Abd El-Kader Azza Ibrahim
Department of Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University, Zagazig, Egypt.
SAGE Open Nurs. 2024 Oct 8;10:23779608241288755. doi: 10.1177/23779608241288755. eCollection 2024 Jan-Dec.
Childbirth self-efficacy has repeatedly been shown to raise satisfaction with childbirth, reduce the need for analgesic, and promote the use of different childbirth alternatives. However, the measures to improve the childbirth self-efficacy had rarely been investigated among Egyptian primiparous women.
The aim of this study is to evaluate the effectiveness of childbirth self-efficacy enhancing classes on labor length and outcomes among Egyptian primiparous women.
A quasi-experimental research approach was carried out on prospective, consecutive sample of 148 pregnant women at the end of pregnancy. A prenatal education study group (n = 74) and a control group receiving standard antenatal care (n = 74) make up the first and second groups, respectively. Between October 2021 and October 2022, the study was conducted at the antenatal clinic. The following four tools were employed to fulfill the study's objective: A structured interviewing form, a childbirth self-efficacy inventory, a follow-up checklist for monitoring maternal and neonatal outcomes during labor, and three antenatal education sessions to boost childbirth self-efficacy are all examples of tools that can be used. All statistical analyses were performed using SPSS for windows version 20.0.
Approximately 68.9% of women in the experimental group gave birth vaginally, compared to 29.7% of those in the control group with (p = .001), according to the study's findings. In the experimental group, regular labor took an average of 8 to 12 h, but it took more than 12 h in the control group. Birth weight (>3000g) in the experimental group compared to (2000-3000 g) in the control group, as well as the Apgar score at 1 min and 5 min, were highly statistically significance between two groups with (p = .001). The means±SD of the childbirth self-efficacy result scores were better in the study group than in control groups regarding length of delivery and vaginal delivery (248.2 ± 19.4 versus 144.6 ± 21.6 and 250.1 ± 18.2 versus 137.9 ± 21.5, respectively).
According to the findings of this study, antenatal education classes have a real chance of assisting primiparous women in increasing their childbirth self-efficacy and improving maternal and neonatal outcomes.
分娩自我效能已多次被证明能提高对分娩的满意度、减少镇痛需求，并促进使用不同的分娩方式。然而，在埃及初产妇中，提高分娩自我效能的措施很少被研究。
本研究的目的是评估分娩自我效能增强课程对埃及初产妇产程及分娩结局的有效性。
采用准实验研究方法，对148名妊娠末期的孕妇进行前瞻性连续抽样。产前教育研究组（n = 74）和接受标准产前护理的对照组（n = 74）分别构成第一组和第二组。2021年10月至2022年10月期间，该研究在产前诊所进行。为实现研究目的，采用了以下四种工具：结构化访谈表、分娩自我效能量表、分娩期间监测母婴结局的随访检查表，以及三次提高分娩自我效能的产前教育课程。所有统计分析均使用SPSS for windows 20.0版进行。
根据研究结果，实验组约68.9%的女性经阴道分娩，而对照组为29.7%（p = 0.001）。实验组规律产程平均为8至12小时，而对照组超过12小时。实验组出生体重（>3000g）与对照组（2000 - 3000g）相比，以及1分钟和5分钟时的阿氏评分，两组间差异具有高度统计学意义（p = 0.001）。在分娩时长和阴道分娩方面，研究组分娩自我效能结果得分的均值±标准差优于对照组（分别为248.2 ± 19.4与144.6 ± 21.6，以及250.1 ± 18.2与137.9 ± 21.5）。
根据本研究结果，产前教育课程确实有机会帮助初产妇提高其分娩自我效能，并改善母婴结局。
