Cochrane · systematic review · CD013321

Interventions for fear of childbirth including tocophobia

O'Connell, MA, Khashan, AS, Leahy-Warren, P, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 66.7%Moderate 1 · 16.7%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Non‐pharmacological interventions for fear of childbirth (tocophobia) compared to usual care

Population: women with fear of childbirth (tocophobia)
6 questions
OutcomeEffectEvidenceStatus / GRADE
Fear of childbirth
Non‐pharmacological interventions for fear of childbirth (tocophobia) vs usual care
no estimate extracted7 studies · 828 participantsLow
Downgraded: risk of bias, inconsistency
Caesarean section
Non‐pharmacological interventions for fear of childbirth (tocophobia) vs usual care
RR 0.7 [0.55, 0.89]5 studies · 557 participantsModerate
Downgraded: risk of bias
Anxiety ‐ not reported
Non‐pharmacological interventions for fear of childbirth (tocophobia) vs usual care
no estimate extractedNRNo studies
Depression
Non‐pharmacological interventions for fear of childbirth (tocophobia) vs usual care
no estimate extracted2 studies · 399 participantsLow
Downgraded: risk of bias, imprecision
Birth preferences: prefer caesarean sectionÂ
Non‐pharmacological interventions for fear of childbirth (tocophobia) vs usual care
RR 0.38 [0.08, 1.85]2 studies · 208 participantsLow
Downgraded: risk of bias, imprecision
Epidural analgesia during labour
Non‐pharmacological interventions for fear of childbirth (tocophobia) vs usual care
RR 1.21 [0.98, 1.48]2 studies · 380 participantsLow
Downgraded: risk of bias, imprecision