<p>Datasets used for the analysis.</p>

Stratified multivariable linear regression models were applied to identify parity-specific determinants among the participants.</p> <p>Results</p><p>Of the 282 women who participated in the study, 22% had high-to-severe FoC. Nulliparous women (median: 46.0, IQR: 37.0–66.0) reported significantly higher median W-DEQ scores than parous women (median: 39.0, IQR: 32.0–58.5). In a parity-stratified analysis, among nulliparous women, factors such as a history of family abuse (adjusted Β = 16.32, 95% CI: 2.50 to 30.14) and late ANC booking (adjusted Β = 13.13, 95% CI: 1.43 to 24.84) were significantly associated with FoC.

Among parous women, factors such as secondary education (adjusted Β = −7.63, 95% CI: −14.88 to −0.37), intimate partner violence (adjusted Β = 10.87, 95% CI: 0.69 to 21.04), unplanned pregnancy (adjusted Β = 8.38, 95% CI: 2.51 to 14.26), and strong family support (adjusted Β = −27.94, 95% CI: −38.77 to −17.11) were significantly associated with FoC.</p> <p>Conclusion</p><p>FoC is common among this cohort of pregnant women, and its determinants differed by parity and across parity-specific factors.

The parity-stratified determinants underscore the need for parity-tailored psychosocial care at ANC, incorporating targeted screening and support procedures aligned with parity-associated risk pathways to enhance maternal well-being.</p></div>