Evidence map›Paper›PMID 40016647›Full record

ArticleBMC pregnancy and childbirth2025

A longitudinal study of the subjective birth experience and the relationship to mental health.

Sarah Märthesheimer, Carsten Hagenbeck, Martina Helbig, Percy Balan, Tanja Fehm, Nora K Schaal

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Moving Toward a Positive Birth: The Protective Role of Psychological Capital in Shaping Childbirth Experiences.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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

6 authors.

Sarah MärthesheimerDepartment of Experimental Psychology, Heinrich-Heine-University Düsseldorf, Universitätsstraße 1, 40225, Düsseldorf, Germany. Sarah.Maerthesheimer@hhu.de.
Carsten HagenbeckClinic for Gynecology and Obstetrics, University Hospital of Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Martina HelbigClinic for Gynecology and Obstetrics, University Hospital of Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Percy BalanClinic for Gynecology and Obstetrics, University Hospital of Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Tanja FehmClinic for Gynecology and Obstetrics, University Hospital of Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Nora K SchaalDepartment of Experimental Psychology, Heinrich-Heine-University Düsseldorf, Universitätsstraße 1, 40225, Düsseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA satisfying birth experience has positive effects on the well-being of mother and child. The birth experience depends on subjective expectations and objective birth parameters, and the view of birth can also change over time. However, it is still unclear how birth anxiety and mode of birth affect the different dimensions of the birth experience in the first months after childbirth.

methodsIn this prospective longitudinal study, 307 first-time mothers, planning to give birth vaginally, were assessed for fear of childbirth at approximately 34 weeks of gestation and for obstetric information. Postpartum birth experience and psychological stress was evaluated 2 days, 6 weeks and 6 months postpartum using the validated Childbirth Experience Questionnaire which comprises the four dimensions emotional experience, participation, professional support and coping possibilities, and a visual analogue scale for a global birth judgement, supplemented by the Edinburgh postpartum depression scale and the Impact of Event Scale.

resultsThe individual dimensions of the birth experience changed differently within the first six months. Mixed factorial ANOVAs identified a main effect of fear of childbirth for all four dimensions of the birth experience and the global birth judgment. Mode of birth influenced the dimension participation and the global judgement. For emotional experience, a complex interplay between fear of birth, birth mode and time was revealed. Correlation analyses showed significant associations between the birth experience and the psychological distress symptoms resulting from childbirth.

conclusionsPrepartum fear of childbirth affects all dimensions of the subjective birth experience, even after six months. Birth mode, on the other hand, only affects the global birth judgement and participation. The stable correlations between the different dimensions of the birth experience and maternal mental health highlight the importance of the birth experience for clinical practise. TRAIL REGISTRATION: Registered in the German Clinical Trials Register ("DRKS") (No. DRKS00022177) on 22 June 2020 ( https://drks.de/search/en/trial/DRKS00022177 ).

Indexed as

Delivery, ObstetricFearMental HealthMothersParturitionPostpartum PeriodAdaptation, PsychologicalAdultAnxietyDepression, PostpartumFemaleHumansLongitudinal StudiesPregnancyProspective StudiesStress, PsychologicalBirth modeChildbirth experienceFear of childbirthMaternal mental health

Identifiers

PMID40016647
PMCPMC11866607

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LicenceCC BY
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Registered trials

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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.