Effects of Antenatal Education on Fear of Birth, Depression, Anxiety, Childbirth Self-efficacy, and Mode of Delivery in Primiparous Pregnant Women

2019 ◽  
Author(s):  
Keyword(s):  
Pregnant Women ◽  
Self Efficacy ◽  
Mode Of Delivery ◽  
Antenatal Education

Effects of Antenatal Education on Fear of Birth, Depression, Anxiety, Childbirth Self-Efficacy, and Mode of Delivery in Primiparous Pregnant Women: A Prospective Randomized Controlled Study

2020 ◽  
pp. 105477382091698
Author(s):  
Seyhan Çankaya ◽  
Bülent Şimşek
Keyword(s):  
Pregnant Women ◽  
Self Efficacy ◽  
Mode Of Delivery ◽  
Central Anatolia ◽  
Controlled Study ◽  
Control Group ◽  
Antenatal Education ◽  
Randomized Controlled ◽  
Education Group ◽  
Stress Symptoms

The purpose of this study was to investigate the effects of antenatal education on birth fear, depression, anxiety, stress, childbirth self-efficacy, and mode of delivery in primiparous pregnant women. This is a single-blind, prospective, randomized controlled trial, in which we applied the Consolidated Standards of Reporting Trials (CONSORT) statement. The study was conducted in a city in Turkey’s Central Anatolia region, and the data collection process was made between April and September 2019. One hundred and twenty primiparous pregnant women were assigned to either the antenatal education group ( n = 60) or the control group ( n = 60) via randomized block assignment. A total of 112 women were evaluated at the end of the study. Pregnant women in the antenatal education group were given two 2-hr sessions (240 min) twice a week for 4 weeks. It was found that those in the antenatal education group had less birth fear, depression, anxiety, and stress symptoms and increased childbirth self-efficacy compared to controls ( p < 0.05). Those in the antenatal education group had significantly lower postnatal birth fear, depression, anxiety, and stress symptoms compared to controls ( p < 0.001). More vaginal births occurred in the antenatal education group compared to controls ( p = 0.043). According to the outcome of this evidence-based study: antenatal education has important clinical benefits for women both during pregnancy and in the postpartum period and all pregnant women should receive this education.

scholarly journals Effect of "Motivational Interviewing" and "Information, Motivation and Behavioral Skills” on Choosing Mode of Delivery in Pregnant Women: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Mahboubeh Shirzad ◽  
Elham Shakibazadeh ◽  
Abbas Rahimi Foroushani ◽  
Mehrandokht Abedini ◽  
Hamid Poursharifi
Keyword(s):  
Cesarean Section ◽  
Motivational Interviewing ◽  
Pregnant Women ◽  
Self Efficacy ◽  
Mobile Application ◽  
Controlled Trial ◽  
Mode Of Delivery ◽  
Brief Interventions ◽  
Behavioral Skills ◽  
Face To Face

Abstract Background: Cesarean section is an important surgical procedure to save mothers and/or babies’ lives. Current trends show that the rate of Cesarean section is increasing dramatically over the years. The aims of this study were to compare the effects of "motivational interviewing" and "information, motivation and behavioral skills” model on choosing mode of delivery among pregnant women.Methods: In a four-armed, parallel-design randomized controlled trial, 120 women were randomly assigned to three brief interventions and one control groups. We recruited pregnant women referring to Ebnesina hospital, Tehran- Iran from 2019-2020. The intervention groups included: 1) motivational interviewing; 2) face-to-face information, motivation and behavioural skills model; and 3) information, motivation and behavioural skills model provided using a mobile application. The inclusion criteria were being literate, gestational age 24 to 32 weeks, being able to speak Persian, having no complications in the current pregnancy, having no indications for CS, and having enough time to participate in the study. The most important outcomes of the study included women’s intentions to undergo any mode of delivery, women’s self-efficacy in choosing the mode of delivery, and mode of delivery. Data were analyzed using descriptive statistics (mean, frequency and standard deviation), inferential statistics including independent t-test, paired t-test, Chi-squared and One-way ANOVA tests and logistic regression.Results: Following the interventions, significant differences were found in the mode of delivery (P < 0.05) and women’s self-efficacy and intention (P < 0.05). Women who had used the mobile application had more improvements in the self-efficacy and intention than the face-to-face intervention groups.Conclusions: Our study showed positive significant effects of various types of brief interventions to reduce unnecessary Cesarean section rate among the participant women. Providing the intervention using mobile application showed even better results. Our findings may contribute to a rise in normal vaginal delivery; and these simple, non-expensive, tailored to women, and culture-oriented brief interventions can be considered as appropriate strategies to reduce Cesarean section rate in local, national, and/or regional levels.Trial registration: This study has been registered in Iran Randomized Clinical Trial Center (IRCT20151208025431N7). Registered October 07, 2018.

