Bostan Fatmanur Sena, Kabukcuoğlu Kamile
Health Sciences Faculty, Kutahya Health Science Universty, Kutahya, Turkey.
Department of Gynecology and Obstetrics Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.
J Obstet Gynaecol. 2022 Oct;42(7):2805-2812. doi: 10.1080/01443615.2022.2109412. Epub 2022 Aug 12.
Childbirth self-efficacy is a useful measure for determining a woman's confidence in managing childbirth and for determining any preconceptions that require reinforcement. Childbirth self-efficacy is also particularly helpful in advising not only how to cope with birth, but also maternal well-being and fostering the improvement of a wide variety of perinatal outcomes. The present study aims to determine the factors affecting childbirth self-efficacy in pregnant women. The sample size consisted of 380 pregnant women between the ages of 18 and 45. Data were collected via face to face interviews using the Childbirth Self Efficacy Scale Short Form (CBSEI-32) in the Akdeniz University Hospital between November 2019 and February 2020 and used Chi-squared Automatic Interaction Detector analyses, resulting in a mean CBSEI-32 score of 244.279 ± 45.121. As a result of the analysis, it was seen that income status affects self-efficacy, and personal experiences such as foetal loss affect a woman's childbirth self-efficacy. In addition, it was also found that the level of prenatal education affected childbirth self-efficacy. Health professionals should assess pregnant women during the antenatal period in terms of their childbirth self efficacy and prepare personalised training programs and plan initiatives to increase perceptions of self-efficacy.IMPACT STATEMENT Childbirth self-efficacy is one of the important psychological parameters to determine a woman's belief in her confidence in managing childbirth and to measure women's perceptions of her need for reinforcement. Sociodemographic and obstetric characteristics of women affect their childbirth self-efficacy perception positively and negatively. Women's birth self-efficacy can be improved positively with prenatal education. In addition, it is one of the interesting findings of the study that the self-efficacy level of women who had a previous low experience was high. Women's childbirth self efficacy can be improved with trainings and appropriate nursing interventions. For this reason, it is important to determine the factors affecting the self-efficacy perception of women. In future studies, the childbirth self-efficacy perceptions of women in different samples (risky pregnancy, disabled pregnant, etc.) should be measured.
分娩自我效能感是衡量女性应对分娩的信心以及确定任何需要强化的先入之见的有用指标。分娩自我效能感不仅在指导如何应对分娩方面特别有帮助，而且在产妇幸福感以及促进各种围产期结局的改善方面也特别有帮助。本研究旨在确定影响孕妇分娩自我效能感的因素。样本量包括380名年龄在18至45岁之间的孕妇。2019年11月至2020年2月期间，在阿克德尼兹大学医院通过使用分娩自我效能量表简表（CBSEI-32）进行面对面访谈收集数据，并进行卡方自动交互检测器分析，得出CBSEI-32平均得分为244.279±45.121。分析结果显示，收入状况会影响自我效能感，而诸如胎儿丢失等个人经历会影响女性的分娩自我效能感。此外，还发现产前教育水平会影响分娩自我效能感。卫生专业人员应在产前阶段评估孕妇的分娩自我效能感，并制定个性化培训计划和规划举措，以增强自我效能感认知。影响声明分娩自我效能感是确定女性对其应对分娩信心的信念以及衡量女性对强化需求认知的重要心理参数之一。女性的社会人口统计学和产科特征对其分娩自我效能感认知有积极和消极影响。产前教育可以积极提高女性的分娩自我效能感。此外，该研究的一个有趣发现是，之前经验较少的女性自我效能感水平较高。通过培训和适当的护理干预可以提高女性的分娩自我效能感。因此，确定影响女性自我效能感认知的因素很重要。在未来的研究中，应测量不同样本（高危妊娠、残疾孕妇等）中女性的分娩自我效能感认知。
