Cited by 106Maternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

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The influence of general anxiety and childbirth-specific anxiety on birth outcome

Reck, C., Zimmer, K., Dubber, S., Zipser, B., Schlehe, B., Gawlik, S.·2013·Archives of Women's Mental Health

DOI 10.1007/s00737-013-0344-0

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Abstract

In the present study, we examined a German sample to determine whether anxiety symptoms during pregnancy had an impact on the duration and method of childbirth. Data of N = 88 women recruited at the Heidelberg University Hospital were used in the analyses. Prepartum anxiety symptoms were assessed with the State-Trait Anxiety Inventory (STAI, general anxiety) and the Pregnancy Related Anxiety Questionnaire (PRAQ-R, pregnancy-specific anxiety). Obstetric outcome was taken from birth records and operationalized by two parameters: the total duration of birth (dilation and fetal expulsion) and the incidence of pregnancy or birth-related interventions (ventouse, planned, and unplanned Cesarean section). The data show that childbirth-specific anxiety assessed by the PRAQ-R is an important predictor of total birth duration. In contrast, general anxiety measured by the STAI had no effect. The incidence of birth intervention was explained by parity. Anxiety, however, had no predictive value. In addition to medical factors, childbirth-specific anxiety during pregnancy plays an important role in the process of childbirth. The findings of the present study point to the need of implementing psychological interventions to reduce childbirth-specific anxiety and thereby positively influencing birth outcome.

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Authors: Reck, C., Zimmer, K., Dubber, S., Zipser, B., Schlehe, B., & Gawlik, S.
Affiliations: Heidelberg University (DE)
University Hospital Heidelberg (DE)
Corresponding author: Reck, C.
ORCID: Reck, C.
Venue: Archives of Women's Mental Health
Publisher: Springer Science and Business Media LLC
Published: 2013-04-05
Volume: 16
Issue: 5
Pages: 363-369
ISSN: 1434-1816 (ISSN-L)
1435-1102
DOI: 10.1007/s00737-013-0344-0
OpenAlex: W2072641445
Cited by: 106
References: 39
Citations by year: 2026: 4 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 7 · 2021: 11 · 2020: 12 · 2019: 17 · 2018: 10 · 2017: 6 · 2016: 8 · 2015: 4 · 2014: 2 · 2013: 1
FWCI: 5.11
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Archives of Women s Mental Health (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords: pregnancy-related anxiety, general anxiety, birth outcomes, labor duration, childbirth interventions, cesarean section, ventouse, parity
MeSH terms: Adolescent, Adult, Anxiety, Cesarean Section, Fear, Female, Germany, Hospitals, University, Humans, Labor, Obstetric, Obstetric Labor Complications, Parity, Pregnancy, Pregnancy Outcome, Prospective Studies, Surveys and Questionnaires, Regression Analysis, Socioeconomic Factors, Parturition, Delivery, Obstetric, Pregnant Women, Pregnant People, Young Adult

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The influence of general anxiety and childbirth-specific anxiety on birth outcome

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