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Background: Fear of childbirth (FoC) impacts many first-time mothers. The "Stories-Empowered Education for New Parents" (SEEN) programme, a community-based intervention grounded in story and narrative transportation theories, offers a promising approach to address FoC.
Methods: This randomised controlled trial assessed SEEN's efficacy in first-time mothers. FoC was evaluated using both subjective (Fear of Childbirth Scale, FOBS) and objective physiological measures (heart rate, heart rate variability, skin conductance, and skin temperature).
Results: A total of 112 first-time mothers and their partners were randomly assigned to either a control or experimental group. The experimental group showed significant reductions in FOBS scores at all three measurement points. At the final assessment, this group also exhibited lower skin conductance during imagined childbirth, alongside significantly smaller differences in heart rate and skin conductance between resting and imagined states. Both subjective and objective measures consistently indicated a substantial reduction in FoC within the experimental group.
Conclusion: The SEEN intervention effectively reduced moderate to severe FoC in first-time mothers. These findings support the broader application of storytelling and narrative-based interventions in addressing FoC challenges.
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http://dx.doi.org/10.1016/j.wombi.2025.102076 | DOI Listing |
JAMA Pediatr
September 2025
Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Importance: For the first time in nearly 2 decades, the US infant mortality rate has increased, coinciding with a rise in overdose-related deaths as a leading cause of pregnancy-associated mortality in some states. Prematurity and low birth weight-often linked to opioid use in pregnancy-are major contributors.
Objective: To assess the health and economic impact of perinatal opioid use disorder (OUD) treatment on maternal and postpartum health, infant health in the first year of life, and infant long-term health.
Ann Rheum Dis
September 2025
Department of Radiology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Objectives: This study aims to evaluate the evolution of subchondral sacroiliac joint (SIJ) sclerosis from pregnancy to 12 months postpartum, and to explore preceding and concomitant magnetic resonance imaging (MRI) features, potentially indicating osteitis condensans ilii (OCI).
Methods: One hundred three first-time mothers were recruited for serial SIJ MRIs. MRI scans were performed at pregnancy weeks 20 and 32, and at 3, 6, and 12 months postpartum.
J Obstet Gynaecol
December 2025
Department of Obstetrics and Gynecology in Norrköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Background: Pregnancy and childbirth are vulnerable periods for women's mental health, with common occurrences of postnatal depression (PPD), postpartum post-traumatic stress symptoms (PP-PTSS) and postnatal severe fear of childbirth (PP-FOC). While previous trauma is linked to higher rates of postpartum psychological difficulties, the mechanisms and variations by parity and sociodemographic factors remain poorly understood. The aim of this study was to compare the prevalence of PPD symptoms, postnatal post-traumatic stress disorder (PP-PTSD), PP-PTSS and PP-FOC between women with a history of trauma and those without.
View Article and Find Full Text PDFFront Psychiatry
August 2025
Child Study Center, Yale School of Medicine, New Haven, CT, United States.
Introduction: Supportive Parenting for Anxious Childhood Emotions (SPACE) is an evidence-based treatment for parents of children with anxiety disorders and/or obsessive-compulsive disorder (OCD). Given the many barriers to accessing such evidence-based treatments, we evaluated for the first time the application of group-based SPACE, delivered to parents via telemedicine within a public health outpatient setting.
Methods: In this single arm retrospective analysis of routine-care data participants, recruited from a hospital-based anxiety clinic, were mothers (N=50) of fifty children, ages 6.
Objective: Parental reflective functioning (PRF) emerges during the prenatal period and helps fathers and mothers prepare for the transition to parenthood. Few studies have considered how PRF could support at-risk fathers and their partners across this transition. In a sample of moderate to heavy drinking fathers, an actor-partner interdependence mediation model (APIMeM) was used to examine concurrent indirect effects between prenatal psychological symptoms and paternal and maternal PRF through interparental relationship satisfaction while accounting for the interdependence among father-mother dyads.
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