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Efficacy of companion-integrated childbirth preparation for childbirth fear, self-efficacy, and maternal support in primigravid women in Malawi.
BMC Pregnancy and Childbirth ( IF 2.8 ) Pub Date : 2020-01-21 , DOI: 10.1186/s12884-019-2717-5
Berlington M J Munkhondya 1 , Tiwonge Ethel Munkhondya 2 , Ellen Chirwa 2 , Honghong Wang 1
Affiliation  

BACKGROUND In resource-limited settings, childbirth remains a matter of life and death. High levels of childbirth fear in primigravid women are inevitable. To date, few studies have explored interventions to reduce childbirth fear in primigravid women. This study aimed to evaluate the efficacy of companion-integrated childbirth preparation (C-ICP) during late pregnancy for reducing childbirth fear and improving childbirth self-efficacy, birth companion support, and other selected pregnancy outcomes in primigravid women. METHODS A quasi-experimental study was carried out using a non-equivalent control group design to recruit a sample of 70 primigravid women in hospital maternity waiting homes in the intervention and control groups, with 35 in each group. The primigravid women and their birth companions in the intervention group received two sessions of companion-integrated childbirth preparation, whereas the control group received routine care. A questionnaire that incorporated the childbirth attitude questionnaire (CAQ), the childbirth self-efficacy inventory (CBSEI), the birth companion support questionnaire (BCSQ), and a review checklist of selected pregnancy outcomes was used to collect data. Pretest and post-test data were analyzed using simple linear regression. Beta coefficients were adjusted at a 95% confidence interval with statistical significance set at a P-value of < 0.05 using Statistical Package for the Social Sciences version 25. RESULTS At pretest, mean scores were similar in the intervention and control groups. At post-test, being in the intervention group significantly decreased childbirth fears (β: = - .866, t (68) = - 14.27, p < .001) and significantly increased childbirth self-efficacy (β: = .903, t (68) = 17.30, p < .001). In addition, being in the intervention group significantly increased birth companion support (β: = - 0.781, t (68) = 10.32, p < .001). However, no statistically significant differences regarding pregnancy outcomes were observed between the study groups (Mann-Whiney U test, p > .05). CONCLUSION The findings of our study suggest that C-ICP is a promising intervention to reduce childbirth fear while increasing childbirth self-efficacy and maternal support. We recommend the inclusion of C-ICP for primigravid women during late pregnancy in resource-limited settings.

中文翻译:

伴侣综合分娩准备对马拉维初产妇的分娩恐惧,自我效能感和产妇支持的功效。

背景技术在资源有限的情况下,分娩仍然是生死攸关的问题。初产妇高分娩恐惧是不可避免的。迄今为止,很少有研究探索干预措施来减少初生孕妇的分娩恐惧。这项研究旨在评估初孕妇女在孕晚期进行伴侣综合分娩准备(C-ICP)的功效,以减少分娩恐惧感并改善分娩自我效能,分娩伴侣支持和其他选定的妊娠结局。方法采用非等价对照组设计进行准实验研究,以干预组和对照组在医院产科候诊院招募70名初产妇的样本,每组35名。干预组中的原始孕妇及其同伴接受了两节由伴侣进行的综合分娩准备,而对照组则接受了常规护理。结合了分娩态度问卷(CAQ),分娩自我效能量表(CBSEI),助产士支持问卷(BCSQ)以及选定妊娠结局的检查清单的问卷被用来收集数据。使用简单的线性回归分析了测试前和测试后的数据。使用社会科学版本25的统计软件包,以95%的置信区间调整Beta系数,并将统计显着性设置为P值<0.05。结果在预测试中,干预组和对照组的平均得分相似。在测试后,干预组明显降低了分娩恐惧感(β:=-.866,t(68)=-14.27,p <.001)并显着提高了分娩自我效能感(β:= .903,t(68)= 17.30 ,p <.001)。此外,在干预组中,出生伴侣的支持率显着增加(β:=-0.781,t(68)= 10.32,p <.001)。然而,研究组之间没有观察到关于妊娠结局的统计学差异(Mann-Whiney U检验,p> .05)。结论我们的研究结果表明,C-ICP是一种有希望的干预措施,可减少分娩恐惧,同时增加分娩的自我效能感和孕产妇支持。我们建议在资源有限的情况下,在妊娠晚期的初孕妇中加入C-ICP。001)并显着提高了分娩的自我效能感(β:= .903,t(68)= 17.30,p <.001)。此外,在干预组中,出生陪伴的支持显着增加(β:=-0.781,t(68)= 10.32,p <.001)。然而,研究组之间没有观察到关于妊娠结局的统计学差异(Mann-Whiney U检验,p> .05)。结论我们的研究结果表明,C-ICP是一种有希望的干预措施,可减少分娩恐惧,同时增加分娩的自我效能感和孕产妇支持。我们建议在资源有限的情况下,在妊娠晚期的初孕妇中加入C-ICP。001)并显着提高了分娩的自我效能感(β:= .903,t(68)= 17.30,p <.001)。此外,在干预组中,出生陪伴的支持显着增加(β:=-0.781,t(68)= 10.32,p <.001)。然而,研究组之间没有观察到关于妊娠结局的统计学显着差异(Mann-Whiney U检验,p> .05)。结论我们的研究结果表明,C-ICP是一种有希望的干预措施,可减少分娩恐惧,同时增加分娩的自我效能感和孕产妇支持。我们建议在资源有限的情况下,在妊娠晚期的初孕妇中加入C-ICP。=-0.781,t(68)= 10.32,p <.001)。然而,研究组之间没有观察到关于妊娠结局的统计学显着差异(Mann-Whiney U检验,p> .05)。结论我们的研究结果表明,C-ICP是一种有希望的干预措施,可减少分娩恐惧,同时增加分娩的自我效能感和孕产妇支持。我们建议在资源有限的情况下,在妊娠晚期的初孕妇中加入C-ICP。=-0.781,t(68)= 10.32,p <.001)。然而,研究组之间没有观察到关于妊娠结局的统计学差异(Mann-Whiney U检验,p> .05)。结论我们的研究结果表明,C-ICP是一种有希望的干预措施,可减少分娩恐惧,同时增加分娩的自我效能感和孕产妇支持。我们建议在资源有限的情况下,在妊娠晚期的初孕妇中加入C-ICP。
更新日期:2020-01-22
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