목적: 산모들은 분만과 관련되어 다양한 공포와 추측을 경험하게 되며, 공포는 분만 과정 뿐 아니라 산후기까지 영향을 줄 수 있다. 분만진통과 분만과정에서 분만공포지수는 쉽고 빠르게 공포를 평가할 수 있는 방법이다. 본 연구의 목적은 초기 활성기 진통 과정 중에 임신 분만력, 산모의 나이, 유산 과거력, 신생아 성별에 따른 분만공포지수를 측정, 비교 평가하기 위하여 시행하였다. 연구 방법: 2004년 1월부터 12월까지 내외과적 문제가 없는 37-42주 사이의 단태아 임신 151명의 산부인과 기록을 조사하였다. 86명의 초산모와 65명의 다산모가 분만 과정 중 분만공포지수 설문에 응답하였다. 통계학적인 방법으로는 Mann- Whitney test를 이용하여 분석하였으며, 모든 분석에서 유의 수준은 0.05 이하로 하였다. 결과: 분만 중 초산모가 다산모에 비해 분만공포지수가 더 높았다. 그러나 산모의 나이, 유산 과거력, 신생아 성별은 분만공포지수와 관련이 없었다. 결론: 산모의 분만진통과 분만 과정 중 심리학적 경험은 산과적 관리에 있어 중요한 부분이다. 또한 분만과 관련된 여러 심리학적 변수들을 평가하는 것은 분만 전 또는 분만 후에 시행되어져야 한다. 분만에 대한 공포를 이해하는 것이 분만 중 산모를 관리하고 공포를 감소시키는데 도움이 될 수 있을 것이며, 분만공포지수의 연구가 이러한 분야에 있어 이후 유용하게 이용될 수 있을 것이다.

Objective: Pregnant women have various fears and expectations regarding the impending birth. Fears can influence the course of the delivery and post-partum period. The DFS (Delivery Fear Scale) measures fear during labor and delivery in an effortless and fast away. The aim of this study were to compare DFS score and parity, maternal age, history of abortion, baby gender during an early stage of active labor (cervix dilatation 3-5 centimeters). Methods: Review of the medical records from the department of obstetrics and gynecology from January 2004 to December confirmed 151 patients with the diagnosis of singleton pregnancy without medical or obstetrical complications, being in 37-42 weeks. 86 primiparous and 65 multiparous women answered the Delivery Fear Scale (DFS) once during active labor. Mann-Whitney test was applied to test possible differences between DFS and variable factors. Difference were considered to be statistically significant at p<0.05. Results: Primiparous women had higher scores on the DFS than multiparous women during active labor. But DFS was not associated with maternal age, history of abortion, baby gender during an early stage of active labor. Conclusion: Women’s psychological experiences during the actual process of labor and delivery are essential part of obstetrical care. Nevertheless, studies examining psychological variables concerning childbirth, are mostly performed before or after labor. The understanding of a fear during labor is to support the woman in labor in a way that decrease fear and the development of the DFS may facilitate future research in the field.

Objective: Pregnant women have various fears and expectations regarding the impending birth. Fears can influence the course of the delivery and post-partum period. The DFS (Delivery Fear Scale) measures fear during labor and delivery in an effortless and fast away. The aim of this study were to compare DFS score and parity, maternal age, history of abortion, baby gender during an early stage of active labor (cervix dilatation 3-5 centimeters). Methods: Review of the medical records from the department of obstetrics and gynecology from January 2004 to December confirmed 151 patients with the diagnosis of singleton pregnancy without medical or obstetrical complications, being in 37-42 weeks. 86 primiparous and 65 multiparous women answered the Delivery Fear Scale (DFS) once during active labor. Mann-Whitney test was applied to test possible differences between DFS and variable factors. Difference were considered to be statistically significant at p<0.05. Results: Primiparous women had higher scores on the DFS than multiparous women during active labor. But DFS was not associated with maternal age, history of abortion, baby gender during an early stage of active labor. Conclusion: Women’s psychological experiences during the actual process of labor and delivery are essential part of obstetrical care. Nevertheless, studies examining psychological variables concerning childbirth, are mostly performed before or after labor. The understanding of a fear during labor is to support the woman in labor in a way that decrease fear and the development of the DFS may facilitate future research in the field.

Delivery, Fear, Labor, DFS