Terrified of having a baby
Fear of childbirth (tokophobia) | Tommy's
Tommy's PregnancyHub
Having some anxiety about giving birth is natural. But if you feel so afraid that you don’t want to do it, it’s important to ask for help.
I’m feeling anxious about giving birth. Is this normal?
You may feel a bit anxious about or afraid of giving birth. This is very common. Pregnancy and childbirth are major life events, so don’t be hard on yourself for having these feelings.
You may find it helpful to:
- Tell your midwife how you feel. They may be able to reassure you.
- Talk to someone you trust. This could be your partner, friend or family member.
- Start thinking about how you want to give birth and make a birth plan. This can help you feel more organised and in control.
- Find a local antenatal class. This will give you the opportunity to meet others in a similar situation and find out more about what happens in labour.
- Try hypnobirthing. This may help you relax.
- Try our tips for improving mental wellbeing in pregnancy to reduce stress.
- You may come across people who are willing to share their birth stories before you even ask. It’s OK to ask them to stop if it’s not helpful.
Find out more about positive things to prepare for labour.
Tokophobia
It is rare, but some women are so afraid of giving birth that they don’t want to go through with it, even if they really want to have the baby. A severe fear of childbirth may also affect their decision on how to give birth to their baby. This is called Tokophobia and it can happen in any pregnancy. Some women have it in early adulthood or even as a teenager.
Women with a severe fear of childbirth often have depression or anxiety too.
It can be difficult for other people to understand how someone can be so frightened about something they see as ‘so natural’. But tokophobia is a mental health condition and women who have it need treatment and support.
What causes tokophobia?
Tokophobia can happen if you have:
- a fear of childbirth in your family
- heard frightening birth stories from people in your family
- or have had an anxiety disorder
- experienced sexual abuse, assault or rape
- had gynaecological problems (problems with the female reproductive organs).
“I always knew I would struggle being pregnant because I have a massive fear of childbirth. It comes from being sexually abused as a child, so things like smear tests are always very traumatic for me.” Julie, mum of one, read her full story.
Some women have a severe fear of childbirth because they have had a traumatic birth experience. In this case, they may have post-traumatic stress disorder. This is a different condition to tokophobia and needs different treatment.
What should I do if I’m afraid of childbirth?
Tell your midwife or doctor about your fears, as early in your pregnancy as possible. They should refer you to a mental health specialist for pregnant women. Ideally, this should be someone with experience of childbirth fears.
You should be given advice on how to cope with your feelings of fear and any other symptoms you may have. You may also be offered cognitive behavioural therapy (CBT).
Your specialist should also discuss your options for giving birth that may help lessen your fears.
If you have a fear of childbirth due to post-traumatic stress disorder you may be offered eye movement desensitisation and reprocessing (EDMR). This a therapy that uses eye movements to dampen the power of the memories and the emotions linked to them.
Make a wellbeing plan
Our online Wellbeing Plan is a tool that helps you start thinking about how you feel and what support you might need in your pregnancy and after the birth.
You can use it to help you talk to your partner, family, friends or midwife about how you are feeling.
Requesting a planned caesarean section
If you feel like your treatment isn’t working, talk to your midwife or doctor about having a planned caesarean section. They will discuss the risks and benefits of having a caesarean compared to a vaginal birth.
The National Institute for Health and Care Excellence states that you should be offered a planned caesarean section if you have had treatment and support but are still too afraid to have a vaginal birth. If an obstetrician is unwilling to perform a caesarean section you should be referred to one who will.
'I wrote a short explanation of my anxiety, its triggers and how people could help me manage it, and asked any new medical staff to read it before dealing with me.' Paula, read her full story.
More information and support
- Anxiety UK
- No Panic
- The National Association for People Abused in Childhood
- Rape Crisis
Review dates
Reviewed: 22 February 2019 | Next review: 22 February 2022
This content is currently being reviewed by our team. Updated information will be coming soon.
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What to Do If You Want Kids but Fear Pregnancy, Childbirth
- "Tokophobia," a fear of pregnancy, can lead to worse birth outcomes or prevent people from fulfilling life dreams.
