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Randomised controlled trial
Psychoeducation for pregnant women with fear of childbirth increases rates of spontaneous vaginal delivery, reduces caesarean rates and improves delivery experience
  1. Eileen K Hutton1,
  2. Wendy Hall2
  1. 1Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada;
  2. 2University of British Columbia, School of Nursing, Vancouver British Columbia, Canada
  1. Correspondence to : Dr Eileen K Hutton, Department of Obstetrics and Gynecology, McMaster University, Midwifery Education Program, 1280 Main Street West, MDCL 2210, Hamilton ON, Canada L8S 4K1; huttone{at}

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Implications for practice and research

  • The findings have the potential to increase care providers’ awareness about possible approaches to decreasing women's childbirth fear.

  • Prior to widespread implementation study findings should be replicated using a more methodologically sound approach that increases compliance with the intervention and avoids the Hawthorne effect, and takes anxiety into account.


Childbirth fear among the population of pregnant women in developed countries has been positively associated with poor birth outcomes and the increased likelihood of caesarean section.1 The rising proportion of women giving birth by caesarean section and the recognition of the increased risk of maternal morbidity associated with this mode of birth, has led to …

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  • Competing interests None.