Exclusive Breastfeeding Duration to Six Months: A Literature Review of Factors and Barriers from 2010 to 2020

2021 ◽  
Vol 2 (2) ◽  
pp. 1-20
Author(s):  
Thafar S. Al-Safar ◽  
Reem H. Khamis ◽  
Sabah R. H. Ahmed
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Mode Of Delivery ◽  
World Health ◽  
Breastfeeding Duration ◽  
Preterm Baby ◽  
Care Givers

Background: In the form of mothers’ talent, the most imperative food for infants is human milk. Exclusive breastfeeding is recommended by World Health Organization during the first six months of life with well-established benefits to the mother and child.Aim: The aim of this study was to develop a midwifery and physician as health care-givers to prolong breastfeeding.Methods: Studies published between 2010 and 2020 were reviewed. An online literature search was carried out between January and July 2020; articles were gathered from Maternity and Infant Care, PsychINFO, CINAHL, Medline, PubMed, Google and Cochrane Database of systematic reviews as well as from references in published research and reviews. The search plan included the following keywords: breastfeeding, exclusive, initiation, factors, preterm, kangaroo care, education, partner, intention, social support, confidence, self-efficacy and extending the duration of paid maternity leave.Results: Adjustable factors and barriers that influence women’s exclusive breastfeeding duration to six months are breastfeeding intention, breastfeeding self-efficacy, maternal age, maternal occupation, parent's educational level, social-economic status, insufficient milk supply, infant health problems, preterm baby, parity, mode of delivery and other related factors.Conclusion: Based on the currently available information, there are many adjustable factors and barriers that are associated with exclusive breastfeeding duration to six months such as the woman’s breast feeding intention, breast feeding self-efficacy and social support.Recommendations: Enlightenment campaign about exclusive breastfeeding benefits should be done to pregnant women. Breastfeeding counseling from midwives and health care givers to pregnant women during antenatal care should be centered on solving problems associated with BF.

scholarly journals Effect of "Motivational Interviewing" And "Information, Motivation and Behavioral Skills” On Choosing Mode of Delivery In Pregnant Women: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Mahboubeh Shirzad ◽  
Elham Shakibazadeh ◽  
Abbas Rahimi Foroushani ◽  
Mehrandokht Abedini ◽  
Hamid Poursharifi
Keyword(s):  
Motivational Interviewing ◽  
Pregnant Women ◽  
Self Efficacy ◽  
Mobile Application ◽  
Controlled Trial ◽  
Mode Of Delivery ◽  
Brief Interventions ◽  
Behavioral Skills ◽  
Face To Face ◽  
Randomized Controlled

