The effect of traumatic birth perception and fear of childbirth on cesarean section intention - Scorecard - MDSpire

The effect of traumatic birth perception and fear of childbirth on cesarean section intention

  • By

  • Betul Uncu

  • Emine Serap Cagan

  • Rukiye Duman

  • March 30, 2026

  • 0 min

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Clinical Scorecard: Impact of Perceived Traumatic Birth Experiences and Childbirth Anxiety on the Decision for Cesarean Delivery

At a Glance

CategoryDetail
ConditionFear of childbirth and traumatic birth perception
Key MechanismsPsychosocial factors influencing delivery method decisions
Target PopulationPrimiparous pregnant women
Care SettingObstetrics clinics

Key Highlights

  • 42.4% of pregnant women in Turkey experience fear of childbirth.
  • Cesarean section rates in Turkey are high, with 57.55% of births being cesarean.
  • Fear of childbirth significantly influences the decision for cesarean delivery.
  • Traumatic birth perception is linked to higher anxiety and lower birth satisfaction.
  • Factors influencing traumatic birth perception include personality traits and cultural norms.

Guideline-Based Recommendations

Diagnosis

  • Assess traumatic birth perception using the Traumatic Birth Perception Scale.
  • Evaluate fear of childbirth with the Wijma Birth Expectation/Experience Scale.

Management

  • Provide psychological support to address fear and anxiety related to childbirth.
  • Educate women on childbirth options to reduce perceived trauma.

Monitoring & Follow-up

  • Regularly assess levels of fear and traumatic perceptions throughout pregnancy.
  • Monitor cesarean section rates and reasons for delivery method choices.

Risks

  • Increased risk of psychological issues in women with high traumatic birth perception.
  • Potential for higher cesarean section rates due to fear of childbirth.

Patient & Prescribing Data

Primiparous pregnant women aged 18 and older in the second or third trimester.

Understanding emotional processes can guide supportive approaches to childbirth.

Clinical Best Practices

  • Implement supportive care strategies for women expressing fear of childbirth.
  • Encourage open discussions about previous birth experiences and fears.

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