Pregnancy-Related Anxiety Scale (PrAS)

Abstract

Pregnancy-related anxiety is a specific anxiety characterized by fears and worries about pregnancy. This distinct anxiety is associated with various adverse neonatal (e.g., preterm birth), obstetric (e.g., prolonged and difficult labor), and maternal outcomes (e.g., mood disorders). While several scales exist that assess pregnancy-related anxiety, there is limited information on their development and psychometric properties. Moreover, general anxiety scales used to assess anxiety in pregnant women can confound assessment by the similarity of common pregnancy experiences with anxiety symptomology (e.g., poor sleep). The development of the Pregnancy-related Anxiety Scale (PrAS) addressed this gap, and since its development, the PrAS has demonstrated sound psychometric properties. To meet antenatal anxiety-screening guidelines that advocate using brief scales, the PrAS was refined to a 15-item version. To cater to UK guidelines, the 15-item PrAS-Screener was further refined to 11 items. An initial psychometric examination confirmed that the PrAS-Screener has comparable psychometric properties to the full version. The PrAS has been translated into Turkish, German, and Dagbani. Of those, significant cross-cultural differences between the original PrAS and the Dagbani version highlighted this measure’s limitations in its original form for some low- and middle-income countries. Future directions include focusing on cross-cultural differences and the applicability of the PrAS to Indigenous communities and people with culturally and linguistically diverse backgrounds.

Appendix

Appendix A: Pregnancy-Related Anxiety Scale

Following is a list of questions about your mood over the past week. Please select the answer that best corresponds to how you have generally felt over the last 7 days or the extent to which you agree with the statement. If possible, it is important that all questions are answered.

All questions have response options of: Not at all (1), Occasionally (2), Quite Often, (3) and Very Often (4)

• 1. I worry that I will tear or need to be cut during the birth.

• 2. I worry about unnecessary interventions (e.g., forceps during delivery).

• 3. I feel afraid of the invasiveness of childbirth.

• 4. During childbirth, I am worried about being restrained in some way and not able to move.

• 5. I fear I may be harmed during the birth.

• 6. I fear losing control of my body during labour.

• 7. I don’t feel good with the way I look.

• 8. I feel unattractive.

• 9. I feel scared that I will never regain my figure.

• 10. I worry that my partner doesn’t find me attractive.

• 11. When I look in the mirror, I feel unhappy.

• 12. I feel prepared for childbirth.

• 13. When I think of childbirth, I know that I’ll cope with the pain.

• 14. I feel confident that I will be fine during childbirth.

• 15. I worry that I won’t do a good job as a mother.

• 16. I worry about caring for the baby once I am home.

• 17. My worries interfere with my daily activities.

• 18. At times, my worries seem to snowball.

• 19. Sometimes I feel panicked for no reason.

• 20. I don’t feel content.

• 21. I worry about what I will do if my baby is not normal.

• 22. I worry about having a sick or disabled baby.

• 23. I constantly worry that something will be physically wrong with my baby.

• 24. My partner and I are very much looking forward to this baby.

• 25. I look forward to meeting my baby.

• 26. This pregnancy is very much wanted.

• 27. I may consider a caesarian to avoid a vaginal birth.

• 28. I think that caesarian birth is safer than a vaginal birth.

• 29. I often think a caesarian is better than vaginal birth.

• 30. I don’t know if the midwives/doctors will be friendly.

• 31. I don’t know if the midwives/doctors will be kind and helpful.

• 32. I don’t know if I can ask the midwives/doctors anything.

