Relationship between Fear of Childbirth, Self-Efficacy, and Length of Labor among Nulliparous Women in Indonesia

This RCT intervention among nulliparous pregnant women with an intense fear of childbirth sought to promote preparedness for childbirth and to enhance positive parenting. Pregnant women (n = 8,611) filled in a ‘fear of childbirth’ questionnaire. Nulliparous women with severe fear of childbirth (n = 355) were randomized into intervention (n = 131; 41 refused) and control (n = 224) groups. They rated themselves on a preparedness scale in middle and late pregnancy, and on a motherhood scale three months after childbirth. The intervention included six psycho-education group sessions during pregnancy and one after childbirth. This intervention increased the mothers’ preparedness for childbirth, which predicted an increase in positive motherhood.

Download Full-text

The Effect of PRECEDE PROCEED Model Combined with the Health Belief Model and the Theory of Self-Efficacy to Increase Normal Delivery Among Nulliparous Women

Procedia - Social and Behavioral Sciences ◽

10.1016/j.sbspro.2012.05.091 ◽

2012 ◽

Vol 46 ◽

pp. 187-194 ◽

Cited By ~ 6

Author(s):

M. Khorsandi ◽

F. Ghofranipour ◽

A. Hidarnia ◽

S. Faghihzadeh ◽

M. Ghobadzadeh

Keyword(s):

Health Belief Model ◽

Self Efficacy ◽

Health Belief ◽

Normal Delivery ◽

Nulliparous Women ◽

Belief Model ◽

The Health Belief Model

Download Full-text

Comparison of fear, anxiety and self-efficacy of childbirth among primiparous and multiparous women

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04114-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Aazam Shakarami ◽

Mojgan Mirghafourvand ◽

Somyieh Abdolalipour ◽

Mohammad Asghari Jafarabadi ◽

Mina Iravani

Keyword(s):

Trait Anxiety ◽

Self Efficacy ◽

Care Providers ◽

Fear Of Childbirth ◽

Confounding Variables ◽

Significant Difference ◽

Multiparous Women ◽

The Mean ◽

Efficacy Expectancies ◽

Primiparous Women

Abstract Background The aim of this study was to compare fear of childbirth, state and trait anxiety, and childbirth self-efficacy among primiparous and multiparous women in Ahvaz, southwest of Iran. Methods This cross-sectional study was conducted with 200 pregnant women (100 primiparous and 100 multiparous women) who had been admitted to the maternity ward of hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. The instruments used for data collection in this study included a demographic questionnaire, Delivery Fear Scale (DFS), Spielberger's State-Trait Anxiety Inventory (STAI), and Childbirth Self-Efficacy Inventory (CBSEI). The data were analyzed by chi-square test and independent t-test. Also, the univariate general linear model was used by adjusting for the socio-demographic and obstetric characteristics that were considered as possible confounding variables. Results The mean score of DFS in primiparous women was significantly higher than that of multiparous women. The mean of the overall score of childbirth self-efficacy of primiparous women was significantly lower than that of multiparous women. The mean score of the outcome expectancies and self-efficacy expectancies was significantly lower in primiparous women compared with multiparous women. There was no statistically significant difference between the two groups in terms of the mean score of STAI. After adjusting for possible confounding variables, the differences between the two groups in terms of fear of childbirth scores, overall childbirth self-efficacy score and self-efficacy expectancies remained significant. Conclusion Given the high fear of childbirth and low childbirth self-efficacy in primiparous women compared to the multiparous women, appropriate interventions should be adopted by health care providers in order to reduce fear and improve childbirth self-efficacy in primiparous women.

Download Full-text

Effects of spouses’ involvement in pregnancy on fear of childbirth in nulliparous women

The Journal of Qazvin University of Medical Sciences ◽

10.29252/qums.22.2.38 ◽

2018 ◽

Vol 22 (2) ◽

pp. 38-47 ◽

Cited By ~ 1

Author(s):

F Jamali ◽

F Olfati ◽

S Oveisi ◽

F Ranjkesh ◽

◽

...

Keyword(s):

Fear Of Childbirth ◽

Nulliparous Women ◽

In Pregnancy

Download Full-text

The prevalence and predictors of fear of childbirth among pregnant Chinese women: a hierarchical regression analysis

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04123-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jingui Huang ◽

Jing Huang ◽

Yan Li ◽

Bizhen Liao

Keyword(s):

Regression Analysis ◽

Gestational Age ◽

Self Efficacy ◽

Chinese Women ◽

Spousal Support ◽

Hierarchical Regression ◽

Attitude Questionnaire ◽

Fear Of Childbirth ◽

Convenience Sample ◽

Hierarchical Regression Analysis

Abstract Background Fear of childbirth (FOC) occurs before, during and after pregnancy and is harmful to both the pregnant woman and the fetus. Identifying the prevalence and predictors of FOC can help us generate strategies for alleviating women’s FOC. Methods A cross-sectional study was conducted among a convenience sample of 646 pregnant women receiving antenatal care at a subordinate hospital of a university in China. Data were collected using a basic information form, the Childbirth Attitude Questionnaire, the Childbirth Self-Efficacy Inventory, and the 10-item Connor-Davidson Resilience Scale. The minimum and maximum total scores of the Childbirth Attitude Questionnaire are 16 and 64, respectively, with higher scores reflecting a greater degree of FOC. We conducted hierarchical regression analysis to explore the predictors of FOC and used a structural equation model to further examine the direct and indirect associations between FOC, resilience and childbirth self-efficacy. Results The total prevalence of FOC was 67.1%. The percentages of women with mild (score of 28–39), moderate (40–51), and severe FOC (52–64) were 45.4, 19.5, and 2.2%, respectively. The average score on the Childbirth Attitude Questionnaire was 32.49, indicating mild FOC. The final regression analysis revealed six variables predicting FOC that explained 64.5% of the variance in FOC: age, gestational age, parity, spousal support, resilience, and childbirth self-efficacy. Furthermore, childbirth self-efficacy mediated the relationship between resilience and FOC, and the mediation effect rate was 53.5%. Conclusions A high prevalence of FOC among pregnant Chinese women was found in this study. Age, gestational age, parity, spousal support, resilience, and childbirth self-efficacy were predictors of FOC. It is suggested that healthcare professionals should pay close attention to FOC and implement targeted interventions in accordance with these predictors, especially resilience and childbirth self-efficacy.

Download Full-text