship on behalf of the OHSU School of Nursing Scholarship Committee. 8/2009: Scholarship on behalf of the Saidie Orr Dunbar Nursing Education Fund. 5/2010: Promise of Nursing for Oregon Regional Faculty Fellowship Scholarship by the Foundation of the National Student Nurses’ Association Inc. 10/2010: Professional Nurse Training Grant (HRSA) on behalf of OHSU School of Nursing Scholarship Committee. Education 2009-2011: Oregon Health & Sciences University, Portland Oregon. Doctor of Nursing Practice (DNP) 1985-1987: University of California, San Francisco in the inter campus Nurse Midwifery program with the University of California, San Diego MSN with certification in Nurse-Midwifery and as OB/GYN Nurse Practitioner 1985: University of California, San Francisco Completed BSN 1977-1980: Lutheran General Hospital School of Nursing, Park Ridge, Illinois RN Diploma Continuing Education Attended: 2010: Centering Pregnancy Workshop 5/2010: How to Start a Birth Center workshop via the American Association of Birth Centers 7/2010: Birth Emergency Skills Training 10/2010: Waterbirth Certification Workshop via Waterbirth International Research: Co-investigator in “Gauging community interest for a birth center and other maternity care options in Linn and Benton Counties”. Study submitted to IRB at Oregon State University Professional Organizations: American Association of Birth Centers American College of Nurse-Midwives American Academy of Nurse Practioners DNP Portfolio Executive Summary Susan J. Wegelt Heinz, CNM Doctor of Nursing Practice Candidate, OHSU School of Nursing 5/24/2011 I have been a practicing nurse midwife for nearly 25 years. My population has always been women, women throughout the lifespan. I have focused on encouraging strength and empowering women through health and self-care. I entered the DNP program because of a need to explore practice in a way that I have never done before. At times, after practicing for years, we begin to do things out of habit, and accept practices because it’s the way it’s always been done. Entering the DNP has allowed me to really examine not only the way I practice, but the way health care is provided, to look at systems and models of care, and strive to understand health care for women in a larger context. Through the residency and case studies I have explored models of maternity care. Initially I examined international models of care that offer different choices for women than what is “traditionally” offered in the US. I travelled to Europe and met with midwives in The Netherlands and England and examined models of care that are not only National Health Care models, but midwifery based models; examining models that assume wellness and the normalcy of the birthing process, rather than an interventive, medical focus. I then explored national models of maternity care including centering pregnancy, an alternative to routine prenatal care encouraging self-care and support of women for each other, and water birth, and birthing center models of care. In the final stretch of my residency, I have worked with community leaders and activists in my own community of practice to explore and develop a model of care which is based on the Dutch model, but individualized for my community. Many of the concepts I have explored through the residency, are demonstrated in the case studies in this portfolio. The concept paper in this portfolio is the process of developing a concept of care including midwifery care, a group prenatal care model, home and birthing center options, and improved supportive post partum care. This concept was developed through studying international models of maternity care and exploring international, national and local maternity health outcomes. There is also a case study of a home birth in the Netherlands, again focusing on this model of care in which women have birthing options and which has exceptional outcomes. Other case studies are reflective of issues of significance in the practice of midwifery and women’s health, such as elective cesarean section, shoulder dystocia, and a case regarding contraceptive and reproductive decision making for a woman with a significant genetic disorder. All of these case studies allowed me to explore issues in the practice of nurse midwifery that I had not had the opportunity to investigate, prior to entering the doctorate program. Through the process of this doctoral program, my clinical practice has changed in many ways. I find I question practice routines, I advocate for the women