Clinical Report: Spousal Support and Childbirth Anxiety in Pregnant Women of AMA

Overview

This study investigates the relationship between spousal support and fear of childbirth in pregnant women of advanced maternal age (AMA). Findings indicate a high prevalence of childbirth fear.

Background

Fear of childbirth (FOC) is a significant concern for pregnant women, particularly those of advanced maternal age, who face increased obstetric risks. Understanding the dynamics of spousal support can inform strategies to alleviate anxiety. The rising number of pregnancies among older women is notable.

Data Highlights

Key Findings

• 86.4% of participants reported some level of fear of childbirth.
• Negative associations were found between spousal support and fear of childbirth.
• The strongest association was between “teaching you how to do things you do not know how to do” and “concern about fetal health.”
• Central nodes included “participating in activities together to reduce your stress” and “providing you with helpful information.”
• Bridge nodes were identified as “helping you understand why things did not go well” and “giving you encouragement.”

Clinical Implications

Healthcare providers should consider the role of spousal support in managing fear of childbirth among women of advanced maternal age.

Conclusion

The study highlights the importance of specific supportive behaviors in relation to childbirth fear among pregnant women of advanced maternal age.

Related Resources & Content

1. BMC Pregnancy and Childbirth, 2026 -- Comparison status and factors of pregnancy stress among pregnant women with second child between advanced maternal age and reproductive age: a cross-sectional study
2. BMC Pregnancy and Childbirth, 2026 -- The effect of perceived stress on spousal support and paternal and maternal attachment in high-risk pregnant women: a path analysis study
3. BMC Pregnancy and Childbirth, 2026 -- The relationship between pregnant women’s perception of traumatic birth and their vaginal birth self-efficacy: a cross-sectional study
4. Archives of Gynecology and Obstetrics, 2026 -- Severe maternal morbidity in patients of advanced maternal age with and without metabolic syndrome
5. Patient Screening | ACOG -- ACOG’s Clinical Practice Guideline on Screening and Diagnosis
6. BMC Psychology -- Systematic review and meta-analysis on social support and FOC
7. Frontiers in Psychiatry -- Comparative efficacy of non-pharmacological interventions on fear of childbirth
8. BMC Pregnancy and Childbirth -- Effect of advanced maternal age on the risk of adverse birth outcomes
9. Patient Screening | ACOG