“…There is a wealth of literature linking childhood maltreatment experiences – particularly, childhood sexual abuse – with traumatic childbirth, and the mechanisms facilitating these relations warrant further investigation ( Lev-Wiesel et al, 2009 ; Shamblaw et al, 2021 ). Mechanisms that have been tested empirically include trauma-related schemas pertaining to helplessness and low perceived safety ( Ayers, 2004 ; Iles & Pote, 2015 ; King et al, 2017 ; Soet et al, 2003 ); intimate partner violence during pregnancy ( Do et al, 2022 ; Oliveira et al, 2017 ); maladaptive physiological stress responsivity during pregnancy ( Yehuda & Meaney, 2018 ); re-traumatization, physical pain, and dissociation during childbirth ( Choi & Seng et al, 2016 ; Ford & Ayers, 2011 ; Goutaudier et al, 2012 ; Reed et al, 2017 ); and gut microbial communities that potentiate atypical inflammatory and glucocorticoid stress responses ( Hantsoo et al, 2019 ). The multidimensionality of these mechanisms highlights the relevance of developmental psychopathology conceptualizations of childbirth.…”