Many women with tokophobia report feeling alone and dismissed by their doctors and peers. OBGYNTwitter PsychTwitter
, used by clinicians in the United States, has yet to do the same. Without this designation, some doctors are more inclined to diagnose tokophobia than others, Frodsham said.
Tokophobia typically takes two forms: primary, which affects women who have never given birth; and secondary, which stems from a previous traumatic birth experience. Although the phenomenon has been studied internationally, particularly in Europe, fear of childbirth remains almost entirely unexplored in the US literature.
Access to midwives, doulas, or therapists trained in trauma counseling can allow women to have a voice in their treatment, Roosevelt said.or anxiety sometimes help, Low said."Women with tokophobia may not need medication but would benefit from other therapies like desensitization or biobehavioral approaches or combinations of those," she said.According to Frodsham, women with tokophobia often experience guilt and isolation.
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