PrAS 32-Item

• Childbirth Concerns: 1,2,3,4,5,6

• Body Image Concerns: 7,8,9,10,11

• Attitudes Towards Childbirth: 12,13,14

• Worry About Self: 15,16,17,18,19,20

• Baby Concerns: 21,22,23

• Acceptance of Pregnancy: 24,25,26

• Avoidance: 27,28,29

• Attitudes Towards Medical Staff: 30,31,32

PrAS Screener 15-Items

• Baby Concerns: 21, 22, 23

• Medical Staff: 30, 31, 32

• Body Image: 7, 8, 11

• Anxiety: 17, 18, 19

• Childbirth Concerns: 1, 2, 3

PrAS Screener 11-Items

• Baby Concerns: 21, 22, 23

• Medical Staff: 31, 32

• Body Image: 7, 11

• Anxiety: 17, 18

• Childbirth Concerns: 1, 3

Appendix B: Ordinal-to-Interval Conversion Tables

Ordinal (Ord) to Interval (Int) Level Conversion of Pregnancy-related Anxiety Scale Scores (32-item). To use the conversion table, first recode all reverse-scored items. Next, locate the equivalent interval-level score using the table; the scores are then summed to provide a total subscale score. Use of the conversion table is only possible if the respondent has no missing data. For the body image and baby concerns subscales scores for the PrAS, these are differentiated by age group. Therefore, locate the equivalent score relative to the age of the respondent.

Childbirth concerns		Attitudes toward childbirth		Worry about motherhood		Acceptance of pregnancy		Avoidance		Attitudes toward medical staff
Ord	Int	Ord	Int	Ord	Int	Ord	Int	Ord	Int	Ord	Int
6	6.00	3	3.00	7	7.00	3	2.89	3	3.00	0	3.00
7	9.57	4	4.22	8	10.26	4	8.02	4	7.85	1	6.72
8	11.88	5	5.07	9	12.48	5	8.29	5	8.01	2	7.08
9	13.37	6	5.80	10	13.99	6	8.49	6	8.13	3	7.35
10	14.44	7	6.47	11	15.18	7	8.70	7	8.24	4	7.58
11	15.25	8	7.21	12	16.17	8	8.93	8	8.35	5	7.80
12	15.88	9	8.04	13	17.06	9	9.19	9	8.46	6	8.02
13	16.44	10	9.06	14	17.86	10	9.53	10	8.56	7	8.25
14	16.91	11	10.38	15	18.57	11	10.06	11	8.70	8	8.52
15	17.36	12	12.00	16	19.22	12	10.73	12	12.00	9	12.00
16	17.79			17	19.80
17	18.21			18	20.33
18	18.61			19	20.86
19	19.06			20	21.32
20	19.56			21	21.85
21	20.16			22	22.32
22	20.94			23	22.88
23	22.15			24	23.46
24	24.00			25	24.11
				26	24.94
				27	26.17
				28	28.00

Baby concerns			Body image concerns
	Age range (years)		Age range (years)
	18–25	26–43		18–25	26–43
Ord	Int	Int	Ord	Int	Int
3	3.00	3.00	5	5.00	5.00
4	6.95	6.43	6	8.59	7.31
5	7.33	6.85	7	10.90	9.05
6	7.58	7.17	8	12.39	10.37
7	7.79	7.42	9	13.40	11.50
8	7.97	7.64	10	14.14	12.48
9	8.16	7.84	11	14.72	13.31
10	8.33	8.05	12	15.24	14.09
11	8.55	8.30	13	15.67	14.73
12	12.00	12.00	14	16.10	15.36
			15	16.53	16.02
			16	17.00	16.66
			17	17.53	17.31
			18	18.14	18.08
			19	18.93	18.97
			20	20.00	20.00

Ordinal-to-interval conversion tables for the 15-item and the 11-item PrAS-Screeners

To use the conversion table, first recode all reverse-scored items. Next, locate the equivalent interval-level score using the table; the scores are then summed to provide a total subscale score. Use of the conversion table is only possible if the respondent has no missing data.

