{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T23:00:21Z","timestamp":1792623621110,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T00:00:00Z","timestamp":1724976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to evaluate the association between previous major traumas and the prevalence of fear of childbirth (FOC) and the subsequent effects of FOC on the intended mode of delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this nationwide retrospective register\u2010based cohort study, data from the Care Register for Health Care were linked with the National Medical Birth Register (MBR) to evaluate the prevalence of FOC after major traumas. A total of 18,573 pregnancies met the inclusion criteria. A multivariable logistic regression model was used to assess the effects of FOC on the intended mode of delivery. Women with major traumas before pregnancy were compared to individuals with wrist fractures. Adjusted odds ratios (aORs) with 95% CIs between the groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of those pregnancies that occurred after major traumas, 785 (6.2%) women were diagnosed with FOC after traumatic brain injury (TBI), 111 (6.1%) women after spine fracture, 38 (5.0%) women after pelvic fracture, 22 (3.2%) women after hip or thigh fracture, and 399 (5.2%) women in the control group. Among those women diagnosed with FOC, the adjusted odds for elective CB as an intended mode of delivery were highest among women with previous spine fractures (aOR 2.28, CI 1.45\u20133.60) when compared to the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found no evidence of differences in maternal FOC in patients with preceding major traumas when compared to the control group. Therefore, it seems highly likely that the major trauma itself is the explanatory factor for the increased rate of elective CB.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12869","type":"journal-article","created":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T04:48:56Z","timestamp":1725079736000},"page":"123-128","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Fear of Childbirth After Major Orthopedic Traumas: A Nationwide Multi\u2010Register Analysis"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1294-6173","authenticated-orcid":false,"given":"Matias","family":"Vaajala","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Life Sciences University of Tampere  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasmus","family":"Liukkonen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Sciences University of Tampere  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilari","family":"Kuitunen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Mikkeli Central Hospital  Mikkeli Finland"},{"name":"Institute of Clinical Medicine and Department of Pediatrics University of Eastern Finland  Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ville","family":"Ponkilainen","sequence":"additional","affiliation":[{"name":"Department of Surgery Central Finland Central Hospital Nova  Jyv\u00e4skyl\u00e4 Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ville M.","family":"Mattila","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Sciences University of Tampere  Tampere Finland"},{"name":"Department of Orthopaedics and Traumatology Tampere University Hospital  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3316-7021","authenticated-orcid":false,"given":"Maiju","family":"Kekki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tampere University Hospital  Tampere Finland"},{"name":"Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology Tampere University  Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010018\u20101659\u20107"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14078"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.12599"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016340902998436"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12147"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.2006.00950.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14521"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14781"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2023.01.011"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0272579"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2022.2050899"},{"key":"e_1_2_9_13_1","volume-title":"Perinatal Statistics \u2013 Parturients, Delivers and Newborns","author":"THL","year":"2018"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978\u2010022\u201001387\u2010w"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2022.08.013"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/14639230110119234"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/140349489502300113"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600\u20100412.2003.00114.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0730\u20107659.2006.00068.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1587407"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100412.2012.01405.x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2021.1871888"},{"issue":"5","key":"e_1_2_9_23_1","first-page":"519","article-title":"Influence of Fetal Birth Weight on Caesarean Section Rate and Fetal Outcome After Induction of Labor","volume":"29","author":"Temerinac D.","year":"2015","journal-title":"In Vivo"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2023.2198062"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.935760"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010023\u201002185\u20107"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2022.01.008"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.03.018"},{"issue":"4","key":"e_1_2_9_30_1","first-page":"797","article-title":"Psychiatric Disorders and Traumatic Brain Injury","volume":"4","author":"Schwarzbold M.","year":"2008","journal-title":"Neuropsychiatric Disease and Treatment"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.02.038"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1590\/1516\u20104446\u20102017\u20102229"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010015\u20100655\u20104"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2012.195"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366\u2010018\u20100239\u20102"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010016\u20100876\u20101"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.36149\/0390-5276-187"},{"issue":"3","key":"e_1_2_9_38_1","first-page":"178","article-title":"Cesarean Delivery: Counseling Issues and Complication Management","volume":"91","author":"Quinlan J. D.","year":"2015","journal-title":"American Family Physician"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12869","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T11:11:11Z","timestamp":1739617871000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12869"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,30]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/birt.12869"],"URL":"https:\/\/doi.org\/10.1111\/birt.12869","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,30]]},"assertion":[{"value":"2023-01-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}