#WeMidwives - Tuesday 13th September 2016 8pm (GMT Standard Time) Tocophobia Matters

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Hosted by WeMidwives using #WeMidwives

This chat is guest hosted by @thelovelymaeve @Sanctummid


This chat is hosted by Maeve O'Connell (Research Midwife and PhD candidate at the Irish Centre for Fetal and Neonatal Translational Research, University College Cork’ and Bank Midwife at GSTT NHS Foundation Trust, London) and Kathryn Guttridge (Consultant Midwife and doctoral student Sandwell & West Birmingham Hospitals NHS Trust)


Tocophobia is a severe fear of birth that affects approximately 6-10% women. While it is normal to feel a degree of worry or anxiety in pregnancy around the upcoming birth, for some women this fear can become a phobia affecting their everyday lives in the form of sleep disturbance, insomnia, nightmares and may even experience panic attacks. 

Tocophobia may be divided into primary and secondary conditions. Primary is when a woman has never had a completed pregnancy, she may well have avoided childbearing by contraceptive and can include extreme medical methods such as hysterectomy.  It is generally present from puberty and has its roots deep within the psyche.  Whereas secondary tocophobia is following a pregnancy or childbearing experience that has resulted in a deep trauma and behavioural adaptation.  This association causes ongoing problems in relation to other pregnancies.  Secondary tocophobia is the more common condition and will be seen by midwives early in a subsequent pregnancy.

This is a relatively new area of research and has become more commonly seen in clinical practice as women have begun to request a Caesarean Section as a way of controlling their birth expectations. However, while a Caesarean Section maybe appropriate for some women, there is evidence that having a vaginal birth can promote a positive, healing experience for women with tocophobia. Recognising tocophobia as early in pregnancy as possible and discussing a woman’s fears is beneficial to allow time for a woman to express her birth preferences and dispel any myths or beliefs she holds about the birth process,providing reassurance for her. NICE Guidelines currently recommend CBT, although this is not commonly available, a number of treatments have also been trialled for tocophobia, such as midwifery psycho-education, and internet CBT. In the UK, a multi-disciplinary approach has been used involving obstetricians and usually midwives with psychotherapy training.

Here are some relevant articles:

Tocophobia: The New Hysteria

Who’s afraid of the Big Bad Birth?

Why Fear is Childbirth's worst enemy 

Do you have an extreme fear of childbirth? It could be tocophobia 

So, for the chat......

Q1. What has been your experience of pregnant women with tocophobia as their midwife ante-natally?

Q2a. What has been your experience of pregnant women with tocophobia as a midwife in intrapartum care?

Q2b.Do women ever request a C-Section? If so, what is the outcome in general?

Q3. Any stories of positive vaginal birth experiences for women with tocophobia with birth plans?

Q3. What has been your experience of midwives/ doctors attitudes towards women with tocophobia as a midwife? Are they supportive?





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 Chat Summary

 


Maeve and Kathryn, both midwives with an interest in fear of childbirth, hosted this chat. There were interactions from midwives, doulas and women who themselves had suffered from incredible fear. 







































































































































































And finally, mother and NHS worker Emma warned us: 


Thank you so much Maeve and Kathryn for sparking such a varied debate. Lots of learning here.





