• Christina Nilsson and Ingela Lundgren.
• School of Health Sciences, University College of Borås and Växjö University SE-501 90 Borås, Sweden.
• Midwifery. 2009 Apr 1;25(2):e1-9.

Objectiveto describe women's lived experience of fear of childbirth.Designa qualitative study using a phenomenological approach and a lifeworld perspective. Data were collected via tape-recorded interviews.SettingSahlgrenska University Hospital, Göteborg, Sweden in 2003.Participantseight pregnant women (24-37 gestational weeks) seeking help within an outpatient clinic for women with severe fear of childbirth. Two of the women were primiparous.Findingsfour constituents were identified: feeling of danger that threatens and appeals; feeling trapped; feeling like an inferior mother-to-be and on your own. The essential structure was described as 'to lose oneself as a woman into loneliness'.Key Conclusionsfear of childbirth affects women in such a way that they start to doubt themselves and feel uncertain of their ability to bear and give birth to a child. Previous birth experience was central to the multiparous women. They described their experiences of suffering in relation to the care they received during childbirth. This mainly concerned pain and negative experiences with staff.Implications For Practicepregnant women who fear childbirth are an exposed group in need of much support during pregnancy and childbirth. The encounter between the woman and the midwife can be a way of breaking down the feeling of loneliness and restoring the woman's trust in herself as a childbearing woman.

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