ArticlePregnancy (Hoboken, N.J.)2026
The psychological impact of childbirth: Unscheduled cesarean delivery associates with increased risk for acute stress response.
Article in Pregnancy (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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
2 citing papers in PubMed.
- Intrapartum Oxytocin and Maternal Outcomes Following Vaginal and Unscheduled Cesarean Delivery.medRxiv : the preprint server for health sciences · 2026Article
- Early prediction of childbirth-related posttraumatic stress disorder symptoms.medRxiv : the preprint server for health sciences · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
Abstract
Introduction: Cesarean delivery is one of the most common surgical procedures in the United States. Despite their frequency and medical necessity, the acute psychological response associated with unscheduled cesarean delivery is unknown. This study aimed to assess the rates and nature of peritraumatic stress reactions during and shortly after unscheduled cesarean delivery, and whether acute stress predicts later mental health symptoms. Methods: A total of 1146 patients receiving routine perinatal care at a single tertiary, urban hospital were assessed for peritraumatic stress reactions during the delivery hospitalization, on average 31 hours postpartum using the patient self-report Peritraumatic Distress Inventory (PDI). A subgroup ( Results: A total of 10.4% of participants met criteria for clinical acute stress (PDI ≥15). Among women undergoing unscheduled cesarean, 26.6% reported clinical stress, with higher rates observed for cesarean performed during labor (29.3%) and those with greater obstetric morbidity ( Conclusions: A substantial proportion of women undergoing unscheduled cesarean delivery experience significant psychological stress during childbirth with enduring morbidities. Screening for acute traumatic stress during postpartum stay is warranted to optimize mental health outcomes.
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Registered trials
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