I serve with greater passion, and I have become a community activist and an agent of change. The clinical inquiry study that I developed launched from my exploration of international models of care and grew out of a strong appreciation for the fact that most health care providers did not understand why women would be unsatisfied with the care offered to them. Many practicing maternity health care make statements like, the end result of a healthy mom and baby is what matters, not understanding that the process itself is significant for many women. By asking women, directly, why they would choose to have an unmedicated birth, it allowed women to delve in and discuss their feelings about birth and birthing choices, and allows those who hear their words to understand with a greater depth, why birth
Recommended publications
  • Tokophobia Assessment Questionnaire: a New Instrument
    112 Letters to the Editors Figure 1 Meta-analysis of rs4713916 FKBP5 A-high induction allele. required to more clearly determine the role of FKBP5 recurrence of depressive episodes and rapid response to anti- rs4713916 in bipolar disorders. depressant treatment. Nat Genet. 2004;36:1319-25. 5 Lekman M, Laje G, Charney D, Rush AJ, Wilson AF, Sorant AJ, et al. The FKBP5-gene in depression and treatment response--an asso- 0000-0000-0000-0000 Danilo Arnone ciation study in the sequenced treatment alternatives to relieve Centre for Affective Disorders, Psychological Medicine, Institute of depression (STAR*D) cohort. Biol Psychiatry. 2008;63:1103-10. Psychiatry, Psychology and Neuroscience, King’s College London, London, UK. Department of Psychiatry and Behavioral Science, College of Medicine and Health Sciences, United Arab Emirates University (UAEU), Abu Dhabi, United Arab Emirates. Tokophobia Assessment Submitted Jun 14 2020, accepted Jun 25 2020, Epub Sep 18 2020. Questionnaire: a new Acknowledgements instrument The author would like to acknowledge Nabiha Essaji’s contribution in retrieving the information for the analyses Braz J Psychiatry. 2021 Jan-Feb;43(1):112-114 (studentship program at King’s College London). doi:10.1590/1516-4446-2020-1252 00000000-0002-7316-1185 Disclosure DA has received travel grants from Jansen-Cilag and Tokophobia is a pathological fear or avoidance of child- Servier and sponsorship from Lundbeck. birth, which has received little attention and has been often neglected.1 This condition negatively influences the How to cite this article: Arnone D. FK506 binding protein pregnant woman’s life or the acceptance of her preg- 5 (FKBP5) gene polymorphisms and their relationship with nancy; it leads to the extension of pregnancy duration or pharmacological response in bipolar disorders.
    [Show full text]
  • Schizophrenia Guideline
    National Institute for Health and Clinical Excellence Caesarean Section (Update) Scope Consultation Table 24 February – 24 March 2010 Type Stakeholder Order Section No Comments Developer’s Response No Please insert each new comment in a new row. Please respond to each comment SH 1 2 The remit is for „evidence based guidelines‟. As the Thank you for your comment. The evidence that we department of health and others do not gather all the review is evidence of best treatment, clinical evidence and decline to keep information and management and care taken from published statistics on certain areas we find that this remit is literature, rather than specific performance-related prejudice and discriminatory to vital and necessary statistics held by the Department of Health. changes and outcomes. As NICE is commissioned by the Department of Health, we are not in a position to change the remit of the guideline. However, we will consider all of the comments received during the scope consultation when determining which specific clinical questions and outcomes to consider A Little Wish SH 2 3.1b Another section that is again being largely Thank you for your comment. We plan to update the underestimated is the scaremongering of doctors. guideline sections on VBAC and the table Many women plan a vaginal birth, however they are summarising risks associated with caesarean informed by the doctors that they will kill the baby if section and vaginal birth. We plan to include they give birth (an independent option states that the hysterectomy as an outcome and, where possible, information was inaccurate) or that the risk of the will make recommendations for practice based on uterus rupturing after a previous extraction is the best available evidence.
