Evidence map›Paper›PMID 41286660›Full record

ArticleBMC pregnancy and childbirth2025

Associated factors for birth-related post-traumatic stress symptoms using a birth-specific measurement: a cross-sectional study.

Greta Stén, Anna Malmquist, Katri Nieminen, Hanna Grundström

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 1 paper.

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

What it found

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2 · The registry

The trial behind it

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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

1 citing paper in PubMed.

  1. 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.

Greta SténDepartment of Obstetrics and Gynaecology in Norrköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden. greta.sten@liu.se.ORCID http://orcid.org/0000-0002-4469-9111
Anna MalmquistDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Katri NieminenDepartment of Obstetrics and Gynaecology in Norrköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Hanna GrundströmDepartment of Obstetrics and Gynaecology in Norrköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne third of all childbirths are experienced as traumatic, which is a risk for developing birth-related PTSD (BR-PTSD). Understanding factors that increase the level of BR-PTSD symptoms (BR-PTSS) is crucial for the development of adequate preventive strategies. Most previous research has utilised general PTSD measurements, which negatively impacts its validity. This study therefore aimed to assess associated factors for BR-PTSS using a birth-specific instrument.

methodsIn this cross-sectional study, BR-PTSS was measured using City Birth Trauma Scale. Information on prenatal and birth-related associated factors and comorbid symptoms of postpartum depression was collected via a self-report questionnaire including Childbirth Experience Questionnaire 2. Independent significant associated factors were analysed using single and multiple linear regression. The results were controlled for comorbidity with postpartum depression.

resultsIndependent significant associated factors were previous traumatic experience, primiparity, complications in pregnancy or childbirth, and a negative subjective experience of childbirth. When controlling for comorbidity with postpartum depression, significant associated factors were primiparity, complications in pregnancy or childbirth and a negative subjective experience of childbirth.

conclusionsThis study identifies a negative subjective experience of birth as the most important associated factor for BR-PTSS and highlights the importance of modifiable factors. Our findings indicate that implementation of care acknowledging past trauma and primiparity, and evaluating the birth experience can help identify individuals with higher BR-PTSS. Future research should explore the effect on BR-PTSS when evaluating strategies focused on preventing and mitigating the experience of complications in pregnancy and birth, providing safe and supportive care, and promoting agency and self-efficacy during labour.

Indexed as

ParturitionStress Disorders, Post-TraumaticAdultCross-Sectional StudiesDepression, PostpartumFemaleHumansParityPregnancyPregnancy ComplicationsRisk FactorsSurveys and QuestionnairesBirth-related PTSDCity birth trauma scaleCity BiTSPostpartum PTSDRisk factors

Identifiers

PMID41286660
PMCPMC12690891

What OpenQuestion holds

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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.