In this study three clusters of women were identified. Belonging to the ‘Fearful’ cluster had a negative effect on women’s emotional health during pregnancy and increased the likelihood of a negative birth experience.Both women in the‘Take it as it comes’ and the‘Fearful’ cluster had higher odds of having an elective caesarean compared to women in the‘Self determiners’. Understanding women’s attitudes and level of fear may help midwives and doctors to tailor their interactions with women.