Birthing during the stress of war: mode of birth and flow state

These findings suggest women possess an innate ability to immerse themselves in the birthing process, disconnecting from external stressors, particularly within a safe and supportive birthing environment. We explain our findings from evolutionary, psychological, and biochemical perspectives. Humans have likely evolved to focus on childbirth and shut out external threats. A safe birthing space allows women to enter a focused state for successful birth. Moreover, women tend toward "tend-and-befriend" behavior under stress, seeking safety and social support. The study highlights the importance of the immediate birthing environment for successful childbirth outcomes, even during times of significant external stress.