Trial reportBMC pregnancy and childbirth2024
Childbirth self-efficacy and birth related PTSD symptoms: an online childbirth education randomised controlled trial for mothers.
Trial report in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Childbirth preparation is associated with self-efficacy and the use of non-pharmacological pain relief during labour.Scientific reports · 2026Article
- Mapping What Works to Strengthen the Relational Ecology of Early Child Development: A Systematic Scoping Review.Clinical child and family psychology review · 2026Article
- The relationship between pregnant women's perception of traumatic birth and their vaginal birth self-efficacy: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Breastfeeding in the Context of Trauma and Previous Psychological Experiences: A Narrative Review.Nutrients · 2026Review
- The impact of Swanson's theory of caring on self-efficacy and pregnancy outcomes of primiparous women.Pakistan journal of medical sciences · 2025Article
- Impact of postpartum persistent depression on infant developmental behavior and maternal self-efficacy.World journal of psychiatry · 2025Article
- Psychological Distress, Post-Traumatic Stress and Emotional Suppression in a Pregnancy After a Perinatal Death: A Longitudinal Survey.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- The effectiveness of nurse-led antenatal education on maternal self-efficacy: an evidence-based approach.BMC nursing · 2025Article
- Effect of meditation and prenatal education on fear and confidence in vaginal delivery.Frontiers in public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study evaluated an online childbirth education course on childbirth self-efficacy and, subsequent birth related posttraumatic stress disorder (PTSD) symptoms and mother-infant relationship quality.
methodThree group (intervention, passive control, active control) parallel randomised controlled trial. Groups were assigned using computer generated random allocation. For the passive control group participants were instructed to carry on with whatever they were currently undertaking with their pregnancy, while the active control group were asked to read a booklet comprised of twelve birth stories. The purpose of the active control was to check if the act of having an activity to complete would influence outcomes. For the online course group (intervention) participants were asked to complete the online version of a birthing course designed by She Births
resultsThere was no significant interaction by group for childbirth self-efficacy scores. Mean difference scores at time one (pre-intervention) and time two (post-intervention) for each group indicated a trend in the online group towards higher childbirth self-efficacy compared with the two control groups. The main effect of group on birth related PTSD scores was not statically significant at six weeks postnatal or at six months postnatal. The main effect of group on mother-infant relationship scores was not statically significant at six weeks postnatal or six months postnatal.
conclusionsTrends showed childbirth self-efficacy scores to be higher in the intervention group compared with the two control groups, demonstrating effectiveness for the intervention. Paradoxically, PTSD scores were higher in the intervention group compared with the two control groups and therefore also reported poorer mother-infant relationship quality. External factors may be more important than childbirth self-efficacy highlighting the need for a holistic approach that addresses systemic and socio-political influences to improve communication, autonomy, and respectful maternity care.
trial registrationThis trial was retrospectively registered with the Australian New Zealand Clinical Trials Registry number: ACTRN12624000241538 on March 11, 2024.
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