A5080493765- Maternal and Perinatal Health Interventions
- Maternal Mental Health During Pregnancy and Postpartum
- Pregnancy-related medical research
- Grief, Bereavement, and Mental Health
- Attachment and Relationship Dynamics
- Research in Social Sciences
- Family Dynamics and Relationships
- Cardiovascular Issues in Pregnancy
- Pregnancy and preeclampsia studies
- Maternal and fetal healthcare
- Assisted Reproductive Technology and Twin Pregnancy
- Family Support in Illness
- Gut microbiota and health
- Congenital Heart Disease Studies
- Preterm Birth and Chorioamnionitis
- Pediatric health and respiratory diseases
- Prenatal Screening and Diagnostics
- Pelvic floor disorders treatments
- Gestational Diabetes Research and Management
- Clostridium difficile and Clostridium perfringens research
- Infant Health and Development
- Congenital Anomalies and Fetal Surgery
- Mechanical Circulatory Support Devices
- Healthcare Systems and Practices
- Pediatric Pain Management Techniques
Helsinki University Hospital
2015-2025
University of Helsinki
2014-2025
Jorvi Hospital
2006-2014
Norwegian University of Science and Technology
2013
Signe and Ane Gyllenberg Foundation
2001
Research Council of Finland
2001
University of Jyväskylä
2001
Severe fear of childbirth complicates 6% to 10% parturients and is manifested as nightmares, physical complaints difficulties in concentrating on work or family activities. Very often leads request for an elective cesarean section (CS). In Finland, Sweden, the United Kingdom, maternal reason about 7–22% CS births. Fear common nulliparous parous women. labor pain strongly associated with general, a previous complicated inadequate relief are most reasons requesting among Previous psychological...
To examine fear of childbirth according to parity, gestational age, and obstetric history.A questionnaire study.1400 unselected pregnant women in outpatient maternity clinics a university central hospital.Visual analogue scale (VAS) Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) preferred mode delivery.W-DEQ VAS scores history, delivery.The W-DEQ were higher nulliparous (W-DEQ 72.0 +/- 20.0 [mean SD] 4.7 [median]) than parous (65.4 21.9; 3.2, P < 0.001 for both VAS). Higher found...
A genetic contribution to preeclampsia susceptibility has been established but is still incompletely understood.To disentangle the underlying architecture of and or other maternal hypertension during pregnancy with a genome-wide association study (GWAS) hypertensive disorders pregnancy.This GWAS included meta-analyses in combination phenotype encompassing disorders. Two overlapping groups were selected for examination, namely, pregnancy. Data from Finnish Genetics Pre-eclampsia Consortium...
To compare intensive and conventional therapy for severe fear of childbirth.In Finland, 176 women who had childbirth were randomly assigned at the 26th gestational week to have either (mean 3.8 +/- 1.0 sessions with obstetrician one midwife) or 2.0 0.6 sessions), follow-up 3 months postpartum. Pregnancy-related anxiety concerns, satisfaction childbirth, puerperal depression assessed specific questionnaires. Power analysis, based on previous studies, showed that 74 per group necessary show a...
Objectives To examine the personal characteristics and socio‐economic background of women their partners fearing vaginal childbirth. Design Questionnaire survey by 30th week pregnancy. Setting Sixteen outpatient maternity centres in capital area Finland. Participants Two hundred seventy‐eight partners. Main outcome measures Personality traits, factors, life partnership satisfaction pregnancy‐ delivery‐associated anxiety fear. Results The more anxiety, neuroticism, vulnerability, depression,...
To compare the numbers of vaginal deliveries and delivery satisfaction among women with fear childbirth randomised to either psychoeducation or conventional surveillance during pregnancy.Randomised controlled trial.Maternity unit Helsinki University Central Hospital.Fear was screened early pregnancy by Wijma Delivery Expectancy Questionnaire (W-DEQ-A). Of 4575 nulliparous women, 371 (8.1%) scored ≥ 100, showing severe childbirth.Women W-DEQ-A 100 were intervention (n = 131) (psychoeducative...
Please cite this paper as: Rouhe H, Salmela-Aro K, Gissler M, Halmesmäki E, Saisto T. Mental health problems common in women with fear of childbirth. BJOG 2011;118:1104–1111. Objective To investigate whether childbirth have more mental than childbearing age general. Design Register-based retrospective study. Setting The maternity clinic Helsinki University Central Hospital. Population In all, 2405 referred for consultation because during 1996–2002 and 4676 comparable control women. Methods...
Background: Previous studies on the treatment of women with fear childbirth have focused delivery mode. Women often suffer from anxiety and/or depression, and therefore also needs to target postnatal psychological well-being early mother–infant relationship.
To identify factors associated with fear of childbirth during and after first labor.We analyzed deliveries 100 primiparas who reported severe vaginal their second pregnancies 200 age- parity-matched controls no later delivery. The main outcome measures were previous miscarriages, participation in birth-education classes, support labor, length delivery, pain relief, obstetric complications, welfare the newborn, time between deliveries.The prevalence emergency cesarean (adjusted odds ratio...