    [Show full text]
  • The Role of the Family Doctor in Relation to Anxiety in Childbirth Turabian JL* Specialist in Family and Community Medicine, Health Center Santa Maria De Benquerencia
    Obstetrics and Gynecology Reports Review Article ISSN: 2515-2955 The role of the family doctor in relation to anxiety in childbirth Turabian JL* Specialist in Family and Community Medicine, Health Center Santa Maria de Benquerencia. Regional Health Service of Castilla la Mancha (SESCAM), Toledo, Spain Introduction present from the beginning of pregnancy or even before, such as the cultural and socioeconomic environment, personality and degree of It has been reported that among 20–80% of pregnant women express psychological maturity of the mother, her ideas about femininity and worries and fears in relation to their pregnancy or upcoming childbirth motherhood, her emotions, feelings and experiences during pregnancy, fear of childbirth, but levels of severity of anxiety symptoms are the relationship between the couple, fear of pain, anxiety generated by variable. For example, has been communicated fear levels were higher other aspects such as hospitalization, separation of the son who has been in Australian women when compared to a Swedish sample [1]. For a intimately bound to her, her future responsibility over him, etc. [7–9]. great deal of these women the fears are strong enough to be clinically relevant. However, estimations of prevalence are equivocal, presumably It is necessary to emphasize the biological meaning of the process of due to the lack of clear-cut definitions and conceptualizations of the childbirth: the separation of two organisms that until that moment the concept to be measured [2]. They can be identified as the most have lived together; After the expulsion, the baby acquires a life of its important factors associated with the fear of childbirth, labor problems own, taking charge of a great variety of physiological functions that and obstetric characteristics, such as parity and mode of delivery in until that moment the mother performed.
    [Show full text]
  • Pregnancy Depression – a Potential Factor for Postpartum Depression
    GinPolMedProject © 1 (59) 2021: 014-020 • REVIEW ARTICLE Pregnancy depression – a potential factor for postpartum depression Urszula Sioma-Markowska (ABDEF) Department of Nursing in Obstetrics and Gynaecology, Department of Women’s Health, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Poland AUTHORS’ CONTRIBUTION: (A) Study Design · (B) Data INTRODUCTION Collection · (C) Statistical Analysis · (D) Data Interpre- tation · (E) Manuscript Preparation · (F) Literature Se- The World Health Organisation predicts that in arch · (G) Funds Collection 2030, depression will take first place among social diseases. It is estimated that around 1.5 Interest in the mental health of women in the perinatal period has increased significantly in recent years. The number of million people in Poland suffer from depression. publications treating postpartum depression as a mental disor- The age at which depression is most common- der requiring early diagnosis and therapy has grown. Until now, SUMMARY ly diagnosed is 20-40 years, affecting pregnant few researchers have addressed the impact of pregnancy on a woman’s mood. The term pregnancy depression is not wi- women. The term pregnancy depression is not dely known. According to literature data, 15-20% of women widely known in Poland. According to litera- develop depression during pregnancy. In Poland, from 2019, ture data, depression in pregnancy affects from according to the guidelines of the organizational standard of perinatal care, it is mandatory to monitor mental health du- 10% of pregnant women [1] to 15-20% [2-4], ring pregnancy and after childbirth. The publication briefly and and even 25% of pregnant women [5].
    [Show full text]
  • EPP0947 Tokophobia Or Post-Traumatic Stress Disorder
    S452 E-Poster Presentation Introduction: Posttraumatic stress disorder (PTSD) is common in assessment is important specially for women who have experienced survivors of acute life-threatening illness, but little is known about traumatic events during the pregnancy or the delivery the burden of PTSD in survivors of stroke attack. Conflict of interest: No significant relationships. Objectives: This study estimated the prevalence of PTSD in post- stroke in the elderly and to look for the factors which are correlated with it. EPP0948 Methods: Participants were outpatients of Psychiatry B department in Hedi chaker University Hospital Center in Tunisia, over the age Spousal abuse and psychological repercussions of 65, hospitalized in psychiatry for a major depressive episode, S. Kolsi*, S. Hentati, I. Baati and J. Masmoudi recruted between 2000 and 2015. The data was collected using a pre-established sheet containing socio-demographic information, Psychiatry A, CHU Hédi Chaker Sfax, Sfax, Tunisia the clinical and evolutionary characteristics of the depressive epi- *Corresponding author. sode and the therapeutic data concerning the depressive episode. doi: 10.1192/j.eurpsy.2021.1208 Results: 30 patients were included in this study with an average age (69 Y) and sex ratio (0.66). More than half (53.3%, 16 patients) had Introduction: Spousal abuse (SA) against women, by its frequency a history of chronic somatic disease. The average length of hospi- and its consequences on the health of the victims, is a public health talization was 26 days. The most frequent reason for hospitalization issue. For this reason, the role of the physician is essential not only is sadness of mood (43.3%) with cognitive impairment as the in the care of victims but also in the screening of psychological predominant clinical symptomatology (40%).
