Effect of antenatal class attendance on fear of childbirth and antenatal stress
DOI:
https://doi.org/10.11606/s1518-8787.2023057004272Palabras clave:
Antenatal Care, Antenatal Education, Antenatal Screening, Childbirth Classes, Childbirth Education, Abdominal Pregnancy, Fear, Childbirth, StressResumen
OBJECTIVE: To assess the effect of attending antenatal classes on fear of childbirth and antenatal stress in nulliparous pregnant women. METHODS: A total of 133 nulliparous pregnant women participated in the study, which had a quasi-experimental design. Data were collected by a descriptive data form, the Wijma Delivery Expectancy/Experience Questionnaire, and the Antenatal Perceived Stress Inventory (APSI). RESULTS: A significant correlation was found between antenatal class attendance and having a high schooling level and an intended pregnancy (p < 0.05). The mean fear of childbirthscore of pregnant women was 85.50 ± 19.41 before the training and 76.32 ± 20.52 after the training, and the difference between these scores was significant (p < 0.01). Fear of childbirth scores were not significantly different between the intervention group and the control group. The mean APSI score of pregnant women in the intervention group was 22.32 ± 6.12 before the training and 21.79 ± 5.97 after the training. However, this difference was not statistically significant (p = 0.70). CONCLUSION: The fear of childbirth score decreased significantly in the intervention group after the training.
Referencias
O'Connell MA, Leahy-Warren P, Kenny LC, O'Neill SM, Khashan AS. The prevalence and risk factors of fear of childbirth among pregnant women: A cross-sectional study in Ireland. Acta Obstet Gynecol Scand. 2019; 98(8):1014-1023. doi: 10.1111/aogs.13599.
Nilsson C, Hessman E, Sjöblom H, Dencker A, Jangsten E, Mollberg M, Patel H, Sparud-Lundin C, Wigert H, Begley C. Definitions, measurements and prevalence of fear of childbirth: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):28. doi: 10.1186/s12884-018-1659-7.
Klabbers GA, Hedwig JAvB, Marit MAvdH, Vingerhoets AJJM. Severe fear of childbirth: its features, assesment, prevalence, determinants, consequences and possible treatments. Psychol Top 2016;25(1):107–27.
Rondung E, Thomten J, Sundin O. Psychological perspectives on fear of childbirth. J Anxiety Disord 2016;44:80–91.
Preis H, Benyamini Y, Eberhard-Gran M, Garthus-Niegel S. Childbirth preferences and related fears comparison between Norway and Israel. BMC Pregnancy Childbirth.
;18(1):362. doi: 10.1186/s12884-018-1997-5.
Souto SPAD, Prata AP, Albuquerque RS, Almeida S. Psychometric properties of the European Portuguese version of the Wijma Delivery Expectancy/Experience Questionnaire in pregnant women. Health Care Women Int. 2021; 20:1-18. doi: 10.1080/07399332.2021.1932892.
Çapik A, Durmaz H. Fear of Childbirth, Postpartum Depression, and Birth-Related Variables as Predictors of Posttraumatic Stress Disorder After Childbirth. Worldviews Evid Based Nurs. 2018;15(6):455-463. doi: 10.1111/wvn.
The Ministry Of Health of Turkey Health Statistics Yearbook 2012, Ankara. https://sbu.saglik.gov.tr/Ekutuphane/Yayin/516
Sydsjö G, Bladh M, Lilliecreutz C, Persson AM, Vyöni H, Josefsson A. Obstetric outcomes for nulliparous women who received routine individualized treatment for severe fear of childbirth - a retrospective case control study. BMC Pregnancy Childbirth. 2014 Apr 3;14:126. doi: 10.1186/1471-2393-14-126.
Rouhe H, Salmela-Aro K, Halmesmäki E, Saisto T. Fear of Childbirth according to parity, gestational age, and obstetric history. BJOG. 2009;116:67–73.
Barimani M, Forslund Frykedal K, Rosander M, Berlin A. Childbirth and parenting preparation in antenatal classes. Midwifery. 2018;57:1-7. doi: 10.1016/j.midw.2017.10.021.
Kacperczyk-Bartnik J, Bartnik P, Symonides A, Sroka-Ostrowska N, Dobrowolska-Redo A, Romejko-Wolniewicz E. Association between antenatal classes attendance
and perceived fear and pain during labour. Taiwan J Obstet Gynecol. 2019;58(4):492 496. doi: 10.1016/j.tjog.2019.05.011.
O'Sullivan EJ, Alberdi G, Scully H, Kelly N, Kincaid R, Murtagh R, Murray S,
McGuinness D, Clive A, Brosnan M, Sheehy L, Dunn E, McAuliffe FM. Antenatal breastfeeding self-efficacy and breastfeeding outcomes among mothers participating in a feasibility breastfeeding-support intervention. Ir J Med Sci. 2019; 188(2):569-578. doi: 10.1007/s11845-018-1884-0.
Serçekuş P. Başkale, H. Effects of antenatal education on fear of childbirth, maternal
self-efficacy and parental attachment. Midwifery. 2016; 34: 166–172. doi:10.1016/j.midw.2015.11.016
Koushede V, Brixval CS, Thygesen LC, Axelsen SF, Winkel P, Lindschou J, Gluud C,
Due P. Antenatal small-class education versus auditorium-based lectures to promote positive transitioning to parenthood - A randomised trial. PLoS One. 2017 2;12(5):e0176819. doi: 10.1371/journal.pone.0176819.
