“Too posh to push?” Self-stigmatization in childbirth

Abstract

Self-stigmatization after intervention-rich births (e.g., via C-section) is an anecdotally well-documented phenomenon. The aim of the present paper was to address this issue empirically. In doing so, we assessed 1,743 mothers who had required medical interventions to give birth and developed a psychometrically sound questionnaire—the Labor and Birth Self-Stigmatization Scale (LBS)—to measure birth-related self-stigmatization. We tested and confirmed the hypothesis that birth-related self-stigmatization was associated with a more negative birth experience, explaining incremental validity over, e.g., neuroticism and self-esteem. Results further revealed that the strongest, but not the only, predictor of self-stigmatization was having a C-section. Participants’ birth-related mindset moderated the negative correlation between self-stigmatization and birth experience, with a more natural mindset strengthening the negative association. The results of the present study illustrate the close association of birth and psychological factors and highlight the importance of studying and understanding self-stigmatization after childbirth.