Rufidah Maulina
Midwife Study Program, Faculty of Medicine, Universitas Sebelas Maret, Indonesia

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Fear of Childbirth: A Bibliometric Analysis Siti Nurhidayati; Revi Gama Hatta Novika; Nurul Jannatul Wahidah; Rufidah Maulina; Luluk Fajria Maulida; Atriany Nilam Sari; Fadhila Tsania Richa
Journal of Epidemiology and Public Health Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.03.11

Abstract

Background: Fear of childbirth (FOC) is an increasingly recognized maternal health issue that affects women's physical, psychological, and overall well-being and is associated with adverse outcomes, including increased obstetric interventions and perinatal mental health problems. This study aimed to analyze global research trends, collaboration patterns, and thematic developments in FOC research over the past decade using a bibliometric approach. Subjects and Method: This was a bibliometric study using the Scopus database. A literature search was performed from database inception January 27, 2026 using the search query: TITLE-ABS-KEY (“fear of childbirth” OR “tokophobia” OR “anxiety childbirth”). The search was english-language, open-access, and final published articles were included. A total of 1,022 publications met the eligibility criteria. Annual scientific production, institutional productivity, author productivity, and publication trends by source and country were descriptively analyzed, while thematic analysis was conducted using VOSviewer. Results: A total of 1.022 publications, demonstrating a consistent increase in scientific product­ion, with the highest output recorded in 2025 (n=184). Iran contributed the largest number of publications (n=137), while the United Kingdom showed the strongest international collaboration network with the highest total link strength (TLS=135), followed by the United States (TLS=112). Citation analysis revealed that the most cited article received 472 citations. Keyword co-occurrence analysis identified four major research themes: social and healthcare system factors, clinical and physiological aspects of childbirth, perinatal mental health, and methodological and psychological measurement approaches. Conclusion: Research on fear of childbirth has expanded substantially, reflecting a multi­dimensional field encompassing psychological, clinical, social, and healthcare perspectives. Key research gaps, particularly regarding family involvement and healthcare system factors, highlight priorities for future research and the development of comprehensive, woman centered maternal healthcare strategies.
Global Research Trends in Preeclampsia Screening and Early Diagnosis: A Bibliometric Analysis Siti Nurhidayati; Revi Gama Hatta Novika; Nurul Jannatul Wahidah; Rufidah Maulina; Luluk Fajria Maulida; Atriany Nilam Sari; Fadhila Tsania Richa; Mezzaluna Zahirah Pramono
Journal of Epidemiology and Public Health Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2026.11.03.12

Abstract

Background: Preeclampsia remains a major cause of maternal and neonatal morbidity and mortality worldwide, while research on biomarkers, screening strategies, and early diagnostic approaches has increased substantially. However, a comprehensive understanding of global research trends and emerging hotspots in preeclampsia screening and early diagnosis remains limited, prompting this study to analyze these trends using bibliometric analysis. Subjects and Method: This was a descriptive bibliometric study conducted using the Scopus database. The target population consisted of publications related to preeclampsia screening and early diagnosis published between 2020 and 2026. Documents were identified using keywords related to preeclampsia, screening, prediction, and early diagnosis. Of 3,105 retrieved records, 882 English-language articles and reviews meeting the eligibility criteria were included in the analysis. The variables analyzed included annual scientific production, citation performance, source journals, authorship characteristics, institutional contributions, country productivity, keyword occurrence, and thematic evolution. Data were analyzed using R programming and VOSviewer. Results: Research on preeclampsia screening and early diagnosis increased substantially during the study period and reached its highest productivity in 2025. BMC Pregnancy and Childbirth was the most productive journal, while the 2021 ISSHP guideline on hypertension in pregnancy was the most globally cited document. The University of Oxford was the leading institutional contributor. Thematic and keyword analyses showed growing attention to biomarkers, placenta, prenatal diagnosis, and predictive models. Five major research clusters were identified, covering maternal risk factors, molecular biomarkers, screening and diagnostic methods, clinical and laboratory parameters, and predictive models. Bioinformatics and messenger RNA emerged as developing research themes. Conclusion: Research on preeclampsia screening has shifted toward biomarker-based prediction and molecular diagnostic approaches, reflecting the growing emphasis on early detection strategies. This bibliometric study provides a comprehensive overview of global research trends, emerging hotspots, and research gaps that may guide future investigations, strengthen biomarker based screening strategies, and foster international collaboration to improve maternal healthcare.