Shahroud University of Medical siences Shahroud Journal of Medical Sciences 2423-6594 12 4 2026 08 09 Investigating the Direct and Indirect Effects of Corona-Related Fear on Childbirth Experience: The Mediating Role of COVID-19 Anxiety 1 6 eng Zohreh Shahhosseini Professor, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran.. zshahhosseini@yahoo.com Leila Hajipour Department of Midwifery, To.C., Islamic Azad University, Tonekabon, Iran.. leilahajipour52@gmail.com Roya Nikbakht Assistant Professor of Biostatistics, Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.. roya.nikbakht2011@gmail.com Monirolsadate Hosseini Tabaghdehi Associate Professor, Department of Midwifery, Sar.C., Islamic Azad University, Sari, Iran.. mhosseinit53@gmail.com 2025 05 31 2025 10 25 Background: During the Coronavirus pandemic, there is an increased risk of psychological disorders. Coronavirus causes fear and anxiety in pregnant women, leading to poor pregnancy outcomes. This study aimed to investigate the direct and indirect effect of corona-related fear on childbirth experiences: the mediating role of COVID-19 anxiety. Methods: This study used the data from an analytical descriptive study conducted in 2021 in northern Iran. 278 samples were selected based on a multi-stage sampling method among women referring to the healthcare centers of Mazandaran University of Medical Sciences. Data were collected through the Fear of COVID-19 Scale (FCV-19S), the Corona Disease Anxiety Scale (CDAS), and the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ). The structural equation model (SEM) in AMOS software version 24 was used for data analysis. Results: The childbirth experience, fear of COVID-19, and corona-related anxiety mean scores were 78.99, 22.16, and 18.82, respectively. The direct effects of corona-related fear on corona-related anxiety and corona-related anxiety on childbirth experience were significant (P-value<0.05). Although the direct impact of corona-related fear on childbirth experience was not significant (P-value>0.05), its indirect effect was significant (P-value<0.05). Conclusion: During the pandemic, people faced a critical situation that caused fear and anxiety in pregnant women, leading to negative childbirth experiences. Therefore, it is necessary for health care providers to provide support and practical advice, and use appropriate interventions to reduce fear and anxiety and promote positive childbirth experiences.