    [Show full text]
  • Head Trash Clearance 1
    HEAD TRASH CLEARANCE 1 HEAD TRASH CLEARANCE AND PERINATAL MENTAL HEALTH A preliminary study on the efficacy of Head Trash Clearance in reducing perinatal anxiety and depression. Barnard, M.Pa., & Leachman, A. aSchool of Psychology, University of Nottingham, University Park, Nottingham, UK NG7 2RD. Email: [email protected] (M. Barnard), [email protected] (A. Leachman) HEAD TRASH CLEARANCE 2 Abstract There is an increased prevalence of tokophobia and fear of childbirth (FOC) reported within current research. However, studies on the efficacy of tokophobia and FOC specific interventions are limited, let alone those in online settings. The current study aimed to assess the effectiveness of the Fearless Birthing Programme, an online intervention which aims to specifically reduce levels of pregnancy and childbirth anxiety using the Head Trash Clearance method. Over the course of three months in trimester two, pregnant participants completed a series of questionnaires on perinatal anxiety and depression; at some point during those three months, access to the Fearless Birthing Programme was also provided, with the aim of measuring changes in anxiety and depression as a consequence of programme access. Analyses suggested that there were only marginal reductions in anxiety and depression over time, regardless of when programme access was granted. However, participants enjoyed the programme and found it as useful as other pregnancy and birth preparation activities they were part of. A discussion of the challenges faced when conducting perinatal mental health intervention research is provided, and it is argued that research into factors affecting attrition rates and self-discipline would be useful to the field as a whole.
    [Show full text]
  • Update on the Global Prevalence of Severe Fear of Childbirth in Low-Risk Pregnant Women: a Systematic Review and Meta-Analysis
    http://www.ijwhr.net doi 10.15296/ijwhr.2021.xx Open Access Review Article International Journal of Women’s Health and Reproduction Sciences Vol. x, No. x, xx 2021, x–x ISSN 2330- 4456 Update on the Global Prevalence of Severe Fear of Childbirth in Low-Risk Pregnant Women: A Systematic Review and Meta-Analysis Shahrzad Sanjari1 ID , Reza Chaman2 ID , Shahrbanoo Salehin3 ID , Shahrbanoo Goli4 ID , Afsaneh Keramat5* ID Abstract Objectives: Severe fear of childbirth (FOC) has adverse consequences for mother and child. This study aimed to update the global prevalence of severe FOC in low-risk pregnant women. Materials and Methods: Observational studies published in English were obtained through PubMed, Scopus, Science Direct, Wiley Online, and Google Scholar databases up to April 2020. After reviewing the title and introduction, the quality of the articles that had full text and met the inclusion criteria of the study was checked with the JBI checklist. Then, the final extracted data were entered into the STATA software. The overall prevalence of severe FOC and fear in subgroups were obtained using meta-analysis. Tests of publication bias and sensitivity analysis were also performed. Results: Overall, 27 observational studies were included (26014 participants). The global prevalence of severe FOC was 16% (95% CI: 14%–19%). The subgroup analysis showed that after 2015, the prevalence of fear was higher than before (%18 versus %14). The results also showed a higher prevalence of fear in women with a diploma and lower compared to women with a university education (%19 versus %13), in single/divorced women compared to married/cohabitation women (%21 versus %15), in nulliparous women compared to multiparous women (%17 versus %14) and in women experiencing the second trimester of pregnancy compared to women in the third trimester of pregnancy (%23 versus %14).
