Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptoms

IntroductionThis study investigates the impact of the severity of perineal tear during childbirth on parenting stress at 10–12 weeks postpartum. Studies have shown that up to 80% of primiparous mothers may suffer a perineal tear, which can have important physical and psychological consequences. As t...

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Main Authors: Valentine Rattaz, Sarah Cairo Notari, Valérie Avignon, Chahin Achtari, Antje Horsch
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1477316/full
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author Valentine Rattaz
Valentine Rattaz
Sarah Cairo Notari
Valérie Avignon
Chahin Achtari
Antje Horsch
Antje Horsch
author_facet Valentine Rattaz
Valentine Rattaz
Sarah Cairo Notari
Valérie Avignon
Chahin Achtari
Antje Horsch
Antje Horsch
author_sort Valentine Rattaz
collection DOAJ
description IntroductionThis study investigates the impact of the severity of perineal tear during childbirth on parenting stress at 10–12 weeks postpartum. Studies have shown that up to 80% of primiparous mothers may suffer a perineal tear, which can have important physical and psychological consequences. As the adjustment to parenthood can be highly demanding and stressful for primiparous parents, we hypothesized that having experienced a perineal tear during childbirth could be an additional stressor reducing the resources to cope, which could increase parenting stress. We also hypothesized that this increase in parenting stress could be explained by the consequences of the perineal tear on mothers’ physical health and depressive symptoms.MethodsThis study included 155 primiparous mothers with various degrees of perineal tear (from an intact perineum to a 4th degree tear).ResultsResults showed that perineal tear was not directly associated with parenting stress at 10–12 weeks postpartum. However, we found an indirect pathway of influence through mothers’ physical health and depressive symptoms. Higher degrees of perineal tear were associated with worse physical health in mothers causing an increase in depressive symptoms that, in turn, was associated with higher parenting stress.DiscussionThe results indicate that perineal tear is indirectly associated with parenting stress, through its influence on physical health and depressive symptoms. Therefore, it seems crucial to focus on managing the physical consequences of perineal tear in the first weeks postpartum, to avoid detrimental consequences on mothers’ mental health and parenting.
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spelling doaj-art-cf2e667e92d64f9aa4e6e6e6b866565f2025-08-20T03:08:32ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-04-011610.3389/fpsyg.2025.14773161477316Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptomsValentine Rattaz0Valentine Rattaz1Sarah Cairo Notari2Valérie Avignon3Chahin Achtari4Antje Horsch5Antje Horsch6Institute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, SwitzerlandFaculty of Psychology and Educational Sciences, University of Geneva, Geneva, SwitzerlandFaculty of Psychology and Educational Sciences, University of Geneva, Geneva, SwitzerlandDepartment Woman-Mother-Child, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandDepartment Woman-Mother-Child, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandInstitute of Higher Education and Research in Healthcare, University of Lausanne, Lausanne, SwitzerlandDepartment Woman-Mother-Child, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandIntroductionThis study investigates the impact of the severity of perineal tear during childbirth on parenting stress at 10–12 weeks postpartum. Studies have shown that up to 80% of primiparous mothers may suffer a perineal tear, which can have important physical and psychological consequences. As the adjustment to parenthood can be highly demanding and stressful for primiparous parents, we hypothesized that having experienced a perineal tear during childbirth could be an additional stressor reducing the resources to cope, which could increase parenting stress. We also hypothesized that this increase in parenting stress could be explained by the consequences of the perineal tear on mothers’ physical health and depressive symptoms.MethodsThis study included 155 primiparous mothers with various degrees of perineal tear (from an intact perineum to a 4th degree tear).ResultsResults showed that perineal tear was not directly associated with parenting stress at 10–12 weeks postpartum. However, we found an indirect pathway of influence through mothers’ physical health and depressive symptoms. Higher degrees of perineal tear were associated with worse physical health in mothers causing an increase in depressive symptoms that, in turn, was associated with higher parenting stress.DiscussionThe results indicate that perineal tear is indirectly associated with parenting stress, through its influence on physical health and depressive symptoms. Therefore, it seems crucial to focus on managing the physical consequences of perineal tear in the first weeks postpartum, to avoid detrimental consequences on mothers’ mental health and parenting.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1477316/fullparenting stressperineal tearphysical healthdepressionchildbirth
spellingShingle Valentine Rattaz
Valentine Rattaz
Sarah Cairo Notari
Valérie Avignon
Chahin Achtari
Antje Horsch
Antje Horsch
Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptoms
Frontiers in Psychology
parenting stress
perineal tear
physical health
depression
childbirth
title Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptoms
title_full Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptoms
title_fullStr Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptoms
title_full_unstemmed Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptoms
title_short Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptoms
title_sort parenting stress after perineal tear during childbirth the role of physical health and depressive symptoms
topic parenting stress
perineal tear
physical health
depression
childbirth
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1477316/full
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