PrAS 15-item version			PrAS 11-item version
Ordinal	Interval		Ordinal	Interval
Scores	Logits	Scale	Scores	Logits	Scale
15	−4.83	15.00	11	−4.29	11.00
16	−3.98	19.34	12	−3.46	14.39
17	−3.39	22.38	13	−2.87	16.79
18	−2.97	24.50	14	−2.46	18.48
19	−2.65	26.17	15	−2.13	19.83
20	−2.37	27.57	16	−1.85	20.97
21	−2.14	28.79	17	−1.61	21.97
22	−1.92	29.88	18	−1.39	22.87
23	−1.73	30.86	19	−1.19	23.68
24	−1.55	31.77	20	−1.01	24.43
25	−1.39	32.61	21	−0.84	25.12
26	−1.24	33.40	22	−0.68	25.77
27	−1.09	34.14	23	−0.53	26.37
28	−0.95	34.84	24	−0.39	26.94
29	−0.82	35.51	25	−0.26	27.48
30	−0.70	36.14	26	−0.14	28.00
31	−0.58	36.74	27	−0.01	28.51
32	−0.47	37.33	28	0.11	28.99
33	−0.36	37.89	29	0.22	29.47
34	−0.25	38.42	30	0.34	29.95
35	−0.15	38.94	31	0.46	30.43
36	−0.05	39.45	32	0.57	30.91
37	0.04	39.94	33	0.69	31.39
38	0.14	40.43	34	0.82	31.90
39	0.23	40.90	35	0.95	32.43
40	0.32	41.36	36	1.08	32.99
41	0.41	41.82	37	1.23	33.60
42	0.50	42.28	38	1.40	34.27
43	0.59	42.74	39	1.58	35.03
44	0.68	43.20	40	1.80	35.93
45	0.77	43.67	41	2.07	37.04
46	0.86	44.14	42	2.43	38.50
47	0.96	44.62	43	2.97	40.70
48	1.06	45.12	44	3.77	44.00
49	1.16	45.64
50	1.26	46.18
51	1.38	46.76
52	1.50	47.38
53	1.63	48.06
54	1.78	48.82
55	1.95	49.68
56	2.15	50.70
57	2.39	51.96
58	2.72	53.63
59	3.21	56.16
60	3.96	60.00

Appendix C: PrAS Dagbani (Abiiro et al., 2021)

Following is a list of questions about your mood over the past week. Please select the answer that best corresponds to how you have generally felt over the last 7 days or the extent to which you agree with the statement. If possible, it is important that all questions are answered.

All questions have response options of: Not at all (1), Occasionally (2), Quite Often (3), and Very Often (4).

• 1. Di teharimami ni nkutoi laɣisi m-bileɣu maa nema pɔin ka o sheena.

• 2. Di teharimami ni nkutoi laɣim doɣim bin chehi chehi pɔin ka ndoɣim saha paagi.

• 3. M-mi ni nbiiῄo suuna dalli binsheɣu kam ni chang venyela.

• 4. Di teharimami zanῄkpa vihigu taligu nitiyen dɔɣi (eg maɣsi yuusibu).

• 5. Di teharimami ni n-tooni nitoi tahi bei kabi pahi ntooni niti yen dɔɣi.

• 6. Mandei ni teegi dɔɣim yela, mmi nini ntoi deegi berim sheli dinbe di puuni.

• 7. N-dihi tabli ni binsheɣu kam ni chanῄ ven-yela n dɔɣim saha.

• 8. Di teharimami zanῄkpa ndoɣim saha biyiti yeli nin donmi shem nibi bora, bei kabi yeli ni ndi voori m-maῄa.

• 9. Dabɛm malimami zangkpa ndoɣim saha diyi nyɛla mbilan nsu n-ningbina.

• 10. Di teharimami ni n-doɣim saha doctanimmaa ni tam bi doɣim binchehi kaman maɣsi n-ning npulli ni ka sheli.

• 11. Dabɛm malimami ni nti walisi yuugi ndoɣim saha.

• 12. M-bimi niti yen doɣi shem, diyen nyela tooni doɣibu bei apoleshin kabi yen n-ninῄma.

• 13. Di teharimami ni nursi nimmaa (midwives) ni ῄmema gbinpaɣasi bei ῄme n-gbalipina tapaɣsi n doɣim saha.

• 14. Di teharimami ni doɣim ni kpurgima yunῄ saha, nkunye lihiri sunῄ ashibtini.

