ArticleBMC psychiatry2023
Fear of childbirth and its determinants in pregnant women in the third trimester: a cross-sectional study.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Global prevalence and associated factors of severe fear of childbirth: a systematic review and Meta-Analysis.Archives of women's mental health · 2026Pooled it
- Comparative efficacy of non-pharmacological interventions on fear of childbirth for pregnant women: a systematic review and network meta-analysis.Frontiers in psychology · 2025Pooled it
- Incidence and factors influencing delayed onset of lactation: a systematic review and meta-analysis.International breastfeeding journal · 2024Pooled it
- Digital intervention for tokophobia: a randomized controlled trial of internet-based cognitive behavioral therapy on fear of childbirth and self-efficacy among Egyptian pregnant women.BMC pregnancy and childbirth · 2025Trial
- The Associated Factors of Parenting Stress Among Caregivers of Children With Autism Spectrum Disorders in Lianyungang, Eastern China: A Cross-Sectional Study.Journal of autism and developmental disorders · 2026Article
- The mediating role of fetal health anxiety in the relationship between fear of childbirth and preferred mode of delivery among pregnant women.BMC pregnancy and childbirth · 2026Article
- Prevalence, related factors, and outcomes of fear of childbirth in pregnant women visiting health centers in Tabriz, Iran: a prospective study.Scientific reports · 2026Article
- Negative religious coping is associated with fear of childbirth and pregnancy distress: findings from correlational and regression analyses.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Factors Associated with Pregnancy Stress in High-Risk Pregnant Women Before Invasive Prenatal Diagnosis: A Cross-Sectional Study.International journal of women's health · 2026Article
- Maternal Inner Strength Mediates the Longitudinal Association Between Family Emotional Expression and Fear of Childbirth: A Cross-Lagged Panel Mediation Analysis.International journal of women's health · 2026Article
- A qualitative journey mapping study of prenatal care experiences among rural pregnant women in Northeast China.Frontiers in public health · 2026Article
- Fear of child birth and its associated factors among pregnant women in Ethiopia: systematic review and meta-analysis.Maternal health, neonatology and perinatology · 2025Review
- Child abuse and experiences of discrimination are linked to fear of childbirth among younger patients in the US: a cohort study.BMC pregnancy and childbirth · 2025Article
- Psychosocial Determinants of Childbirth Fear Among Asian Women: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- The relationship between fear of birth and prenatal attachment and childbirth self-efficacy perception in Primigravida women.BMC pregnancy and childbirth · 2025Article
- The effects of maternal health literacy, family functioning and self-efficacy on antepartum depression in pregnant women in China: a moderated mediation model.BMC psychiatry · 2025Article
- Prevalence and factors associated with fear of childbirth in late pregnancy: a cross-sectional study.Frontiers in public health · 2025Article
- Pre- and postpartum fear of childbirth and its predictors among rural women in China.BMC pregnancy and childbirth · 2024Article
- Factors influencing childbirth fear among Asian women: a scoping review.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFear of childbirth (FOC) is a prevalent issue among pregnant women and significantly relates to adverse outcomes for the mother and child. However, it is not clear the prevalence and risk factors of FOC among pregnant women in a region with a moderate level of economic development in China. The aim of this study was to investigate the prevalence and risk factors of FOC among pregnant women in the third trimester of pregnancy in Lianyungang city, Eastern China.
methodsA cross-sectional survey was conducted from December 2022 to February 2023 among pregnant women in the third trimester who met the inclusion criteria and visited Lianyungang Maternal and Child Health Hospital in Jiangsu Province, Eastern China. A structured questionnaire including sociodemographic characteristics, clinical characteristics, FOC, family function, doctor-patient communication, social support, general self-efficacy, anxiety, depression, insomnia symptoms, and quality of life was used to collect data. A multiple linear regression model was used to identify predictors of FOC.
resultsThis study included 535 pregnant women in the third trimester. The mean score of FOC was 30.67 ± 10.18, and the median score was 29.00. The prevalence of FOC was 56.64%. Multiple linear regression analysis revealed that pregnant women with electronic screen exposure time more than 5 h per day (β = 2.02, 95%CI: 0.50-3.53, P < 0.05), no history of cesarean section (β = 2.66, 95%CI: 0.61-4.71, P < 0.05), likes sour food or hates greasy food (β = 1.75, 95%CI: 0.00-3.50, P < 0.05), anxiety (β = 0.50, 95%CI: 0.21-0.80, P < 0.05) and depression (β = 0.30, 95%CI: 0.04-0.57, P < 0.05) were more likely to have a greater level of FOC than their counterparts. However, a significantly lower level of FOC was observed in pregnant women who were multipara (β=-1.64, 95%CI: -3.27-0.01, P < 0.05), not worrying about delivery without family members (β=-3.75, 95%CI: -5.26-2.25, P < 0.001), had good family function (β=-0.32, 95%CI: -0.64-0.00, P < 0.05) and doctor-patient communication (β=-0.33, 95%CI: -0.64-0.02, P < 0.05).
conclusionsThe prevalence of FOC was high in Lianyungang city, Eastern China. FOC is influenced by multiple factors. There is an urgent need to develop interventions to reduce the prevalence of FOC in the third trimester of pregnancy, and to pay attention to pregnant women with risk factors for FOC.
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