ArticleBMC pregnancy and childbirth2023
Predictors of pregnancy stress and psychological birth trauma in women undergoing vaginal delivery: a cross-sectional study in China.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 15 citations in OpenAlex.
- Comparison status and factors of pregnancy stress among pregnant women with second child between advanced maternal age and reproductive age: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- The Relationship Between Anxiety, Stress, Depression, Traumatic Childbirth Perception, and Prenatal Attachment in Pregnant Women: A Cross-Sectional Study.Depression and anxiety · 2026Article
- Factors Associated with Pregnancy Stress in High-Risk Pregnant Women Before Invasive Prenatal Diagnosis: A Cross-Sectional Study.International journal of women's health · 2026Article
- Effects of internet-based supportive intervention on knowledge, pregnancy stress, fear of childbirth, and pregnancy outcomes in primiparas.Frontiers in medicine · 2026Article
- A Nomogram Predicting the Risk of Anxiety in Third-Trimester pregnancy in Pregnant Women with CTDs.Journal of multidisciplinary healthcare · 2026Article
- A Systematic Concept Analysis of Psychological Birth Trauma in Couples.International journal of women's health · 2026Review
- Article
- Effects of Nursing Interventions During Delivery on Pain Relief and Labor Progression in Vaginal Deliveries.Cureus · 2025Article
- Identifying the key influencing factors of psychological birth trauma in primiparous women with interpretable machine learning.International journal of nursing sciences · 2025Article
- Exploring Self-Perceived Stress and Anxiety Throughout Pregnancy: A Longitudinal Study.Diseases (Basel, Switzerland) · 2025Article
- The mediating role of coping style in the relationship between fear of childbirth and psychological birth trauma among natural childbirth women in China: a structural equation model analysis.BMC pregnancy and childbirth · 2025Article
- Stress and Coping Strategies among Women in Late Motherhood.Journal of clinical medicine · 2024Article
- Moderating effects of general self-efficacy on courtesy stigma and anxiety and depressive symptoms of parents of children with autism spectrum disorder.Frontiers in psychiatry · 2024Article
- Levels and related factors of occupational stress among nurses: hospital-based evidence from China, 2023.Frontiers in psychology · 2024Article
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7 authors at 2 institutions in 1 country.
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Abstract
backgroundPsychological birth trauma exhibits a high incidence worldwide, resulting in a wide range of negative impacts on mothers, infants, couples, families and society at large through the maternal-centered ripple effect. However, there is currently limited research on psychological birth trauma in China. Social support and pregnancy stress are important influencing factors of psychological birth trauma. Consequently, this study aimed to explore predictors of pregnancy stress and psychological birth trauma in women undergoing vaginal delivery in China.
methodsThis cross-sectional study was performed at a single medical center between December 2021 and May 2022 in Hangzhou, China. Participants were selected using a convenience sampling technique. A total of 351 postpartum women within one week after vaginal delivery were included. Questionnaires were used to collect sociodemographic and obstetric characteristics and scores on the Pregnancy Stress Rating Scale (PSRS), City Birth Trauma Scale (City BiTS), Social Support Rating Scale (SSRS) and Family Adaptation Partnership Growth Affection and Resolve index (Family APGAR). Both univariate analysis and multiple linear regression analysis were conducted to assess predictors of pregnancy stress and psychological birth trauma.
resultsThe median (IQR) of PSRS and City BiTS scores were 10.00 (14.00) and 3.00 (9.00), respectively. The incidence of postpartum posttraumatic stress disorder was 4.0% (14/351). Parity, social support, family support and level of education were predictors of pregnancy stress. Delivery complications, psychological traumatic event, pregnancy stress and family support were predictors of psychological birth trauma (P < 0.05).
conclusionPregnancy stress is related to social support, family support and some sociodemographic and obstetric characteristics. Psychological birth trauma is correlated with delivery complications, psychological traumatic event, pregnancy stress and family support. Consequently, enhancing social support, especially family support, for pregnant women as a means of reducing pregnancy stress can effectively prevent psychological birth trauma.
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