Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parents

Abstract Background Non-birthing parents are typically present for the birth of their infants. Evidence suggests that some non-birthing parents may experience witnessing childbirth as traumatic, with some going on to develop childbirth-related post-traumatic stress disorder (CB-PTSD). This study aim...

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Main Authors: Rebecca Hunter, Leonardo De Pascalis, Kieran Anders, Pauline Slade
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Pregnancy and Childbirth
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Online Access:https://doi.org/10.1186/s12884-025-07200-3
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author Rebecca Hunter
Leonardo De Pascalis
Kieran Anders
Pauline Slade
author_facet Rebecca Hunter
Leonardo De Pascalis
Kieran Anders
Pauline Slade
author_sort Rebecca Hunter
collection DOAJ
description Abstract Background Non-birthing parents are typically present for the birth of their infants. Evidence suggests that some non-birthing parents may experience witnessing childbirth as traumatic, with some going on to develop childbirth-related post-traumatic stress disorder (CB-PTSD). This study aimed to explore the associations between non-birthing parents’ experiences of childbirth, symptoms of CB-PTSD, and the parent-infant relationship. The COVID-19 pandemic context is considered throughout the study, although it must be noted that most data were not collected during UK lockdown restrictions. Methods A cross-sectional design was utilised. Participants were non-birthing parents who were present for the birth of their first infant, aged between 6 weeks and 12 months old. Participants were recruited through social media platforms via third-sector organisations, namely Dad Matters; a Home-Start project and The Birth Trauma Association. A total of 312 non-birthing parents provided demographic details and obstetric details of the mother’s birth. They also completed questionnaires about their experiences of the birth they were present for, CB-PTSD symptoms, and levels of warmth and invasion in the parent-infant relationship. Results Within this sample, 49% experienced the birth they were present for as potentially traumatic. Moreover, 10.1% met clinical criteria for CB-PTSD symptoms, and an additional 7% met sub-clinical criteria. Non-birthing parents who experienced birth as potentially traumatic reported significantly higher CB-PTSD symptoms and felt a greater sense of invasion in relation to their infant. However, levels of warmth in the parent-infant relationship were not statistically different between the two groups. CB-PTSD symptoms had significant associations with invasion but not with warmth, and they mediated the relationship between possible birth trauma and invasion in the parent-infant relationship. Conclusions This study’s sample revealed a substantial proportion of non-birthing parents experiencing birth as potentially traumatic, with 10.1% meeting CB-PTSD criteria, a higher incidence than previously reported in the literature. This may be attributed the implications of the COVID-19 pandemic. CB-PTSD symptoms were negatively associated with feelings of invasion in the parent-infant relationship, but not with warmth. Future research should aim to replicate this study design with routine samples of non-birthing parents recruited from maternity settings.
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spelling doaj-art-ba8cc9080b3d4019b52cf8154337d4142025-02-09T12:58:59ZengBMCBMC Pregnancy and Childbirth1471-23932025-02-0125111210.1186/s12884-025-07200-3Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parentsRebecca Hunter0Leonardo De Pascalis1Kieran Anders2Pauline Slade3Department of Primary Care and Mental Health, University of LiverpoolDepartment of Psychological Science, University of LiverpoolHome-Start HOSTDepartment of Primary Care and Mental Health, University of LiverpoolAbstract Background Non-birthing parents are typically present for the birth of their infants. Evidence suggests that some non-birthing parents may experience witnessing childbirth as traumatic, with some going on to develop childbirth-related post-traumatic stress disorder (CB-PTSD). This study aimed to explore the associations between non-birthing parents’ experiences of childbirth, symptoms of CB-PTSD, and the parent-infant relationship. The COVID-19 pandemic context is considered throughout the study, although it must be noted that most data were not collected during UK lockdown restrictions. Methods A cross-sectional design was utilised. Participants were non-birthing parents who were present for the birth of their first infant, aged between 6 weeks and 12 months old. Participants were recruited through social media platforms via third-sector organisations, namely Dad Matters; a Home-Start project and The Birth Trauma Association. A total of 312 non-birthing parents provided demographic details and obstetric details of the mother’s birth. They also completed questionnaires about their experiences of the birth they were present for, CB-PTSD symptoms, and levels of warmth and invasion in the parent-infant relationship. Results Within this sample, 49% experienced the birth they were present for as potentially traumatic. Moreover, 10.1% met clinical criteria for CB-PTSD symptoms, and an additional 7% met sub-clinical criteria. Non-birthing parents who experienced birth as potentially traumatic reported significantly higher CB-PTSD symptoms and felt a greater sense of invasion in relation to their infant. However, levels of warmth in the parent-infant relationship were not statistically different between the two groups. CB-PTSD symptoms had significant associations with invasion but not with warmth, and they mediated the relationship between possible birth trauma and invasion in the parent-infant relationship. Conclusions This study’s sample revealed a substantial proportion of non-birthing parents experiencing birth as potentially traumatic, with 10.1% meeting CB-PTSD criteria, a higher incidence than previously reported in the literature. This may be attributed the implications of the COVID-19 pandemic. CB-PTSD symptoms were negatively associated with feelings of invasion in the parent-infant relationship, but not with warmth. Future research should aim to replicate this study design with routine samples of non-birthing parents recruited from maternity settings.https://doi.org/10.1186/s12884-025-07200-3Birth traumaNon-birthing parentsParent-infant relationshipCB-PTSDChildbirth
spellingShingle Rebecca Hunter
Leonardo De Pascalis
Kieran Anders
Pauline Slade
Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parents
BMC Pregnancy and Childbirth
Birth trauma
Non-birthing parents
Parent-infant relationship
CB-PTSD
Childbirth
title Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parents
title_full Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parents
title_fullStr Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parents
title_full_unstemmed Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parents
title_short Potentially traumatic childbirth experience, childbirth-related post-traumatic stress disorder symptoms, and the parent-infant relationship in non-birthing parents
title_sort potentially traumatic childbirth experience childbirth related post traumatic stress disorder symptoms and the parent infant relationship in non birthing parents
topic Birth trauma
Non-birthing parents
Parent-infant relationship
CB-PTSD
Childbirth
url https://doi.org/10.1186/s12884-025-07200-3
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