Psychosocial Variables Predict Complicated Birth

The purpose of this study was to assess the possible contribution of
psychosocial factors to birth outcome, through prospective assessment prior to delivery. Four hundred, eightysix consecutive pregnant women in their first or second trimester were enrolled along with their partners;
interviews were conducted with the benefit of physiological monitoring and a variety of psychological
measurements. Seven categories of psychosocial variables emerged with stability and reliability. Two
psychological factors-fear of birth and support from the woman’s partner-most strongly discriminated between
the uncomplicated and complicated birth outcome groups. The authors conclude that psychosocial factors do
influence birth complications and attention to reducing their impact could potentially improve birth outcome.
Obstetrical care providers should no longer ignore these factors.