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 #WeMidwives transcript

 
@WeMidwives
13 September 2016 20:02
One hour to go! Who is joining us? #WeMidwives http://www.wecommunities.org/tweet-chats/chat-details/2856 TOCOPHOBIA MATTERS with @thelovelymaeve https://t.co/oMtqBcwP2j
@WeMidwives
13 September 2016 20:02
@nualawhitmore chat is here! http://www.wecommunities.org/tweet-chats/chat-details/2856 follow #WeMidwives tag at 8pm!
@sheena_byrom
13 September 2016 20:03
RT @WeMidwives: One hour to go! Who is joining us? #WeMidwives http://www.wecommunities.org/tweet-chats/chat-details/2856 TOCOPHOBIA MATTERS with @thelovelymaeve https://t.co…
@thelovelymaeve
13 September 2016 20:03
RT @WeMidwives: One hour to go! Who is joining us? #WeMidwives http://www.wecommunities.org/tweet-chats/chat-details/2856 TOCOPHOBIA MATTERS with @thelovelymaeve https://t.co…
@WeMidwives
13 September 2016 20:17
RT @WeMidwives: One hour to go! Who is joining us? #WeMidwives http://www.wecommunities.org/tweet-chats/chat-details/2856 TOCOPHOBIA MATTERS with @thelovelymaeve https://t.co…
@DeirdreMunro
13 September 2016 20:18
Tweet chat tonight 8pm #wemidwives discussing fear of childbirth all welcome ????RT thank you ?? https://twitter.com/wemidwives/status/775578988613890048
@WeMidwives
13 September 2016 20:19
RT @DeirdreMunro: Tweet chat tonight 8pm #wemidwives discussing fear of childbirth all welcome ????RT thank you ?? https://twitter.com/wemidwives/status/775578988613890048
@sheena_byrom
13 September 2016 20:23
RT @DeirdreMunro: Tweet chat tonight 8pm #wemidwives discussing fear of childbirth all welcome ????RT thank you ?? https://twitter.com/wemidwives/status/775578988613890048
@ShrubRM
13 September 2016 20:30
Tonight's @WeMidwives chat is #tocophobia: the fear of pregnancy and birth. Join in. Use hashtag #wemidwives with every tweet and reply xx
@ShrubRM
13 September 2016 20:30
RT @WeMidwives: Good morning #WeMidwives! Remember our chat 8pm tonight! http://www.wecommunities.org/tweet-chats/chat-details/2856 with @thelovelymaeve & @Sanctummid https:/…
@ShrubRM
13 September 2016 20:31
Tonight's @WeMidwives chat is 8pm #tocophobia: the fear of pregnancy & birth. Join in. Use hashtag #wemidwives with every tweet and reply xx
@WeMidwives
13 September 2016 20:32
RT @Twidmife: Tonight's @WeMidwives chat is 8pm #tocophobia: the fear of pregnancy & birth. Join in. Use hashtag #wemidwives with every twe…
@sheena_byrom
13 September 2016 20:44
RT @WeMidwives: Good morning #WeMidwives! Remember our chat 8pm tonight! http://www.wecommunities.org/tweet-chats/chat-details/2856 with @thelovelymaeve & @Sanctummid https:/…
@thelovelymaeve
13 September 2016 20:46
Are you joining our Twitter chat tonight on fear of birth @BirthingMamas @CahillU ? #WeMidwives ???????
@Sanctummid
13 September 2016 20:49
join us tonight 8-9pm Tocophobia, Fear of childbearing #wemidwives
@WeMidwives
13 September 2016 20:52
RT @WeMidwives: @nualawhitmore chat is here! http://www.wecommunities.org/tweet-chats/chat-details/2856 follow #WeMidwives tag at 8pm!
@ReadingHBirth
13 September 2016 20:54
RT @thelovelymaeve: Are you joining our Twitter chat tonight on fear of birth @BirthingMamas @CahillU ? #WeMidwives ???????
@TheCelticTouch
13 September 2016 20:56
RT @thelovelymaeve: Are you joining our Twitter chat tonight on fear of birth @BirthingMamas @CahillU ? #WeMidwives ???????
@WeMidwives
13 September 2016 20:59
Want to learn about tocophobia? Join us in 2 minutes for our exciting chat #WeMidwives
@millihill
13 September 2016 20:59
RT @WeMidwives: Good morning #WeMidwives! Remember our chat 8pm tonight! https://t.co/6IllC6FAKK with @thelovelymaeve & @Sanctummid https:/…
@WeMidwives
13 September 2016 20:59
Hi #WeMidwives! Please welcome @thelovelymaeve and @Sanctummid as your hosts 4 tonight's chat! What are your experiences of Tocophobia?
@millihill
13 September 2016 20:59
RT @WeMidwives: Want to learn about tocophobia? Join us in 2 minutes for our exciting chat #WeMidwives
@thelovelymaeve
13 September 2016 20:59
RT @WeMidwives: Hi #WeMidwives! Please welcome @thelovelymaeve and @Sanctummid as your hosts 4 tonight's chat! What are your experiences of…




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