Carlsson Ing-Marie, Ziegert Kristina, Nissen Eva
Halland Hospital Halmstad, SE-301 85 Halmstad, Sweden; School of Social and Health Sciences, Halmstad University, SE-823, SE-301 18 Halmstad, Sweden; Department of Women׳s and Children's Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
School of Social and Health Sciences, Halmstad University, SE-823, SE-301 18 Halmstad, Sweden.
Midwifery. 2015 Oct;31(10):1000-7. doi: 10.1016/j.midw.2015.05.005. Epub 2015 Jun 3.
this study aimed to examine how women׳s childbirth self-efficacy beliefs relate to aspects of well-being during the third trimester of pregnancy and whether there was any association between childbirth self-efficacy and obstetric factors.
a cross-sectional design was used. The data was obtained through the distribution of a composite questionnaire and antenatal and birth records.
data were recruited from antenatal health-care clinics in Halland, Sweden.
a consecutive sample of 406 pregnant women was recruited at the end of pregnancy at gestational weeks of 35-42.
five different measures were used; the Swedish version of Childbirth Self-Efficacy Inventory, the Wijma Delivery Expectancy/Experience Questionnaire, the Sense of Coherence Questionnaire, the Maternity Social Support Scale and finally the Profile of Mood States.
results showed that childbirth self-efficacy was correlated with positive dimensions as vigour, sense of coherence and maternal support and negatively correlated with previous mental illness, negative mood states and fear of childbirth. Women who reported high childbirth self-efficacy had less epidural analgesia during childbirth, compared to women with low self-efficacy.
this study highlights that childbirth self-efficacy is a positive dimension that interplays with other aspects and contributes to well-being during pregnancy and thereby, acts as an asset in the context of childbirth.
本研究旨在探讨女性的分娩自我效能信念与妊娠晚期幸福感各方面之间的关系，以及分娩自我效能与产科因素之间是否存在关联。
采用横断面设计。数据通过发放综合问卷以及产前和分娩记录获得。
数据取自瑞典哈兰省的产前保健诊所。
在妊娠35 - 42周时，连续抽取了406名孕妇作为样本。
使用了五种不同的测量工具；瑞典版的分娩自我效能量表、维伊玛分娩预期/体验问卷、连贯感问卷、产妇社会支持量表以及最后一种情绪状态剖面图。
结果显示，分娩自我效能与活力、连贯感和产妇支持等积极维度呈正相关，与既往精神疾病、消极情绪状态和分娩恐惧呈负相关。与自我效能低的女性相比，报告分娩自我效能高的女性在分娩期间使用硬膜外镇痛的情况较少。
本研究强调，分娩自我效能是一个积极维度，它与其他方面相互作用，有助于孕期的幸福感，因此在分娩过程中是一项有利因素。
