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The influence of general anxiety and childbirth-specific anxiety on birth outcome
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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“Although findings are not coherent [62], previous research suggests that FOB during pregnancy might be positively correlated with the experience of pain during childbirth [63,64], longer birth duration [65-67], and a more negative rating of the overall birth experience [4,5].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [66]
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Huizink, A. C., Delforterie, M. J., Scheinin, N. M., Tolvanen, M., Karlsson, L., & Karlsson, H. (2015) · Archives of Women s Mental Health · doi:10.1007/s00737-015-0531-2 · Cited by 250
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Metadata
- 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
- Published
- 2013-04-05
- Volume
- 16
- Issue
- 5
- Pages
- 363-369
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- 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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