- Working through your fears with a professional can help you feel more prepared and less afraid.
- Pregnant with questions? Submit your question to Anna anonymously here for nonjudgmental answers.
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Dear Anna,
Ever since I witnessed my nephew's birth at age 16, I've been terrified of pregnancy and labor. The delivery was quite the ordeal: The mom's water broke before she got to the hospital, and she didn't have time for an epidural. She developed preeclampsia. They did an episiotomy and used forceps to pull the baby out.
I recognize this is not what happens with every birth, but it was the one I was introduced to and I can't unsee it.
Now I'm in my mid-30s, newly married, and eager to start a family. I love kids and don't worry about actual parenting. But the idea of pregnancy and birth disgust me. I'd consider adoption if it wasn't so darn expensive. What can I do?
— Beth, Baltimore
Dear Beth,
That does sound like a traumatic introduction to childbirth, no wonder you're still shaken. Your brain is just doing its job to protect you against something it's perceived as threatening. Can you blame it?
Plus, as Maryland-based therapist Melissa Weinberg told me, it's understandable to be afraid of something full of unknowns, historically dangerous (and still more risky among people of color), painful, and uncomfortable.
But people don't often air these fears because, sadly, there can be a lot of shame around not feeling enthusiastic about something society makes us believe "should" come naturally, said Weinberg, who specializes in anxiety and wrote about the fear of pregnancy and childbirth for Psychology Today.
In reality, research suggests anywhere between 20% and 78% of pregnant women have some fears or anxiety around pregnancy and childbirth. And in non-pregnant women, one study showed 13% said fears were strong enough for them to delay or avoid pregnancy altogether.
But "the more you avoid [facing your fears,]" Weinberg said, "the more you reinforce them." So let's start facing yours now.
This fear,
also known as tokophobia, can become a self-fulfilling prophecyA fear of childbirth is sometimes called tokophobia, or it can be appear as depression, anxiety, or post-traumatic stress disorder in cases where it is triggered by a traumatic event like an earlier life-threatening childbirth experience.
It can also look like OCD, Weinberg said, where people avoid sex and compulsively try to reassure themselves they're not pregnant.
Some of the common fears she hears among clients with some level of tokophobia is that they won't be able to handle pregnancy, especially the discomfort and body changes. "They often feel disgusted by the idea of something growing inside them and hate the idea of being trapped and out of control," Weinberg said. Some may even feel appalled just watching a TV show with a pregnant character.
Some clients ruminate on all that could go wrong, and some experience physiological reactions like shortness of breath and an increased heart rate just thinking about it.
If you don't address the fear before becoming pregnant, it can become a self-fulfilling prophecy: A fear of pregnancy and childbirth is linked to higher rates of emergency cesarean deliveries, induced and augmented labor, long labors, and postpartum depression.
It can also prevent you from seeking necessary medical appointments, or to obsessively call your healthcare team. Not mention the toll it can take on your relationship. "If the partner of someone struggling with tokophobia is eager to have a baby, there can be fights, tensions, and resentment within the relationship," Weinberg said.
Get help to learn how to manage your negative thoughts, without expecting them to totally vanish
Weinberg recommends rallying a crew of family and friends who know how you're feeling and can be patient with you. Being open with a trusted healthcare provider is critical too, as they can put your specific fears into perspective and dispel misconceptions that may be fueling them.
The more knowledgeable you are about pregnancy and childbirth, the less intimidating it becomes.
Weinberg also suggests working with a therapist trained in acceptance and commitment therapy, which focuses on mindfulness and behavior change strategies, or exposure therapy, which is what it sounds like: facing your fears.
"As you get more and more exposure to it, your anxiety diminishes," Lara Honos-Webb, a clinical psychologist in Walnut Creek, California, told me for a story on this topic back in 2016. There are even classes, she said, that require women to repeatedly imagine giving birth.
The key is to find a provider "who won't do too much co-ruminating or disputing of thoughts and worries, but help you practice getting some distance from your thoughts and making values-based decisions," Weinberg said.
Finally, Weinberg said, don't expect your fears to vanish. "If you're waiting to be completely free of anxiety before trying to conceive, that's probably unrealistic. And that's OK."