• 15. Di teharimami ni nkutoi doɣi tooni doɣibu.

• 16. Di teharimami ni ntoi nye ma yoli bei ma so ῄun nkutoi yoli o bii venyeliga.

• 17. Di teharimami ni nbihi kom ku galisi nti mbia.

• 18. N-kuli dzimi nguli nbii ῄɔ paabu na.

• 19. Nbori n-pulli ῄɔ pam.

• 20. Di teharimami ni mpuliῄo ncheka Nyidana bilan doondima.

• 21. Mmi ni doctaninmaa ni nurseninmaa ku tuma bei nῄmema.

• 22. Mmi ni doctaninmaa ni nursenimaa bori niriba yeltoɣa.

• 23. Mmi ni doctaninmaa ni nursenimaa ni sonῄma.

• 24. Mmi ni nitoi bohi doctaninmaa ni nurseninmaa binsheɣu kam.

• 25. Mmi ni doctaninmaa ni nursenimaa mi bi tuma venyelinga.

• 26. Mmi ni operation maa mali alaafei ngari tooni dɔɣim.

• 27. Di teharimami ni nkutoi lan kpɣi pulli mandei ni ning operation dɔɣim.

• 28. Di teharimami ni bin ganῄbu mandei ni dɔɣi operation dɔɣibu.

• 29. Di teharimami ni niribi ni tehi ni anka yaa nninῄgbinani mandei ni dɔɣi ashiptini.

• 30. Di teharimami ni nyidan nitoi tehari ni nyila sambani dindeeni ninῄ kanbitoi doɣi tooni dɔɣim.

• 31. Di teharimami niyen n-ninῄ shem dindeening ka n-bii maa nahim gbana bi paaigi.

• 32. Di teharimami ni n-bii maa nni tooi ka alaafei bei ka o mali dalinῄ.

• 33. Di teharimami zankpa mbiima sifa (sex)-doo bei paga.

• 34. Di teharimami zanῄkpa dɔɣim laɣi chehi chei dibu.

• 35. Di teharimami ni ndɔɣim saha ashipti nimmaa ni cheka nyo laɣisheῄa.

• 36. Beɣukam doomi n puliῄo zugu.

• 37. Di teharimami ni ntoi kani dɔɣim saha.

• 38. Di teharimami ni ni ntoi dɔɣi mbii maa ka oka nyevili.

• 39. Di teharimami ni ni ntoi zanῄ puliῄo ndoli shinsheɣu.

• 40. N suhi paligiri pam mandei niwum mbii maa ni damdi npulini.

• 41. Di teharimami ni doctanimmaa ni nursinimaa kutima lihiri sunῄ npuliῄo polo.

• 42. Di teharimami ni doctanimmaa ni nursinimaa kutoi nbanῄ beɣu sheli ni yen dɔɣi.

• 43. Di teharimami ni ni ntoi nye dzi pooli nina gbubi pulliῄo bei dɔɣim saha.

• 44. Di teharimami ni dori sheli dinbe n-ningbina ni ni toi saɣim npulli ῄɔ bei nbii maa.

• 45. Di teharimami zankpa laɣifu sheli ni yen di nchang zahimbu bei n-kpuɣi loori bei motor nchang zahimbu bei ni yen doɣi.

• 46. Di teharimami zankpa so beɣu dolibu ni yen nchang ashiptini kadi nyela npulli ῄɔ zugu.

• 47. Di teharimami ni nku-nya loori nchang ashipti titalini ashipti bila nim ni yeli ni nchamg ashipti titalini.

• 48. Di teharimami zankpa nti wolisi yuu yiῄa doɣim saha.

• 49. Dabem malimami ni nyidana ku sonῄma venyela npulli ῄo shei.

• 50. Dabem malimami ni nyidan ma ku sonῄma venyela npulli ῄo shei.

• 51. Di teharimami ni npulli ῄo alaafei ku chang venyla lagfu kalinsi zugu.

• 52. Di teharimami niso nitoi zang shiriku ndolli npulli ῄo bei biso ῄun be npulli ῄoni.

