The relationship between fear of childbirth and psychological and spiritual well being in pregnant women

This study was descriptive and relational performed to determine the relationship between fear of childbirth and psychological and spiritual well-being on pregnant women. Pregnant women who were registered to Bolu Provincial Health Directorate 5(five) Family Health Centers in the city center were included in the study. The sample size was determined as 296 by power analysis and the study was completed with 338 pregnant women. Data were collected by using the Introductory Information Form, Wijma Birth Expectation / Experience Scale A Version, Spiritual Well-Being Scale and Psychological Well-Being Scale. Number, percentage, mean, standard deviation, ANOVA, t test in independent groups, Pearson's correlation analysis and stepwise regression analysis were used to evaluate the data. As a result of the study, it was found that the mean fear of childbirth score was 54.22 ± 26.65, 36.4% had moderate, 19.8% had high and 13.9% had clinical fear of childbirth. The mean score of the Psychological Well-Being Scale of the pregnant women was 46.21 ± 7.22, and the mean score of the Spiritual Well-Being Scale was 125.59 ± 12.97 was found. It was determined that there was a negative and moderate relationship between spiritual (r = -0.418, p <0.001) and psychological well-being (r = -0.400, p <0.001) and fear of childbirth in pregnant women. It was founded that women who had more positive spiritual and psychological well-being scores, had lower scores of fear of childbirth. As a result of stepwise regression analysis to determine the level of the relationship between fear of birth and spiritual and psychological well-being, it was found that spiritual well-being explained 17.5% of the variance of fear of childbirth. In the established model, in the second step, with the addition of psychological well-being, the variance of fear of childbirth increased to 23.7% and this increase was significant (F = 51.867 p <0.001).