    [Show full text]
  • Identification and Treatment of Women with a Fear of Birth
    Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1459 Identification and Treatment of Women with a Fear of Birth ELIN TERNSTRÖM ACTA UNIVERSITATIS UPSALIENSIS ISSN 1651-6206 ISBN 978-91-513-0320-8 UPPSALA urn:nbn:se:uu:diva-347569 2018 Dissertation presented at Uppsala University to be publicly examined in Sal IX, Universitetshuset, Biskopsgatan 3, Uppsala, Wednesday, 30 May 2018 at 13:00 for the degree of Doctor of Philosophy. The examination will be conducted in Swedish. Faculty examiner: Professor Mirjam Lukasse (Department of Nursing and Health Promotion, Oslo and Akershus University College of Applied Sciences). Abstract Ternström, E. 2018. Identification and Treatment of Women with a Fear of Birth. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1459. 84 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-513-0320-8. Although a fear of birth affects many women during pregnancy and is associated with adverse birth outcomes, it is rarely measured in clinical practice and evidence-based treatments are lacking. The aim of this thesis was to assess the clinical utility of the Fear of Birth Scale, and to evaluate the effect of guided Internet-based cognitive behavior therapy compared with standard care on the levels of fear of birth in pregnant and postpartum women. This thesis consists of four papers originating from three studies. The Fear of Birth Scale was used to measure fear of birth among pregnant women in all three studies. In Study I, prevalence of fear of birth among Swedish-born and foreign-born pregnant women was measured, and in Study II, 31 pregnant women were interviewed about their thoughts when assessing fear of birth.
    [Show full text]
  • Fear of Pregnancy and Childbirth K Hofberg, M R Ward
    505 Postgrad Med J: first published as 10.1136/pmj.79.935.505 on 17 September 2003. Downloaded from REVIEW Fear of pregnancy and childbirth K Hofberg, M R Ward ............................................................................................................................. Postgrad Med J 2003;79:505–510 Pregnancy is a major life event for all women. However, been thought to protect against depression. Stud- when a psychiatric disorder is added to or exacerbated ies of antenatal psychopathology have mostly examined antenatal mood as a predictor of post- by the pregnancy then the problem requires expert natal depression.10 knowledge from more than one area of medicine. This Watson et al found that in 23% of those with paper looks at pregnancy and the relationship with postnatal depression, this had started during pregnancy.11 Depressed mood during pregnancy depression, eating disorders, and pathological fear of has also been associated with poor attendance at childbirth or tokophobia. It also examines the outcome antenatal clinic, substance misuse, low birth for these women and their babies. Mental illness is a weight, and preterm delivery. Psychopathological symptoms during pregnancy have physiological serious concern. It is now recognised that death from consequences for the fetus and this may explain suicide is the leading cause of maternal death overall. some of these effects.12 Research in these areas is relatively sparse but an There is good research, dating back to that of Esquirol in 1818, describing all pregnancy related attempt is made to collate what is known. mental illness. He called this “puerperal insanity” .......................................................................... and included recurrent prenatal depression.13 More recent studies, such as those by Menzies14 and Knauer,15 have reinforced the extent and lthough the state of pregnancy is both severity of prenatal depression.