"It's much more reasonable and achievable to build skills like tolerance for discomfort and uncertainty and grounding yourself in the present than it is to make all your fears go away and feel 'ready,'" she said. "You can be afraid and still takes steps towards having the life you want."
Senior health reporter Anna Medaris Miller is here to answer all of your questions about pregnancy— especially the ones you don't want to bring to your doctor or even friends. As a journalist covering women's health for more than a decade, she'll mine the research, consult a range of experts, and give you the key takeaways. Submit your question anonymously to Anna here.
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#1
#2
It is possible that there are reasons to steam.
#3
Also a Troll
in all her long relationships, she never took protection and never got pregnant
Are there any reasons to take a steam bath? nine0003
There may be reasons to sweat.
#4
Guest
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#6
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9000 #
#10
#11
Guest
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#12
Guest
There are girls with a twisted uterus. (Slanting) This means that they can only get pregnant if a man deliberately cums inside you. But she won’t get pregnant by chance. Well, it’s good when the pregnancy is only planned, and not zalits
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“I don’t want to have children”
A. B.: Laughter at the same time.
Anna: Yes. Because it looks like a little girl can't get off her skirt and complains.
AB: Maybe some little girl really can't get away from her mother. nine0003
Anna: (after a pause) Someone manages to cut the umbilical cord, but I still listen to my mother, waiting for her approval. But there are logical inconsistencies. Mom said that children put an end to creativity, I remembered, then she said that children are wonderful, I remembered that, and ... I have a “failure” in my head.
A.B.: I would like to share my feeling: as if, in addition to you and me, your mother is also present in the room. Even now you look back at her, you feel the umbilical cord that firmly binds you. nine0003
Anna: Yes, I feel this connection especially keenly when it comes to motherhood and femininity.
AB: At the beginning of our conversation, you said that you feel pressure from your husband, parents, friends, but there is also something coming from within you. And that “something” is more important, and it is with it that you want to relate your decisions.
Anna: I would like to live and make decisions based on my personal aspirations, desires and motivations.
AB: Can you share these aspirations and motivations with me?
Anna: Now the most important thing for me is work. I am very passionate about her, I can draw endlessly, and, probably, if I had such an opportunity, I would devote myself only to work. But life raises its own questions: my husband dreams of children, he is ready to give them time and energy, but I am not ready for this. Although in the future I see this picture.
A. B.: Describe her.
Anna: For some reason, I always draw boys. I want to have sons, I want them to become good artists. (After a pause.) You know, my mother also really wanted a boy. She dreamed of raising a talented artist.
A. B.: Are sons your desire or a continuation of your mother's dream?
Anna: It seems to me that after all my desire. For some reason, I have a very good idea of how to behave with boys, how to educate them. I see a solid, beautiful house, a husband and two growing boys. nine0003
A.B.: How do you feel now as you talk about this?
Anna: It seems to me that these are just dreams, but in reality nothing will happen.
A. B.: Yes, these are dreams.
Anna: But I like to think about it, and I feel joy. I see boys who are always passionate about something. And I help them, guide them, get the right book from the shelf. But I also have my own workshop in the house, my own space in which I retire and work. nine0003
I need to develop myself, otherwise I don't think I can give them anything. (Thoughtfully.) So there are dreams. But how to connect them with reality? After all, children may demand to postpone business and deal only with them.
A. B.: And you are not ready for this.
Anna: No. But after I described my dreams, I was able to talk about them out loud, there is hope that fantasies can become reality. They are not as illusory as I thought.
A.B.: What is happening to you now?
Anna: The struggle subsides inside me, I don't feel contradiction. If earlier my other “I” rebelled and said: “But what about you?” Now, imagining this picture, I saw that motherhood is not so scary. I even thought that if they let me draw two or three hours a day, if I have interesting orders, a good stable job, maybe that will be enough for me.
A.B.: I have the impression that you seem to continue to look at the picture that you have described. Does she change somehow?
Anna: I see children grow up and leave.
A. B.: What happens to you?
Anna: And I stay in my studio, read their letters and rejoice in their success.