Abstract Background: Cesarean section is an important surgical procedure to save mothers and/or babies’ lives. Current trends show that the rate of Cesarean section is increasing dramatically over the years. The aims of this study were to compare the effects of "motivational interviewing" and "information, motivation and behavioral skills” model on choosing mode of delivery among pregnant women.Methods: In a four-armed, parallel-design randomized controlled trial, 120 women were randomly assigned to three brief interventions and one control groups. We recruited pregnant women referring to Ebnesina hospital, Tehran- Iran from 2019-2020. The intervention groups included: 1) motivational interviewing; 2) face-to-face information, motivation and behavioural skills model; and 3) information, motivation and behavioural skills model provided using a mobile application. The control group received usual antenatal care. The inclusion criteria were being literate, gestational age 24 to 32 weeks at recruitment, being able to speak Persian, having no complications in the current pregnancy, having no indications for CS, and having enough time to participate in the intervention sessions. The primary outcome of the study was mode of delivery. The secondary outcomes included women’s intentions to undergo any mode of delivery and women’s self-efficacy in choosing the mode of delivery. Data were analyzed using descriptive statistics (mean, frequency and standard deviation), inferential statistics including independent t-test, Paired t-test, and analysis of variance (ANOVA). Results: Following the interventions, significant differences were found in the women’s self-efficacy and intention to choose mode of delivery (P < 0.05). Women who had used the mobile application had more improvements in the self-efficacy and intention than the face-to-face intervention groups. Conclusions: Our study showed positive significant effects of various types of brief interventions to improve women’s self-efficacy and intention to choose mode of delivery among the participant women. Providing the intervention using mobile application showed even better results. However, in order to decrease unnecessary CS rate, evidence-based interventions targeted at health-facility and health system levels should be implemented along with these simple, non-expensive, tailored to women, and culture-oriented brief interventions.Trial registration: This study has been registered in Iran Randomized Clinical Trial Center (IRCT20151208025431N7). Registered on (07/12/2018).

scholarly journals Effect of "motivational interviewing" and "information, motivation and behavioral skills” on choosing mode of delivery in pregnant women: A randomized controlled trial

2021 ◽  
Author(s):  
Mahboubeh Shirzad ◽  
Elham Shakibazadeh ◽  
Abbas Rahimi Foroushani ◽  
Mehrandokht Abedini ◽  
Hamid Poursharifi
Keyword(s):  
Cesarean Section ◽  
Motivational Interviewing ◽  
Pregnant Women ◽  
Self Efficacy ◽  
Mobile Application ◽  
Controlled Trial ◽  
Mode Of Delivery ◽  
Brief Interventions ◽  
Behavioral Skills ◽  
Face To Face

Abstract Background: Cesarean section is an important surgical procedure to save mothers and/or babies’ lives. Current trends show that the rate of Cesarean section is increasing dramatically over the years. The aims of this study were to compare the effects of "motivational interviewing" and "information, motivation and behavioral skills” model on choosing mode of delivery among pregnant women.Methods: In a four-armed, parallel-design randomized controlled trial, 120 women were randomly assigned to three brief interventions and one control groups. We recruited pregnant women referring to Ebnesina hospital, Tehran- Iran from 2019-2020. The intervention groups included: 1) motivational interviewing; 2) face-to-face information, motivation and behavioural skills model; and 3) information, motivation and behavioural skills model provided using a mobile application. The control group received usual antenatal care. The inclusion criteria were being literate, gestational age 24 to 32 weeks at recruitment, being able to speak Persian, having no complications in the current pregnancy, having no indications for CS, and having enough time to participate in the intervention sessions. The primary outcome of the study was mode of delivery. The secondary outcomes included women’s intentions to undergo any mode of delivery and women’s self-efficacy in choosing the mode of delivery. Data were analyzed using descriptive statistics (mean, frequency and standard deviation), inferential statistics including independent t-test, paired t-test, Chi-squared and One-way ANOVA tests.Results: Following the interventions, significant differences were found in the mode of delivery (P < 0.05) and women’s self-efficacy and intention (P < 0.05). Women who had used the mobile application had more improvements in the self-efficacy and intention than the face-to-face intervention groups.Conclusions: Our study showed positive significant effects of various types of brief interventions to reduce unnecessary Cesarean section rate among the participant women. Providing the intervention using mobile application showed even better results. Our findings may contribute to a rise in normal vaginal delivery; and these simple, non-expensive, tailored to women, and culture-oriented brief interventions can be considered as appropriate strategies to reduce Cesarean section rate in local, national, and/or regional levels.