    [Show full text]
  • List of Phobias
    Important Phobias - List Of Phobias List Of Phobias Achluophobia - Fear of darkness Acrophobia - Fear of heights Aerophobia - Fear of flying Algophobia - Fear of pain Agoraphobia - Fear of open spaces or crowds Aichmophobia - Fear of needles or pointed objects Amaxophobia - Fear of riding in a car Androphobia - Fear of men Anginophobia - Fear of angina or choking Anthrophobia - Fear of flowers Anthropophobia - Fear of people or society Aphenphosmphobia - Fear of being touched Arachibutyrophobia - Fear of peanut butter Arachnophobia - Fear of spiders Arithmophobia - Fear of numbers Astraphobia - Fear of thunder and lightning Ataxophobia - Fear of disorder or untidiness Atelophobia - Fear of imperfection Atychiphobia - Fear of failure Automatonophobia - Fear of Human-Like Figures Autophobia - Fear of being alone Bacteriophobia - Fear of bacteria Barophobia - Fear of gravity Bathmophobia - Fear of stairs or steep slopes Batrachophobia - Fear of amphibians Belonephobia - Fear of pins and needles Bibliophobia - Fear of books Botanophobia - Fear of plants Cacophobia - Fear of ugliness Catagelophobia - Fear of being ridiculed Catoptrophobia - Fear of mirrors Chionophobia - Fear of snow Chromophobia - Fear of colors Chronomentrophobia - Fear of clocks Chronophobia - Fear of Time Claustrophobia - Fear of confined spaces Coulrophobia - Fear of clowns Cyberphobia - Fear of computers Cynophobia - Fear of dogs Dendrophobia - Fear of trees Dentophobia - Fear of dentists Domatophobia - Fear of houses Dystychiphobia - Fear of accidents Ecophobia - Fear
    [Show full text]
  • Definitions, Measurements and Prevalence of Fear of Childbirth: a Systematic Review C
    Nilsson et al. BMC Pregnancy and Childbirth (2018) 18:28 DOI 10.1186/s12884-018-1659-7 RESEARCH ARTICLE Open Access Definitions, measurements and prevalence of fear of childbirth: a systematic review C. Nilsson1,2* , E. Hessman3, H. Sjöblom3, A. Dencker2, E. Jangsten2, M. Mollberg2, H. Patel2, C. Sparud-Lundin2, H. Wigert2 and C. Begley4,2 Abstract Background: Fear of Childbirth (FOC) is a common problem affecting women’s health and wellbeing, and a common reason for requesting caesarean section. The aims of this review were to summarise published research on prevalence of FOC in childbearing women and how it is defined and measured during pregnancy and postpartum, and to search for useful measures of FOC, for research as well as for clinical settings. Methods: Five bibliographic databases in March 2015 were searched for published research on FOC, using a protocol agreed a priori. The quality of selected studies was assessed independently by pairs of authors. Prevalence data, definitions and methods of measurement were extracted independently from each included study by pairs of authors. Finally, some of the country rates were combined and compared. Results: In total, 12,188 citations were identified and screened by title and abstract; 11,698 were excluded and full-text of 490 assessed for analysis. Of these, 466 were excluded leaving 24 papers included in the review, presenting prevalence of FOC from nine countries in Europe, Australia, Canada and the United States. Various definitions and measurements of FOC were used. The most frequently-used scale was the W-DEQ with various cut-off points describing moderate, severe/intense and extreme/phobic fear.
    [Show full text]
  • Review of Clinical Guideline (CG45) Antenatal and Postnatal Mental Health – Clinical Management and Service Guidance
    NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review of Clinical Guideline (CG45) Antenatal and postnatal mental health – clinical management and service guidance 1. Background information Guideline issue date: Feb 2007 (re-issued April 2007) Update review date: July 2011 National Collaborating Centre: Mental Health 2. Review recommendation The guidance should be considered for an update. 3. Factors influencing the decision Literature search 1. From initial intelligence gathering and a high-level randomised control trial (RCT) search clinical areas, approximately 200 studies were identified relevant to the guideline scope. The identified studies related to the following key clinical areas within the guideline: Detection and screening tools for depression and anxiety Safety concerns of pharmacological treatments Interventions for women with subthreshold symptoms of depression and/or anxiety 2. Two extra clinical questions were developed based on the qualitative feedback from other NICE departments and the views expressed by the Guideline Development Group, for more focused literature searches. CG45: Antenatal and postnatal mental health, review recommendation July 2011 1 of 38 Management of traumatic birth (viewing/holding stillborn) Substance and/or alcohol use in pregnancy 3. Current recommendation suggested mothers of stillborn should not be routinely encouraged to view or hold the dead infant. However, the overall management of traumatic birth had not been appropriately addressed in the guideline. 4. In addition, feedback from members of the GDG suggested a new area (the management of substance and/or alcohol use in pregnancy) that is not currently covered in the guideline. Guideline Development Group and National Collaborating Centre perspective 5.
    [Show full text]