ArticleReproductive health2023
The association between childbirth-related fear, childbirth readiness, and fertility intentions, and childbirth readiness as the mediator.
Article in Reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Effect of implementation of the WHO intrapartum care model on maternal and neonatal outcomes: a randomized control trial.BMC pregnancy and childbirth · 2024Trial
- Association of person-centred maternity care during childbirth and future reproductive and health-seeking intentions among adolescents in Lira, Northern Uganda: a cross-sectional survey.Global health action · 2026Article
- Childbirth readiness and its influencing factors in the Yangtze River Delta region of China: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Couple Relationships and Interaction During Pregnancy: A Comprehensive Review of Key Relational Dynamics.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Maternal Readiness for Newborn Self-Care in the Early Postpartum Period: Associations with Maternal Psychophysical State and Declared Breastfeeding Readiness.Journal of clinical medicine · 2026Article
- Turkish version of the childbirth readiness scale: validity and reliability study.BMC pregnancy and childbirth · 2026Article
- Nulliparous Women's Self-Objectification, Fear of Childbirth, and Fertility Intentions: A Mediational Model.Archives of sexual behavior · 2026Article
- Factors influencing the fertility intentions of unmarried female nurses in South Korea: a cross-sectional analysis.BMC nursing · 2026Article
- The Gendered Mediation Effects of Social Support on Fertility Intentions Among Childless Adults of Reproductive Age in China: National Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Article
- Network analysis of spousal support and fear of childbirth in pregnant women of advanced maternal age.Frontiers in psychiatry · 2026Article
- Determinants of childbearing intention among Iranian women: Integrating psychological, demographic, and socioeconomic factors.Journal of public health research · 2026Article
- The impact of psychological factors on fertility intention among women who have given birth in Shanghai: multiple mediating effects analysis based on the theory of planned behavior.Reproductive health · 2025Article
- Child abuse and experiences of discrimination are linked to fear of childbirth among younger patients in the US: a cohort study.BMC pregnancy and childbirth · 2025Article
- Development and validation of scales measuring individual, nursing unit, hospital, and community factors related to fertility intentions of female Japanese hospital nurses.BMC women's health · 2025Article
- Prediction and unsupervised clustering of fertility intention among migrant workers based on machine learning: a cross-sectional survey from Henan, China.BMC public health · 2025Article
- Efficacy of bilateral quadratus lumborum block with liposomal bupivacaine for post-cesarean analgesia: a protocol for an open-label randomized controlled trial.Frontiers in medicine · 2025Article
- Second birth intentions and its influencing factors among reproductive-aged women: a cross-sectional study conducted in Shandong Province, China.Frontiers in public health · 2025Article
- The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study.Frontiers in public health · 2025Article
- The Childbearing sense of coherence scale (CSOC-scale): development and validation.BMC public health · 2024Article
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9 authors.
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Abstract
backgroundFertility intentions have been proved to be a reliable predictor of actual fertility behaviour. Also, childbirth-related fear (CBRF) has been proven to be negatively associated with childbirth readiness and fertility intentions among women, while childbirth readiness was positively related to fertility intentions. However, the associations and potential mechanisms between CBRF, childbirth readiness, and fertility intentions remain unknown. This study aimed to investigate the unique association between CBRF, childbirth readiness, and fertility intentions and whether childbirth readiness would mediate the relationship between CBRF and fertility intentions.
methodA cross-sectional study of women (N = 1119, aged 16-53 years) who gave birth within 72 h was conducted. Using a convenience sampling, women were recruited from obstetric wards-10 comprehensive hospitals and 3 specialized hospitals in 7 provinces in mainland China. Pearson correlation was used to examine the relationship between CBRF, childbirth readiness, fertility intentions, and social support. Multivariate linear regression was further used to analyze the association between demographic and personal characteristics, CBRF, childbirth readiness, and fertility intentions. Mediation analysis was used to examine whether childbirth readiness mediates the relationship between CBRF and fertility intentions.
resultsWomen with high childbirth readiness (β = 0.09, P = 0.002) had higher fertility intentions. However, women with high CBRF (β = - 0.17, P < 0.001) were more likely to have lower fertility intentions. CBRF had both direct and indirect effects on the level of fertility intentions. As predicted, childbirth readiness mediated the relationship between CBRF and the level of fertility intentions (estimate = - 0.012, 95% bootstrap CI: - 0.021 to - 0.005). Higher CBRF was associated with lower scores of childbirth readiness, which was associated with lower levels of fertility intentions.
conclusionsThis study established the evidence that CBRF had both direct and indirect effects on the level of fertility intentions and childbirth readiness mediated the relationship between CBRF and the level of fertility intentions. Specifically, higher CBRF was associated with lower scores of childbirth readiness, which was associated with lower levels of fertility intentions. This finding suggested that it is important for health policymakers and health providers to pay more attention to improving women's childbirth readiness, which might reduce the negative influence of CBRF on fertility intentions, thus strengthening their fertility intentions.
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