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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
Scopus
Toplam 136 atıf DOI
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.
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Pelvic Pain and Sexual Function in Primiparous Pregnant Women with and without High/Severe Fear of Childbirth
Scopus
Havuzumuzda Open Access 1 atıf almış
Introduction: This study aimed to determine pelvic pain and sexual dysfunction in primiparous pregnant women with varying levels of fear of childbirth (FOC). Methods: This is a descriptive correlational study. This study was conducted with 400 pregnant women at 24–40 weeks of gestation who applied to the obstetrics polyclinic of a hospital between January 2022 and March 2022. Data were collected through a personal information form, the Wijma Delivery Expectancy Questionnaire (W-DEQ-A), the Pelvic Pain Impact Questionnaire (PPIQ), and Golombok-Rust Inventory of Sexual Satisfaction (GRISS) Female Form. Results: Of the 400 pregnant women, 232 (58%) had high/severe FOC. High/severe FOC was a risk factor that negatively affected pelvic pain and sexual function (frequency of sexual intercourse, communication, sexual satisfaction, avoidance, touching, vaginismus, and anorgasmia) in pregnant women (p < 0.000). In addition, pregnant women with high/severe FOC avoided vaginal examination (p = 0.016), had higher fear of vaginal examination (p = 0.004), experienced more pain or burning during sexual intercourse (p = 0.017), and had more fear of pain during sexual intercourse (p = 0.003). Conclusions: High/severe FOC during pregnancy is an important risk factor that negatively affects pelvic pain and sexual function. Policy Implications: Identifying pregnant women with high/severe FOC and support programs such as antenatal education programs or cognitive coping strategies to cope with FOC may be useful in preventing pelvic pain and sexual functions that may be negatively affected.
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Kurumlar (1)
Selçuk Üniversitesi
Selçuklu, Turkey