ORIGINAL PAPER
Fear of childbirth and social support in women with and without previous traumatic pregnancy or birth experiences
 
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Department of Psychology, Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
 
 
Submission date: 2025-12-23
 
 
Final revision date: 2026-06-11
 
 
Acceptance date: 2026-06-17
 
 
Online publication date: 2026-07-24
 
 
Corresponding author
Sanda Pletikosić Tončić   

Department of Psychology, Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Fear of childbirth (FOC) is a prevalent psychological concern with implications for maternal well-being and obstetric out-comes. Although previous traumatic pregnancy or birth experiences and perceived social support are recognized correlates of FOC, their combined effects remain underexplored. This study investigated whether previous traumatic pregnancy or birth experiences moderate the association between perceived social support and FOC among pregnant women.

Participants and procedure:
The sample comprised 152 pregnant women (aged 22-42 years, M = 32.32, SD = 4.39) recruited online and through gynaeco-logical clinics across Croatia. Participants completed the Wijma Delivery Expectancy/Experience Questionnaire-Version A (W-DEQ-A), the Social Support Appraisals Scale, and the Partner Support Scale. Previous traumatic pregnancy or birth experience was assessed via a single self-report item. Multiple linear regression models tested the main and interaction ef-fects of social support and prior trauma on FOC, controlling for age and gestational week.

Results:
Greater perceived family support was associated with lower FOC scores (p < .001). Women reporting a previous traumatic experience showed significantly higher FOC than those without such experiences (p < .001). The interaction between trau-ma history and family support was significant (p < .05), such that family support exerted a protective effect among women with prior trauma, but not among women without prior trauma. The effect of partner support was not significant.

Conclusions:
The findings suggest that social support, particularly from family, may be relevant to childbirth-related fear in women with prior traumatic pregnancy or birth experiences. Assessing such previous experiences and considering the role of supportive family communication may represent potential components of preventive approaches aimed at addressing FOC and promoting perinatal wellbeing.
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