Taheri Z, Mazaheri MA, Khorsandi M, Hassanzadeh A, Amiri M. Effect of educational intervention on self-efficacy for choosing delivery method among pregnant women in 2013. Int J Prev Med. 2014;5:1247–54.
Ip WY, Tang CS, Goggins WB. An educational intervention to improve women’s ability to cope with childbirth. J Clin Nurs. 2009;18:2125–35.
Richens Y, Campbell M, Lavender T. Fear of birth A prospective cohort Study of primigravida in the UK. Midwifery. 2019 Oct;77:101-109. doi: 10.1016/j.midw.2019.06.014.
Brixval CS, Thygesen LC, Axelsen SF, Gluud C, Winkel P, Lindschou J, Weber T,
Due P, Koushede V. Effect of antenatal education in small classes versus standard auditorium-based lectures on use of pain relief during labour and of obstetric interventions: results from the randomised NEWBORN trial. BMJ Open. 2016; 10:6(6):e010761. doi: 10.1136/bmjopen-2015-010761.
Haapio S, Kaunonen M, Arffman M, Åstedt-Kurki P. Effects of extended childbirth education by midwives on the childbirth fear of first-time mothers: an RCT. Scand J Caring Sci. 2017 Jun;31(2):293-301. doi: 10.1111/scs.12346.
Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H, Wigert H, Hessman E, Sjöblom H, Sparud-Lundin C. Causes and out comes in studies of fear of childbirth: A systematic review. Women Birth. 2019;32(2):99-111. doi: 10.1016/j.wombi.2018.07.004.
Adams SS, Eberhard-Gran M, Eskild A. Fear of childbirth and duration of labour: a study of 2206 women with intended vaginal delivery. BJOG. 2012; 119(10):1238e46.
Jones L, Othman M, Dowswell T, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane Database Syst Rev 2012;3:CD009234.
Wijma K, Wijma B, Zar M. Psychometric aspects of the WDEQ: a new questionnaire for the measurement of fear of childbirth. J Psychosom Obstet Gynaecol. 1998. 19, 84-97.
Korukcu O, Kukulu K, Firat MZ. The reliability and validity of the Turkish version of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) with pregnant women. J Psychiatr Ment Health Nurs 2012;19(3):193-202.
Razurel C, Kaiser B, Dupuis M,Antonietti JP, Citherlet C, Epiney M,Sellenet C. Validation of the antenatal perceived stress inventory. Journal of Health Psychology, 2014, 19: 471–481.
Atasever İ, Sis Çelik A.The validity and reliability of the Antenatal Perceived Stress Inventory Turkish version: A methodological study. Health Care Women Int. 2018 ;39(10):1140-1157. doi: 10.1080/07399332.2018.1469635.
Abame DE, Abera M, Tesfay A, Yohannes Y, Ermias D, Markos T, Goba G.Relationship Between Unintended Pregnancy and Antenatal Care Use During Pregnancy in Hadiya Zone, Southern Ethiopia. J Reprod Infertil. 2019;20(1):42-51.
Karabulut Ö, Coşkuner Potur D, Doğan Merih Y, Cebeci Mutlu S, Demirci N.Does antenatal education reduce fear of childbirth? Int Nurs Rev. 2016;63(1):60-7. doi: 10.1111/inr.12223.
Gluck O, Pinchas-Cohen T, Hiaev Z, Rubinstein H, Bar J, Kovo M. The impact of
childbirth education classes on delivery outcome. Int J Gynaecol Obstet. 2020 ;148(3):300-304. doi: 10.1002/ijgo.13016.
Adjiwanou V, Bougma M, LeGrand T. The effect of partners' education on women's reproductive and maternal health in developing countries. Soc Sci Med. 2018;197:104-115.
Rondung E, Thomtén J, Sundin Ö. Psychological perspectives on fear of childbirth.J Anxiety Disord. 2016;44:80-91. doi:10.1016/j.janxdis.2016.10.007.
Moghaddam Hosseini V, Nazarzadeh M, Jahanfar S. Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women Birth. 2018;31(4):254-262. doi: 10.1016/j.wombi.2017.10.007.
Haapio S, Kaunonen M, Arffman M, Åstedt-Kurki P. Effects of extended Childbirth
education by midwives on the childbirth fear of first-time mothers: an RCT. Scand J Caring Sci. 2017;31(2):293-301. doi: 10.1111/scs.12346.
Çankaya S, Şimşek B. 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. Clinical Nursing Research. 2021;30(6):818-829. doi:10.1177/1054773820916984
Stoll K, Swift EM, Fairbrother N, Nethery E, Janssen P. A systematic review of nonpharmacological prenatal interventions for pregnancy-specific anxiety and fear of childbirth. Birth. 2018;45(1):7-18. doi:10.1111/birt.12316
Hou Q, Li S, Jiang C, et al. The associations between maternal lifestyles and antenatal stress and anxiety in Chinese pregnant women: A cross-sectional study. Sci Rep. 2018;8(1):10771. doi:10.1038/s41598-018-28974-x
Waqas A, Zubair M, Zia S, et al. Psychosocial predictors of antenatal stress in Pakistan: perspectives from a developing country. BMC Res Notes. 2020;13(1):160. doi:10.1186/s13104-020-05007-3
Chang HC, Chen SY, Chen CH. Predictors of Antenatal Psychosocial Stress in Taiwanese Women. J Nurs Res. 2016;24(3):193-200. doi: 10.1097/jnr.0000000000000122.
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Derechos de autor 2023 Selda Yörük, Ayla Acikgoz
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