• 53. Di teharimami zankpa paɣapuu tisheῄa bini yelli niti valimimaa .

Appendix D: PrAS German Version (Weigl et al., 2022)

Im Folgenden werden Sie zu Ihrer Gemütslage während der letzten Woche befragt. Bitte wählen Sie jeweils die Antwort, die am besten wiedergibt, wie Sie sich allgemein während der letzten 7 Tage gefühlt haben bzw. in welchem Ausmaß Sie der jeweiligen Aussage zustimmen. Es ist wichtig, dass Sie – wenn möglich – alle Fragen beantworten.

Alle Fragen haben Antwortmöglichkeiten von: Überhaupt nicht (1), Gelegentlich (2), Relativ häufig (3), Sehr häufig (4)

• 1. Ich mache mir Sorgen, dass ich während der Geburt eine Rissverletzung erleide oder ein Dammschnitt durchgeführt werden muss.

• 2. Ich mache mir Sorgen, dass unnötige Eingriffe durchgeführt werden (z.B. Einsatz der Geburtszange während der Geburt).

• 3. Ich habe Angst vor invasiven Maßnahmen während der Entbindung.

• 4. Ich fürchte, dass man mich während der Entbindung auf irgendeine Weise fixiert und ich mich nicht bewegen kann.

• 5. Ich habe Angst davor, bei der Geburt verletzt zu werden.

• 6. Ich habe Angst davor, während der Wehen die Kontrolle über meinen Körper zu verlieren.

• 7. Ich fühle mich mit meinem Aussehen nicht wohl.

• 8. Ich fühle mich unattraktiv.

• 9. Ich habe Angst davor, dass ich nie mehr meine alte Figur erreiche.

• 10. Ich mache mir Sorgen, dass mein Partner mich nicht attraktiv findet.

• 11. Wenn ich in den Spiegel schaue, fühle ich mich unglücklich.

• 12. Ich fühle mich bereit für die Geburt.

• 13. Ich weiß, dass ich mit den Schmerzen während der Geburt zurechtkommen werde.

• 14. Ich bin zuversichtlich, dass während der Geburt alles gutgehen wird.

• 15. Ich befürchte, dass ich keine gute Mutter sein werde.

• 16. Der Gedanke, mich zu Hause um das Baby zu kümmern, macht mir Sorgen.

• 17. Meine Ängste beeinträchtigen meine alltäglichen Beschäftigungen.

• 18. Manchmal habe ich das Gefühl, dass meine Sorgen lawinenartig anwachsen.

• 19. Manchmal fühle ich mich grundlos panisch.

• 20. Ich bin unzufrieden.

• 21. Ich mache mir Sorgen darüber, was ich tun werde, wenn mein Baby nicht normal ist.

• 22. Ich mache mir Sorgen, dass mein Baby krank oder behindert sein könnte.

• 23. Ich mache mir ständig Sorgen, dass mit meinem Baby körperlich etwas nicht stimmen könnte.

• 24. Mein Partner und ich freuen uns schon sehr auf das Baby.

• 25. Ich freue mich schon sehr darauf, mein Baby kennenzulernen.

• 26. Es handelt sich um eine absolute Wunschschwangerschaft.

• 27. Eventuell kommt für mich ein Kaiserschnitt infrage, um eine Vaginalgeburt zu vermeiden.

• 28. Ich glaube, dass ein Kaiserschnitt sicherer ist als eine Vaginalgeburt.

• 29. Ich denke oft, dass ein Kaiserschnitt besser als eine Vaginalgeburt ist.

• 30. Ich weiß nicht, ob die Hebammen/Ärzte freundlich sein werden.

• 31. Ich weiß nicht, ob die Hebammen/Ärzte nett und hilfsbereit sein werden.

• 32. Ich weiß nicht, ob ich mich mit Fragen an die Hebammen/Ärzte wenden kann .

