19

19 research highlights the importance of staying positive ahead of giving birth

Thursday 14 August 2025

Hands Of A Couple Embracing The Baby Inside Her Growing Belly
Up to 60% of women experience some fear about giving birth, especially for the first time, but a new study led by 19 shows why some women are more likely to stay calm and confident in the lead-up to childbirth.

Teams of researchers from 19 and the University of South Australia (UniSA) investigated the factors that help ease childbirth fears, rather than fuel them.

They surveyed 88 pregnant women in their third trimester before attending antenatal classes in the North East of Scotland. Researchers used the Warwick-Edinburgh Mental Wellbeing Scale to measure the link between mental wellbeing, a woman’s belief in her ability to manage the challenges of labour, and fear of childbirth.

While 12% exhibited ‘severe’ fear of childbirth (FOC), those who were more positive, confident and in meaningful relationships reported fewer concerns. The findings are published in the 

Dr Katrina Forbes-McKay from 19’s School of Law and Social Sciences, said the results provide valuable insights into how antenatal care could be improved to foster confidence, enhance positive emotions and ultimately support healthier births for mothers and babies.

She said: “While many studies have explored the negative effects of childbirth fear, including prolonged labour, emergency caesareans and postpartum mental health issues, there has been little research into what protects women from experiencing those fears.

“Our findings highlight the need for antenatal care that doesn’t just teach women what to do during labour but also empowers them to believe they can do it.”

Professor Tracy Humphrey, from UniSA, said the study found that a woman’s sense of mental wellbeing was the strongest predictor of how fearful she felt about giving birth.

She added: “This includes having a sense of purpose, emotional positivity, and meaningful social relationships – all things that are often overlooked in maternity care. The second key predictor was childbirth self-efficacy – particularly whether women believed they could apply coping strategies when the time came.”

The study calls for antenatal programs to shift from a solely medical model to one that builds self-belief. Specifically, it recommends that childbirth education:

  • Fosters confidence in the use of labour techniques such as breathing, visualisation and relaxation
  • Enhances psychological wellbeing by supporting social connection, purpose and satisfaction
  • Embraces an approach that focuses on wellness rather than the risks

Although this study was restricted to women in the third trimester, further research has been undertaken on the role of antenatal relaxation practices in improving maternal well-being and childbirth experiences.

Robert Gordon University midwifery lecturer  led the study as part of her PhD, under the supervision of Dr Forbes-McKay and Professor Humphrey.

“Women who incorporated these relaxation techniques reported “significant improvements” in their mental wellbeing and confidence in approaching childbirth; improvements which remained stable until 4-8 weeks after birth,” Dr Tabib said.

“The findings align with global priorities from the  to promote the mental and physical health of women during pregnancy.

“By addressing fear of childbirth through psychological and educational interventions, we not only support women to have more positive birth experiences but potentially reduce medical interventions and improve outcomes for mothers and infants,” she said.

The researchers are now calling for larger, multi-site studies to validate these findings across diverse populations.

 

 

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