ArticleBirth (Berkeley, Calif.)2021
The role of pandemic-related pregnancy stress in preference for community birth during the beginning of the COVID-19 pandemic in the United States.
Article in Birth (Berkeley, Calif.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 42 citations in OpenAlex.
- Parental decision making regarding level of newborn screening participation in the homebirth setting.Journal of community genetics · 2025Article
- Predictors of COVID-19 Pandemic-Related Pregnancy Stress: Prenatal and Postpartum Experiences in Canada.International journal of environmental research and public health · 2025Article
- Changes in the utilization of prenatal and delivery services in the United States prior to, during, and after the COVID-19 pandemic.Reproductive health · 2025Article
- Everything feels just a little heavier, more wrought with implications, you know? - a mixed-methods study examining lifestyle behaviors, health, and well-being of pregnant and postpartum women during the early months of the COVID-19 pandemic.BMC pregnancy and childbirth · 2025Article
- Postpartum care for parent-infant dyads: A community midwifery model.Birth (Berkeley, Calif.) · 2024Article
- Potential Implications of Emerging Nontraditional Childbirth Practices On Neonatal Health.The Journal of pediatrics · 2023Article
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- Article
- Survey of COVID-19 Vaccine Attitudes in Predominately Minority Pregnant Women.Southern medical journal · 2023Article
- Alternate Birth Strategies.International journal of women's health · 2023Review
- Childbirth fear in the USA during the COVID-19 pandemic: key predictors and associated birth outcomes.Evolution, medicine, and public health · 2023Article
- The impacts of the COVID-19 pandemic on birth satisfaction in a prospective cohort of 2,341 U.S. women.Women and birth : journal of the Australian College of Midwives · 2022Article
- Experiences of Birth during COVID-19 Pandemic in Italy and Spain: A Thematic Analysis.International journal of environmental research and public health · 2022Article
- Article
- Pandemic Stress and Its Correlates among Pregnant Women during the Second Wave of COVID-19 in Poland.International journal of environmental research and public health · 2021Article
- Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2021Article
- Concerns about transmission, changed services and place of birth in the early COVID-19 pandemic: a national survey among Danish pregnant women. The COVIDPregDK study.BMC pregnancy and childbirth · 2021Article
- The role of pandemic-related pregnancy stress in preference for community birth during the beginning of the COVID-19 pandemic in the United States.Birth (Berkeley, Calif.) · 2021Article
- Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021Article
- Birth setting decisions during COVID-19: A comparative qualitative study.Women's health (London, England)Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe COVID-19 pandemic introduced unparalleled uncertainty into the lives of pregnant women, including concerns about where it is the safest to give birth, while preserving their rights and wishes. Reports on the increased interest in community births (at home or in birth centers) are emerging. The purpose of this project was to quantitatively investigate psychological factors related to this birth preference.
methodsThis study included 3896 pregnant women from the COVID-19 Pregnancy Experiences (COPE) Study who were anticipating a vaginal birth. COPE Study participants were recruited online between April 24 and May 15, 2020, and completed a questionnaire that included preference with respect to place of birth and psychological constructs: fear of childbirth, basic beliefs about birth, pandemic-related preparedness stress, and pandemic-related perinatal infection stress.
resultsWomen who preferred a community birth, on average, had less childbirth fear, had stronger beliefs that birth is a natural process, were less likely to see birth as a medical process, and were less stressed about being unprepared for birth and being infected with COVID-19. In multivariate models, higher stress about perinatal COVID-19 infection was associated with greater likelihood of preferring a community birth. The effect of perinatal infection stress on preference was stronger when preparedness stress was high. DISCUSSION: Women's birth preferences during the COVID-19 pandemic are associated with psychological processes related to risk perception. Community births are more appealing to women who view being in a hospital as hazardous because of the pandemic. Policies and prenatal care aimed to increase access to safe in-hospital and out-of-hospital birth services should be encouraged.
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