13/02/2026
The problem with tokophobia? You can't avoid what you're afraid of.
I work with people every day who are stuck in this impossible situation, terrified of birth, but knowing pregnancy is already happening or desperately wanting a baby.
What makes tokophobia different from other phobias is that you can't use the usual strategies. You can't avoid it. You can't gradually expose yourself to it in controlled doses. You can't practice giving birth before the real thing.
And that's what makes it feel so overwhelming.
But here's something important I want you to know: your nervous system is responding to a real, upcoming event that feels threatening to you. The fear itself isn't irrational, it's your body trying to protect you.
And while we can't make birth go away, we can work with your nervous system to help it feel safer. We can build your confidence in your ability to cope. We can give you tools that actually work. And we can help you communicate your fears to your team so they know exactly how to support you in the right way.
In this post, I'm sharing some techniques that can significantly help, things like guided visualisation, where your brain practices feeling safe around birth, graded exposure, starting incredibly small, maybe just saying the word "birth" out loud, challenging the catastrophic thoughts that fuel the fear, and learning relaxation techniques that calm your nervous system in real time.
You can also get early support from a mental health midwife and develop a clear communication plan that explains your specific fears to your team.
These are techniques you can start trying now to help alleviate some of the difficulties.
Tokophobia is real, it's valid, and you can feel differently about birth than you do right now.
If you want help creating a plan that explains your fears to your team, I've created a free guide to walk you through it. Just drop a comment below and I'll send it to you, or head to my website to access this and more resources.
With compassion,
Katie
Mental Health Midwife & Hypnobirthing Instructor, specialising in perinatal trauma