Background. To examine the extent to which personality characteristics, depression, fear and anxiety about pregnancy delivery, socio‐economic background, predict disappointment with delivery risk of puerperal depression. Methods. Two hundred eleven women filled in questionnaires measuring traits, factors, marital satisfaction once before after 30th week pregnancy, 2–3 months when obstetric data was also collected. Results. The who were disappointed their or suffered from depression had been...
Preeclampsia (PE) is a common disorder of pregnancy originating in the placenta. We examined whether excessive activation or poor regulation complement system at maternal-fetal interface could contribute to development PE. Location and occurrence components regulators placentae were analyzed. Cryostat sections processed from 7 early-onset PE (diagnosis <34 weeks gestation), 5 late-onset PE, 10 control pregnancies, immunostained for 6 activators inhibitors. Fluorescence was quantified...
Birth mode and maternal intrapartum (IP) antibiotics affect infants' gut microbiota development, but their relative contribution to absolute bacterial abundances infant health has not been studied. We compared the effects of Cesarean section (CS) delivery IP on development well-being over first year. focused 92 healthy infants born between gestational weeks 37–42 vaginally without (N = 26), with penicillin 13) or cephalosporin 7) by CS 33) other 13). Composition temporal analysis...
In Brief OBJECTIVE: To compare the prevalence and predictors of severe fear childbirth pregnancy-related anxiety in groups assisted reproduction treatment (ART) spontaneously conceiving women with singleton pregnancies. METHODS: The ART group (n = 367, nulliparous 260) represented a cohort from five Finnish infertility clinics 1999. control 379, 135) was enrolled this study by consecutive sampling same year. Fear assessed means revised version Fear-of-Childbirth Questionnaire Pregnancy...
Aim. Longitudinal study on the predictors of parental stress in mothers and fathers toddlers.Background. To whether anxiety, depression, or marital problems increase parenting parents toddlers.Methods. At early pregnancy, 2 – 3 months, years after delivery, 214 low-risk couples filled questionnaires their relationship, social support, child's temperament, self-evaluated competence routine care-taking. In hierarchical regression analyses, they were used as stress.Results. Those who pregnancy...
This RCT intervention among nulliparous pregnant women with an intense fear of childbirth sought to promote preparedness for and enhance positive parenting. Pregnant (n = 8,611) filled in a ‘fear childbirth’ questionnaire. Nulliparous severe 355) were randomized into 131; 41 refused) control 224) groups. They rated themselves on scale middle late pregnancy, motherhood three months after childbirth. The included six psycho-education group sessions during pregnancy one increased the mothers’...
Pain tolerance in women suffering and not from fear of labor during after pregnancy were compared. Twenty with 20 control subjected to a cold pressor test (CPT) on average 1 month before delivery 9 months later. Half the volunteers nulliparous half parous. endurance time (PET) intensity pain (Visual Analogue Scale, VAS) CPT was assessed. Patients group tolerated for significantly shorter than did without both (154.8±109.9 s vs. 282.5±60.1 (mean±SD), P<0.001), postpartum period (128.6±111.7...
In Brief OBJECTIVE To compare intensive and conventional therapy for severe fear of childbirth. METHODS Finland, 176 women who had childbirth were randomly assigned at the 26th gestational week to have either (mean 3.8 ± 1.0 sessions with obstetrician one midwife) or 2.0 0.6 sessions), follow-up 3 months postpartum. Pregnancy-related anxiety concerns, satisfaction childbirth, puerperal depression assessed specific questionnaires. Power analysis, based on previous studies, showed that 74 per...
Abstract Background . Exposure to illicit drugs in utero is associated with low birth weight and premature birth. Therefore, maintenance therapy for opioid dependence during pregnancy has been recommended help withdrawal from street drugs, order improve maternal health decrease risks the fetus. Methods In 2002–2005, 67 pregnancies of 66 buprenorphine users were followed prospectively an outpatient multidisciplinary antenatal setting by obstetrician, a midwife, psychiatric nurse social...
Two cross-lagged longitudinal studies were carried out to investigate the extent which adjustment of personal goals match particular stage-specific demands transition motherhood has consequences for women's depressive symptoms. In Study 1. 348 women filled a revised version Little's (1983) Personal Project Analysis and Beck's Depression Inventory (A. T. Beck. C. H. Ward. M. Mendelsohn, L. Mock, & J. Erlaugh. 1961) 4 times: during early pregnancy, 1 month before childbirth, 3 months after...
To investigate how women's and men's personal goals change during the transition to parenthood, authors studied 348 women (152 primiparous 196 multiparous) 277 of their partners at 3 times: early in pregnancy, 1 month before birth, months afterward. At each measurement, participants completed Personal Project Analysis questionnaire (B. R. Little, 1983). The results showed that pregnancy became more interested related childbirth, child's health, motherhood less achievement-related goals....
Severe fear of childbirth complicates 6% to 10% parturients and is manifested as nightmares, physical complaints difficulties in concentrating on work or family activities. Very often leads request for an elective cesarean section (CS). In Finland, Sweden, the United Kingdom, maternal reason about 7–22% CS births. Fear common nulliparous parous women. labor pain strongly associated with general, a previous complicated inadequate relief are most reasons requesting among Previous psychological...