Evidence map›Paper›PMID 39931669›Full record

ArticleInternational journal of women's health2025

Construction and Validation of a Model for Predicting Fear of Childbirth: A Cross-Sectional Population Study via Machine Learning.

Zhi-Lin Zhang, Kang-Jia Chen, Hui Chen, Miao-Miao Zhu, Jing-Jing Gu, Li-Shuai Jiang, Lan Zheng, Shu-Guang Zhou

Abstract read
In one paragraph

Article in International journal of women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Zhi-Lin Zhang *Department of Gynecology and Obstetrics, Maternal and Child Medical Center of Anhui Medical University, The Fifth Affiliated Clinical College of Anhui Medical University, Anhui Women and Children's Medical Center, Hefei, Anhui, People's Republic of China.ORCID 0009-0001-4707-3317
Kang-Jia Chen *Department of Gynecology and Obstetrics, Maternal and Child Medical Center of Anhui Medical University, The Fifth Affiliated Clinical College of Anhui Medical University, Anhui Women and Children's Medical Center, Hefei, Anhui, People's Republic of China.ORCID 0009-0000-5400-0637
Hui Chen *Department of Gynecology and Obstetrics, Maternal and Child Medical Center of Anhui Medical University, The Fifth Affiliated Clinical College of Anhui Medical University, Anhui Women and Children's Medical Center, Hefei, Anhui, People's Republic of China.ORCID 0009-0005-4897-4327
Miao-Miao ZhuDepartment of Gynecology and Obstetrics, Maternal and Child Medical Center of Anhui Medical University, The Fifth Affiliated Clinical College of Anhui Medical University, Anhui Women and Children's Medical Center, Hefei, Anhui, People's Republic of China.
Jing-Jing GuDepartment of Gynecology and Obstetrics, Maternal and Child Medical Center of Anhui Medical University, The Fifth Affiliated Clinical College of Anhui Medical University, Anhui Women and Children's Medical Center, Hefei, Anhui, People's Republic of China.ORCID 0009-0007-0363-4235
Li-Shuai JiangDepartment of Gynecology and Obstetrics, Maternal and Child Medical Center of Anhui Medical University, The Fifth Affiliated Clinical College of Anhui Medical University, Anhui Women and Children's Medical Center, Hefei, Anhui, People's Republic of China.ORCID 0009-0002-7941-6633
Lan ZhengDepartment of Gynecology and Obstetrics, Maternal and Child Medical Center of Anhui Medical University, The Fifth Affiliated Clinical College of Anhui Medical University, Anhui Women and Children's Medical Center, Hefei, Anhui, People's Republic of China.ORCID 0009-0000-1632-0154
Shu-Guang ZhouDepartment of Gynecology and Obstetrics, Maternal and Child Medical Center of Anhui Medical University, The Fifth Affiliated Clinical College of Anhui Medical University, Anhui Women and Children's Medical Center, Hefei, Anhui, People's Republic of China.ORCID 0000-0003-0148-947X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fear of childbirth (FOC) is a psychological state of fear and distress that pregnant women experience when they approach labor. This fear can have significant negative effects on both the mother and the newborn, making it crucial to study the influencing factors of FOC to implement early interventions. Objective: First, identify the risk factors for FOC occurrence, then construct a predictive model for FOC and evaluate its predictive efficiency. Methods: A total of 901 pregnant women who underwent regular prenatal check-ups at Anhui Women and Children's Medical Center were selected. Participants completed questionnaires. General information and relevant medical data of the patients were collected for data aggregation. The data was randomly divided into a training set (n = 632) and a testing set (n = 269) in a 7:3 ratio. Univariate analysis of risk factors for FOC was performed on the training set data. Using univariate logistic regression and multivariate logistic regression to analyze the risk factors associated with the occurrence of FOC, we constructed a FOC risk predictive model via ten different machine learning methods and evaluated the predictive performance of the model. Results: Our study indicated that educational level, history of adverse pregnancy outcomes, history of cesarean section, planned pregnancy, assisted reproduction, income, payment, SAS scores, and age are independent risk factors for FOC. The risk predictive model included six factors, such as gravidity, history of adverse pregnancy outcomes, history of cesarean section, planned pregnancy, payment, and SSRS scores. The model was built using ten types of machine learning and was evaluated to perform well. Conclusion: Gravidity, history of adverse pregnancy outcomes, history of cesarean section, planned pregnancy, payment method, and SSRS score are risk factors for FOC in late-pregnancy women. The risk predictive model established in this study has a high clinical reference value.

Indexed as

fear of childbirthFOCmachine learningpredictive modelrisk factors

Identifiers

PMID39931669
PMCPMC11809214

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.