Appendix E: PrAs Indonesian (Zefanya & Suryadi, 2021)

Penilaian PrAS berada pada skala 4 poin dengan pilihan jawaban 1 (tidak sama sekali), 2 (kadang-kadang), 3 (cukup sering) dan 4 (sangat sering). Rentangnya dari 32 hingga 128. Item 12, 13, 14, 24, 25, dan 26 diberi skor terbalik. Sebelum penjumlahan, item-item ini memerlukan pengodean ulang sebagai 1 = 4, 2 = 3, 3 = 2, dan 4 = 1. Penjumlahan skor memberikan skor subskala dan kemudian skala penuh untuk kecemasan terkait kehamilan.

Kekhawatiran Akan Kelahiran Bayi	Skor
	1	2	3	4
Saya khawatir dengan beragam tindakan intervensi yang tidak diperlukan pada masa kehamilan.
Saya cemas kalau jalan keluar janin saya sobek atau perlu digunting ketika melahirkan.
Saya merasa takut kesakitan waktu melahirkan.
Saya khawatir tidak dapat bergerak dan terbaring kaku selama proses persalinan.
Saya takut jika nantinya melahirkan akan membahayakan diri saya.
Saya takut tidak dapat mengontrol tubuh saya ketika melahirkan.
Kekhawatiran Mengenai Citra Tubuh
Saya merasa tidak baik-baik saja dengan penampilan saya saat ini.
Saya merasa tidak menarik.
Ketika saya berkaca, saya merasa tidak bahagia.
Saya merasa takut bahwa saya tidak akan pernah kembali ke bentuk semula lagi.
Saya khawatir pasangan saya tidak tertarik dengan kondisi tubuh saya saat ini.
Sikap Menghadapi Kelahiran Bayi
Saya merasa siap untuk melahirkan.
Ketika saya memikirkan tentang melahirkan, Saya tahu bahwa Saya akan mampu menahan rasa sakit.
Saya merasa percaya diri bahwa Saya akan baik-baik saja selama proses melahirkan.
Kekhawatiran Menjadi Ibu
Saya khawatir tidak dapat mengerti keinginan anak saya ketika ia menangis.
Saya khawatir jika tidak dapat menjalankan peran sebagai Ibu yang baik.
Saya khawatir tidak dapat mengasuh anak, ketika saya sudah di rumah.
Penerimaan Akan Kondisi Kehamilan
Saya menantikan kehadiran bayi Saya.
Kehamilan ini sangat diinginkan.
Pasangan Saya dan Saya sangat menantikan kehadiran bayi ini.
Indikator Kecemasan
Terkadang saya merasa panik tanpa sebab yang jelas.
Terkadang kekhawatiran saya seolah semakin lama semakin besar.
Kekhawatiran yang saya rasakan mengganggu kegiatan sehari-hari.
Saya tidak merasa senang (dengan kondisi saat ini).
Sikap Terhadap Staf Medis
Saya tahu bahwa dokter kandungan/bidan adalah orang yang Ramah.
Saya tahu bahwa dokter kandungan/bidan akan menjadi orang yang baik dan sangat membantu.
Saya tahu bahwa saya dapat bertanya kepada dokter kandungan/bidan tentang apapun terkait kehamilan saya.
Penghindaran
Saya mungkin mempertimbangkan untuk melahirkan secara sesar untuk menghindari melahirkan secara normal.
Saya sering memikirkan bahwa melahirkan secara sesar lebih aman daripada melahirkan secara normal.
Saya sering memikirkan bahwa melahirkan secara sesar lebih baik daripada melahirkan secara normal.
Kekhawatiran Tentang Bayi
Saya mengkhawatirkan tentang apa yang akan saya lakukan jika bayi saya terlahir tidak normal.
Saya khawatir bayi yang akan saya lahirkan memiliki penyakit bawaan atau kelainan genetik.
Saya sangat cemas jika bayi yang saya lahirkan memiliki ketidaksempurnaan secara fisik.

