Salomonsson Birgitta, Berterö Carina, Alehagen Siw
Unit of Medical Psychology, Division of Clinical Sciences, Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.birgitta.salomonsson@ liu.se
J Obstet Gynecol Neonatal Nurs. 2013 Mar-Apr;42(2):191-202. doi: 10.1111/1552-6909.12024.
To apply and test the concept of childbirth self-efficacy to expectations of the upcoming birth in the context of severe fear of childbirth (SFOC).
Qualitative study using semistructured interviews.
A region in the southeast of Sweden.
Nulliparous pregnant women (N = 17) with SFOC.
The interviews were analyzed according to content analysis using deductive and inductive approaches. The seven domains of The Childbirth Self-Efficacy Inventory (CBSEI) made up the matrix for the deductive analysis.
Behaviors for coping with labor and childbirth were related to six domains of childbirth self-efficacy: concentration, support, control, motor/relaxation, self-encouragement, and breathing. Most of these behaviors referred to capabilities to carry out (self-efficacy expectancy) rather than to beliefs in effectiveness (outcome expectancy). Five additional subdomains representing defined childbirth self-efficacy were identified: guidance, the body controls, the professionals' control, reliance, and fatalism.
The domains of childbirth self-efficacy have been deepened and expanded in relation to SFOC. It is imperative to identify pregnant women with SFOC and their efficacy beliefs to help them find appropriate coping behaviors prior to the onset of labor, and furthermore these behaviors must be supported by health care professionals during labor and childbirth. Support in the form of verbal persuasion emanating from the subdomains of childbirth self-efficacy ought to be added.
在严重分娩恐惧（SFOC）的背景下，应用并检验分娩自我效能概念对即将到来的分娩的期望。
采用半结构式访谈的定性研究。
瑞典东南部的一个地区。
患有SFOC的初产妇（N = 17）。
采用演绎和归纳方法，根据内容分析法对访谈进行分析。分娩自我效能量表（CBSEI）的七个领域构成了演绎分析的矩阵。
应对分娩的行为与分娩自我效能的六个领域相关：专注、支持、控制、运动/放松、自我鼓励和呼吸。这些行为大多指的是执行能力（自我效能期望），而非对有效性的信念（结果期望）。另外确定了代表特定分娩自我效能的五个子领域：指导、身体控制、专业人员控制、依赖和宿命论。
与SFOC相关的分娩自我效能领域得到了深化和扩展。识别患有SFOC的孕妇及其效能信念，以帮助她们在分娩开始前找到合适的应对行为，这一点至关重要，此外，这些行为在分娩过程中必须得到医护人员的支持。应该增加来自分娩自我效能子领域的言语劝说形式的支持。