Scale to Measure Breastfeeding Self-Efficacy in Pregnant Women

2018 ◽  
Author(s):  
Mariel A. Juárez-Castelán ◽  
Mario E. Rojas-Russell ◽  
Karina Serrano-Alvarado ◽  
J. Alberto Gómez-García ◽  
Alondra Huerta-Ibáñez ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Self Efficacy

Mode of Delivery and Clinical Findings in COVID-19 Infected Pregnant Women in Northern Italy

2020 ◽  
Author(s):  
Enrico Ferrazzi ◽  
Luigi Frigerio ◽  
Valeria Savasi ◽  
Patrizia Vergani ◽  
Federico Prefumo ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Mode Of Delivery ◽  
Clinical Findings ◽  
Northern Italy

SARS-CoV-2 in pregnancy: maternal and perinatal outcome data of 34 pregnant women hospitalised between May and October 2020

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Mirijam Hall ◽  
David Endress ◽  
Susanne Hölbfer ◽  
Barbara Maier
Keyword(s):  
Critical Care ◽  
Pregnant Women ◽  
Critical Care Unit ◽  
Birth Rate ◽  
Total Population ◽  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Outcome Data ◽  
High Risk Population ◽  
Retrospective Data Collection

AbstractObjectivesTo report clinical data on maternal outcome, mode of delivery and immediate neonatal outcome in women infected with COVID-19.MethodsRetrospective data collection.ResultsA total of 8.6% of the total population of hospitalised SARS-CoV-2 positive pregnant women were admitted to a critical care unit. The premature birth rate for births before 34+0 weeks of gestation among pregnant women who tested positive for SARS-CoV-2 was 7.1%. One newborn (3.6%) tested positive for SARS-CoV-2 two days after birth and showed symptoms.ConclusionsPregnant women with COVID-19 seem to be at higher risk of invasive ventilation, admission to a critical care unit and preterm birth, and should therefore be considered a high-risk-population.

scholarly journals Maternal and perinatal outcomes in women with eclampsia by mode of delivery at Riley mother baby hospital: a longitudinal case-series study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Koech Irene ◽  
Poli Philippe Amubuomombe ◽  
Richard Mogeni ◽  
Cheruiyot Andrew ◽  
Ann Mwangi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Perinatal Mortality ◽  
Mode Of Delivery ◽  
Case Series ◽  
Perinatal Outcomes ◽  
Induction Of Labour ◽  
Chi Square ◽  
Case Series Study ◽  
Chi Square Test ◽  
Series Study

Abstract Background Eclampsia, considered as serious complication of preeclampsia, remains a life-threatening condition among pregnant women. It accounts for 12% of maternal deaths and 16–31% of perinatal deaths worldwide. Most deaths from eclampsia occurred in resource-limited settings of sub-Saharan Africa. This study was performed to determine the optimum mode of delivery, as well as factors associated with the mode of delivery, in women admitted with eclampsia at Riley Mother and Baby Hospital. Methods This was a hospital-based longitudinal case-series study conducted at the largest and busiest obstetric unit of the tertiary hospital of western Kenya. Maternal and perinatal variables, such as age, parity, medications, initiation of labour, mode of delivery, admission to the intensive care unit, admission to the newborn care unit, organ injuries, and mortality, were analysed using the Statistical Package for the Social Sciences software version 20.0. Quantitative data were described using frequencies and percentages. The significance of the obtained results was judged at the 5% level. The chi-square test was used for categorical variables, and Fisher’s exact test or the Monte Carlo correction was used for correction of the chi-square test when more than 20% of the cells had an expected count of less than 5. Results During the study period, 53 patients diagnosed with eclampsia were treated and followed up to 6 weeks postpartum. There was zero maternal mortality; however, perinatal mortality was reported in 9.4%. Parity was statistically associated with an increased odds of adverse perinatal outcomes (p = 0.004, OR = 9.1, 95% CI = 2.0–40.8) and caesarean delivery (p = 0.020, OR = 4.7, 95% CI = 1.3–17.1). In addition, the induction of labour decreased the risk of adverse outcomes (p = 0.232, OR = 0.3, 95% CI = 0.1–2.0). Conclusion There is no benefit of emergency caesarean section for women with eclampsia. This study showed that induction of labour and vaginal delivery can be successfully achieved in pregnant women with eclampsia. Maternal and perinatal mortality from eclampsia can be prevented through prompt and effective care.

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