Evidence map›Paper›PMID 39905392›Full record

ArticleBMC pregnancy and childbirth2025

Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parents.

Rebecca Hunter, Leonardo De Pascalis, Kieran Anders, Pauline Slade

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rebecca HunterDepartment of Primary Care and Mental Health, University of Liverpool, Bedford Street South, Liverpool, L69 7ZA, UK. rebecca.hunter@liverpool.ac.uk.
Leonardo De PascalisDepartment of Psychological Science, University of Liverpool, Bedford Street South, Liverpool, L69 7ZA, UK.
Kieran AndersHome-Start HOST, Ryecroft Hall, Manchester Road, Audenshaw, M34 5ZJ, UK.
Pauline SladeDepartment of Primary Care and Mental Health, University of Liverpool, Bedford Street South, Liverpool, L69 7ZA, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-birthing parents are typically present for the birth of their infants. Evidence suggests that some non-birthing parents may experience witnessing childbirth as traumatic, with some going on to develop childbirth-related post-traumatic stress disorder (CB-PTSD). This study aimed to explore the associations between non-birthing parents' experiences of childbirth, symptoms of CB-PTSD, and the parent-infant relationship. The COVID-19 pandemic context is considered throughout the study, although it must be noted that most data were not collected during UK lockdown restrictions.

methodsA cross-sectional design was utilised. Participants were non-birthing parents who were present for the birth of their first infant, aged between 6 weeks and 12 months old. Participants were recruited through social media platforms via third-sector organisations, namely Dad Matters; a Home-Start project and The Birth Trauma Association. A total of 312 non-birthing parents provided demographic details and obstetric details of the mother's birth. They also completed questionnaires about their experiences of the birth they were present for, CB-PTSD symptoms, and levels of warmth and invasion in the parent-infant relationship.

resultsWithin this sample, 49% experienced the birth they were present for as potentially traumatic. Moreover, 10.1% met clinical criteria for CB-PTSD symptoms, and an additional 7% met sub-clinical criteria. Non-birthing parents who experienced birth as potentially traumatic reported significantly higher CB-PTSD symptoms and felt a greater sense of invasion in relation to their infant. However, levels of warmth in the parent-infant relationship were not statistically different between the two groups. CB-PTSD symptoms had significant associations with invasion but not with warmth, and they mediated the relationship between possible birth trauma and invasion in the parent-infant relationship.

conclusionsThis study's sample revealed a substantial proportion of non-birthing parents experiencing birth as potentially traumatic, with 10.1% meeting CB-PTSD criteria, a higher incidence than previously reported in the literature. This may be attributed the implications of the COVID-19 pandemic. CB-PTSD symptoms were negatively associated with feelings of invasion in the parent-infant relationship, but not with warmth. Future research should aim to replicate this study design with routine samples of non-birthing parents recruited from maternity settings.

Indexed as

Parent-Child RelationsParentsParturitionStress Disorders, Post-TraumaticAdultCOVID-19Cross-Sectional StudiesFemaleHumansInfantMalePregnancySurveys and QuestionnairesUnited KingdomBirth traumaCB-PTSDChildbirthNon-birthing parentsParent-infant relationship

Identifiers

PMID39905392
PMCPMC11796141

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.