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Childbirth-related posttraumatic stress symptoms: exploring the predictive potential of intrapartum hotspots.

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Title: Childbirth-related posttraumatic stress symptoms: exploring the predictive potential of intrapartum hotspots.
Authors: Blecker, Meike K. (AUTHOR), Daehn, Daria (AUTHOR), Engel, Sinha (AUTHOR), Steudte-Schmiedgen, Susann (AUTHOR), Garthus-Niegel, Susan (AUTHOR), Knaevelsrud, Christine (AUTHOR), Schumacher, Sarah (AUTHOR)
Source: Journal of Psychosomatic Obstetrics & Gynecology. Dec2025, Vol. 46 Issue 1, p1-11. 11p.
Subjects: Childbirth, Post-traumatic stress, Birth injuries, Psychological distress
Abstract: Childbirth-related posttraumatic stress symptoms (CB-PTSS) affect around 12% of postpartum individuals. While the subjective experience of childbirth is a key predictor of CB-PTSS, the specific defining characteristics of negative birth experiences remain poorly understood. This study aims to refine our understanding of negative birth experiences by investigating intrapartum hotspots, i.e. moments of extreme distress, and their association with CB-PTSS. In a cross-sectional study of N = 1,140 individuals who had given birth eight to ten weeks before, we examined the following: the types of hotspots, differences in hotspot-related distress, interpersonal difficulties during the hotspot, and CB-PTSS between the various types of hotspots and whether hotspot-related distress and interpersonal difficulties independently predicted CB-PTSS. Participants completed several items based on previous qualitative work [1] to assess the worst hotspot, hotspot-related distress, and interpersonal difficulties during the hotspot and the City Birth Trauma Scale to measure CB-PTSS, alongside relevant pregnancy- and birth-related questions. Medical interventions were the most frequently experienced worst hotspot and separation from the child was associated with the highest levels of hotspot-related distress, interpersonal difficulties, and CB-PTSS. Hotspot-related distress and interpersonal difficulties independently predicted CB-PTSS. Examining intrapartum hotspots poses a promising approach to define highly negative birth experiences. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Psychosomatic Obstetrics & Gynecology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Childbirth-related posttraumatic stress symptoms: exploring the predictive potential of intrapartum hotspots.
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  Data: <searchLink fieldCode="AR" term="%22Blecker%2C+Meike+K%2E%22">Blecker, Meike K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Daehn%2C+Daria%22">Daehn, Daria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Engel%2C+Sinha%22">Engel, Sinha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Steudte-Schmiedgen%2C+Susann%22">Steudte-Schmiedgen, Susann</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Garthus-Niegel%2C+Susan%22">Garthus-Niegel, Susan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Knaevelsrud%2C+Christine%22">Knaevelsrud, Christine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schumacher%2C+Sarah%22">Schumacher, Sarah</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Psychosomatic+Obstetrics+%26+Gynecology%22">Journal of Psychosomatic Obstetrics & Gynecology</searchLink>. Dec2025, Vol. 46 Issue 1, p1-11. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Childbirth%22">Childbirth</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress%22">Post-traumatic stress</searchLink><br /><searchLink fieldCode="DE" term="%22Birth+injuries%22">Birth injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Childbirth-related posttraumatic stress symptoms (CB-PTSS) affect around 12% of postpartum individuals. While the subjective experience of childbirth is a key predictor of CB-PTSS, the specific defining characteristics of negative birth experiences remain poorly understood. This study aims to refine our understanding of negative birth experiences by investigating intrapartum hotspots, i.e. moments of extreme distress, and their association with CB-PTSS. In a cross-sectional study of N = 1,140 individuals who had given birth eight to ten weeks before, we examined the following: the types of hotspots, differences in hotspot-related distress, interpersonal difficulties during the hotspot, and CB-PTSS between the various types of hotspots and whether hotspot-related distress and interpersonal difficulties independently predicted CB-PTSS. Participants completed several items based on previous qualitative work [1] to assess the worst hotspot, hotspot-related distress, and interpersonal difficulties during the hotspot and the City Birth Trauma Scale to measure CB-PTSS, alongside relevant pregnancy- and birth-related questions. Medical interventions were the most frequently experienced worst hotspot and separation from the child was associated with the highest levels of hotspot-related distress, interpersonal difficulties, and CB-PTSS. Hotspot-related distress and interpersonal difficulties independently predicted CB-PTSS. Examining intrapartum hotspots poses a promising approach to define highly negative birth experiences. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Psychosomatic Obstetrics & Gynecology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/0167482X.2025.2469290
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        Text: English
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        PageCount: 11
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        Type: general
      – SubjectFull: Post-traumatic stress
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      – SubjectFull: Birth injuries
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              M: 12
              Text: Dec2025
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