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<p>In a prospective cohort study of birthing women (<i>N</i> = 138), we aimed to explore the birth experience of Flow – a positive mental state during psycho-physiological challenge – its association with different birth-modes and its link to postpartum health. Women completed surveys during late pregnancy, 72&#xa0;h postpartum, and 8 weeks postpartum. The relationships between birth-mode, flow, and postpartum distress, were conducted using Pearson correlations, independent samples t-tests, and Hierarchical Multiple Regression Analysis. Results showed that physiological births were linked to higher Flow and better well-being. Birth mode significantly predicted postpartum depression, stress, and anxiety, while flow mainly affected depression and stress, even in unplanned caesarean births: higher Flow during attempted vaginal birth correlated with lower post-birth depression. Thus, experiencing Flow during vaginal birth attempts, regardless of the mode of birth outcome, may protect against postpartum mental distress. These findings highlight the need for preventive measures to safeguard maternal mental health.</p>

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Embracing flow: exploring the protective role of birth’s flow state on postpartum Well-being across birth modes

  • 期刊论文

  • 发表日期：

    2026年1月19日

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  • Orli Dahan,
  • Yael Sciaky-Tamir,
  • Shenhav Albo,
  • Inbar Ben Shachar,
  • Omer Horovitz

摘要

In a prospective cohort study of birthing women (N = 138), we aimed to explore the birth experience of Flow – a positive mental state during psycho-physiological challenge – its association with different birth-modes and its link to postpartum health. Women completed surveys during late pregnancy, 72 h postpartum, and 8 weeks postpartum. The relationships between birth-mode, flow, and postpartum distress, were conducted using Pearson correlations, independent samples t-tests, and Hierarchical Multiple Regression Analysis. Results showed that physiological births were linked to higher Flow and better well-being. Birth mode significantly predicted postpartum depression, stress, and anxiety, while flow mainly affected depression and stress, even in unplanned caesarean births: higher Flow during attempted vaginal birth correlated with lower post-birth depression. Thus, experiencing Flow during vaginal birth attempts, regardless of the mode of birth outcome, may protect against postpartum mental distress. These findings highlight the need for preventive measures to safeguard maternal mental health.