Training on Childbirth Preparation on the Self-Efficacy and Psychological State of Pregnant Women in Kakamega County
Pregnant women’s ability to cope with childbirth pain is a significant indicator of self-efficacy during labour. The link between antenatal childbirth knowledge and self-efficacy is largely unknown. This study assessed the impact of training in childbirth preparation on women’s self-efficacy and their psychological status during childbirth in Western Kenya. We used a quasi-pre-test post-test CBS EI design to assess training intervention pinned on self-efficacy theory. Participants were assigned either to the control group or the intervention group at the antenatal care clinic. A pre-test on self-efficacy was performed using the childbirth self-efficacy inventory scale (CBSEI-16). The intervention group received two sessions of 2 hours each of the training between the 3rd–and 33rd weeks of gestation. Evaluation of outcome measures was conducted at the end of the 36th week of gestation and within 48 hours after delivery for childbirth self-efficacy and fear and anxiety, respectively. Childbirth self-efficacy was determined by the CBSEI-16, while fear and anxiety were determined using a five-point Likert scale. Statistical significance was determined by independent t-tests. Mothers in the intervention group had higher post-test scores for Outcome Expectancy (OE) and Efficacy Expectancy (EE), P<0.001. Mothers in the intervention group were more likely to be in control and felt more capable with less fear and anxiety than in the control group P<0.001. Data presented here suggest that training in childbirth preparation improved self-efficacy and decreased anxiety and fear
Romanenko A, Kuchyn I, Govsieiev D, Bielka K. Predictors of severe labour pain: prospective observational study. 2022.
Gagnon RJM. A longitudinal study of women's representations and experiences of pregnancy and childbirth. 2021;103:103101.
Oluoch-Aridi J, Afulani PA, Guzman DB, Makanga C, Miller-Graff LJRh. Exploring women’s childbirth experiences and perceptions of delivery care in peri-urban settings in Nairobi, Kenya. 2021;18:1-14.
Ouma GJCJoS. The provision of labour pain management and its related barriers among maternal health care providers in a tertiary hospital in Kenya. 2022;65:S9-S9.
AlDughaishi MY, Matua GA, Seshan VJSON. A Qualitative Inquiry of Women's Perspective of Antenatal Education Services in Oman. 2023;9:23779608231159336.
Chen Y-l, Tseng C-H, Cheong M-L, et al. Associations between antenatal education program and mental health outcomes in Taiwan: A population-based cohort study. 2023;322:115128.
Gün Kakaşçı Ç, Karabulut Ö, Abbasoğlu DE, Coşkuner Potur D, Doğan Merih Y, Demirci NJHCfWI. The effect of antenatal education on expectant mother’s childbirth attitudes, maternal role attainment, and self-confidence levels. 2021:1-21.
Shand AW, Lewis‐Jones B, Nielsen T, et al. Birth outcomes by type of attendance at antenatal education: An observational study. 2022;62(6):859-867.
Soh YX, Razak NKBA, Cheng LJ, Ying LJM. Determinants of childbirth self-efficacy among multi-ethnic pregnant women in Singapore: a structural equation modelling approach. 2020;87:102716.
Ramie A, Mahdalena MJIJoMS. Mothers’ Self-Control and Self-Efficacy and Childbirth Complications: A Study at an Indonesian General Hospital. 2023;2(6):2550-2558.
Bostan FS, Kabukcuoğlu KJJoO, Gynaecology. Factors relating to childbirth self efficacy among pregnant women: a CHAID analysis. 2022;42(7):2805-2812.
Kucukkaya B, Basgol SJBP, Childbirth. The effect of perceived spousal support on childbirth self-efficacy on pregnant women in turkey. 2023;23(1):1-8.
AlSomali Z, Bajamal E, Esheaba O, AlSomali ZAJC. The Effect of Structured Antenatal Education on Childbirth Self-Efficacy. 2023;15(5).
Rabieepoor S, Etesami EJJoM, Health R. The Effect of Spiritual Counseling on Childbirth Self-efficacy to Cope with Labor in Primiparous Women. 2023;11(3).
Aguilera‐Martín Á, Gálvez‐Lara M, Blanco‐Ruiz M, García‐Torres FJJoCP. Psychological, educational, and alternative interventions for reducing fear of childbirth in pregnant women: A systematic review. 2021;77(3):525-555.
Bakhteh A, Jaberghaderi N, Rezaei M, et al. The effect of interventions in alleviating fear of childbirth in pregnant women: a systematic review. 2022:1-17.
Hildingsson I, Rubertsson CJBp, childbirth. Postpartum bonding and association with depressive symptoms and prenatal attachment in women with fear of birth. 2022;22(1):1-9.
Rúger-Navarrete A, Vázquez-Lara JM, Antúnez-Calvente I, et al. Antenatal Fear of Childbirth as a Risk Factor for a Bad Childbirth Experience. Paper presented at: Healthcare2023.
Ip WY, Tang CS, Goggins WBJJocn. An educational intervention to improve women’s ability to cope with childbirth. 2009;18(15):2125-2135.
Bandura AJPr. Self-efficacy: toward a unifying theory of behavioral change. 1977;84(2):191.
Hatamleh R, AbuAbed A, Asma'a S, Abujilban S, Joseph RJTJoP, Nursing N. Using social media platforms to enhance the delivery of a childbirth education program. 2023;37(1):36-43.
Kuo T-C, Au H-K, Chen S-R, et al. Effects of an integrated childbirth education program to reduce fear of childbirth, anxiety, and depression, and improve dispositional mindfulness: A single-blind randomised controlled trial. 2022;113:103438.
Yörük S, Acikgoz AJRdsp. Effect of antenatal class attendance on fear of childbirth and antenatal stress. 2023;57:18.
Copyright (c) 2023 Mable Wanyonyi, Maximilla Wanzala, Mary Kipmerewo, Evans Raballah
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