Appendix F PrAS Turkish (Kurt & Arslan, 2021)

Gebelikle İlişkili Anksiyete Ölçeği (PrAS) Gebelikle İlişkili Anksiyete Ölçeği, 31 maddeden ve 9 alt boyuttan oluşmaktadır. Ölçek; 4’lü likert türünde yanıtlanmaktadır. Ölçekteki ifadeler; 1 = Hiç, 2 = Bazen,3 = Çoğu Zaman, 4 = Çok Sık şeklinde puanlanmaktadır. Ölçekten alınabilecek toplam puanı 31–124 arasındadır. Ölçekteki 9 ifade (11, 12, 13, 17, 18, 19, 23, 24 ve 25) ters puanlanmaktadır. Ölçek toplam puanı hesaplanmadan önce ters ifadeler, 4 = Hiç, 3 = Bazen, 2 = Çoğu Zaman, 1 = Çok Sık şeklinde yeniden kodlanmalıdır. Ters puanlanan 9 madde yeniden kodlandıktan sonra her bir alt boyut kendisi puanlanırken, ölçekteki bütün maddelerin puanının toplamı “toplam ölçek puanını” vermektedir. Ölçekten alınan toplam puan gebelikle ilişkili anksiyete düzeyini vermektedir. Ölçek toplam puanının artması gebelikle ilişkili anksiyete düzeyinin arttığını göstermektedir.
İfadeler	Hiç	Bazen	Çoğu zaman	Çok sık
1. Doğum sırasında gereksiz müdahaleler yapılmasından endişeliyim (forseps kullanılması gibi).
2. Doğum sırasında yırtık olacak ya da kesiye ihtiyaç duyulacak diye endişeliyim.
3. Doğumun müdahaleli olmasından korkuyorum.
4. Doğum sırasında, kısıtlanacağım ve hareket edemeyeceğim diye endişeleyim.
5. Doğum sırasında zarar görmekten korkuyorum.
6. Doğum sırasında vücudumun kontrolünü kaybetmekten korkuyorum.
7. Çekici olmadığımı hissediyorum.
8. Aynaya baktığımda mutsuz oluyorum.
9. Tekrar eski şeklime (vücut) dönememekten korkuyorum.
10. Eşim/partnerim beni çekici bulmuyor diye endişeliyim.
11. Kendimi doğum yapmaya hazır hissediyorum.
12. Doğumu düşündüğüm zaman, doğum ağrısı ile baş edebileceğimi biliyorum.
13. Doğum sırasında iyi olacağım konusunda kendime güveniyorum.
14. Bebek ağladığında ne istediğini anlamamak konusunda endişeliyim.
15. İyi bir anne olamayacağım diye endişeliyim.
16. Eve gittiğimde bebeğimin bakımı konusunda endişeliyim.
17. Bebeğimle tanışmak için can atıyorum.
18. Bu çok istenen bir gebelikti.
19. Eşim/partnerim ve ben dört gözle bu bebeği bekliyoruz.
20. Bazen sebepsiz panik oluyorum.
21. Zaman zaman endişelerim kar topu gibi büyüyor.
22. Endişelerim günlük aktivitelerimi engelliyor.
23. Doktorların/ebelerin yakınlık göstereceğini biliyorum.
24. Doktorların/ebelerin yardımsever ve kibar olacaklarını biliyorum.
25. Doktorlara/ebelere rahatlıkla herşeyi sorabileceğimi biliyorum.
26. Vajinal (normal) doğumdan kaçınmak için sezaryen doğum düşünebilirim.
27. Sezaryen doğumun vajinal (normal) doğumdan daha iyi olduğunu düşünüyorum.
28. Sezaryen doğumun vajinal (normal) doğumdan daha güvenli olduğunu düşünüyorum.
29. Hasta ya da engelli bir bebeğe sahip olmak konusunda endişeliyim.
30. Eğer bebeğim normal/sağlıklı olmaz ise ne yapacağım konusunda endişeliyim.
31. Bebeğimde fiziksel bir sıkıntı olabileceği konusunda sürekli endişeliyim.
11, 12, 13, 17, 18, 19, 23, 24 ve 25. ifadeler ters puanlanmaktadır.