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Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy 3/2023

30-07-2022

Exploring the Effect of Cognitive-Behavioral Educations on Childbirth Self-efficacy, Childbirth Fear, and Adaptation of Maternal Role Among Primiparous Women: A Quasi-Experimental Study

Auteurs: Fatemeh Eidouzaei, Leila Amiri-Farahani, Abolfazl Mohammadi, Sally Pezaro

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 3/2023

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Abstract

Prenatal education based on a psychological approach can play a significant role in maternal and neonatal health. The current study aimed to determine the effect of cognitive-behavioral education on childbirth self-efficacy, childbirth fear, and adaption of maternal role among primiparous women. This quasi-experimental study included 74 primiparous women in the Tehran province of Iran. Convenience sampling was used to recruit participants, who were subsequently were divided into two groups (intervention and control). The intervention group received cognitive-behavioral education, held via eight 90-min-long sessions. Pre-test data collection occurred during participants’ 26–28th week of pregnancy via a survey tool comprising demographic questions, the Wijma Delivery Expectancy/Experience Questionnaire-A (W-DEQ-A), and the Child Birth Self-Efficacy Inventory (CBSEI). Post-test data collection occurred after the intervention period again via a survey tool comprising both the W-DEQ-A and CBSEI tools. The maternal role adaptation questionnaire was also completed two weeks and two months after the childbirth. After the intervention, a statistically significant difference was observed between the intervention and control groups in terms of the fear of childbirth, outcome expectancy, and self-efficacy expectancy (p < 0.05). Results demonstrated a medium effect size between the two groups in terms of the fear of childbirth score, and a large effect size in terms of both outcome expectancy and self-efficacy expectancy scores. There were no statistically significant differences between the two groups in terms of compliance with the maternal role adaptation at either 2 weeks or 2 months after the childbirth. This cognitive-behavioral educational intervention was effective in reducing fear of childbirth and improving childbirth self-efficacy. This suggests that cognitive-behavioral educations may usefully be offered to pregnant women in addition to childbirth preparation classes.
Trial Registration IRCT.ir: IRCT20180427039436N3; Dec 31 2018. https://​www.​irct.​ir/​trial/​31593
Literatuur
go back to reference Abbasi, P., Mohammad-Alizadeh Charandabi, S., & Mirghafourvand, M. (2018). Comparing the effect of e-learning and educational booklet on the childbirth self-efficacy: A randomized controlled clinical trial. The Journal of Maternal-Fetal and Neonatal Medicine, 31(5), 644–650.CrossRefPubMed Abbasi, P., Mohammad-Alizadeh Charandabi, S., & Mirghafourvand, M. (2018). Comparing the effect of e-learning and educational booklet on the childbirth self-efficacy: A randomized controlled clinical trial. The Journal of Maternal-Fetal and Neonatal Medicine, 31(5), 644–650.CrossRefPubMed
go back to reference Abedi, P., Hazeghi, N., Afshari, P., & Fakhri, A. (2016). The validity and reliability of Persian version of Wijma delivery expectancy/experience questionnaire (version a) among Iranian nulliparous women. Global Journal of Health Science, 9(2), 269.CrossRef Abedi, P., Hazeghi, N., Afshari, P., & Fakhri, A. (2016). The validity and reliability of Persian version of Wijma delivery expectancy/experience questionnaire (version a) among Iranian nulliparous women. Global Journal of Health Science, 9(2), 269.CrossRef
go back to reference Altman, M. R., McLemore, M. R., Oseguera, T., Lyndon, A., & Franck, L. S. (2020). Listening to women: Recommendations from women of color to improve experiences in pregnancy and birth care. Journal of Midwifery and Women’s Health, 65(4), 466–473.CrossRefPubMed Altman, M. R., McLemore, M. R., Oseguera, T., Lyndon, A., & Franck, L. S. (2020). Listening to women: Recommendations from women of color to improve experiences in pregnancy and birth care. Journal of Midwifery and Women’s Health, 65(4), 466–473.CrossRefPubMed
go back to reference Aminolroayaee, M., & Aghaei, A. (2019). The effectiveness of cognitive therapy based on mindfulness on fear of delivery in primiparous women. Knowledge and Research in Applied Psychology, 19(4), 55–65. Aminolroayaee, M., & Aghaei, A. (2019). The effectiveness of cognitive therapy based on mindfulness on fear of delivery in primiparous women. Knowledge and Research in Applied Psychology, 19(4), 55–65.
go back to reference Azami-Aghdash, S., Ghojazadeh, M., Dehdilani, N., & Mohammadi, M. (2014). Prevalence and causes of cesarean section in Iran: Systematic review and meta-analysis. Iranian Journal of Public Health, 43(5), 545.PubMedPubMedCentral Azami-Aghdash, S., Ghojazadeh, M., Dehdilani, N., & Mohammadi, M. (2014). Prevalence and causes of cesarean section in Iran: Systematic review and meta-analysis. Iranian Journal of Public Health, 43(5), 545.PubMedPubMedCentral
go back to reference Byrne, J., Hauck, Y., Fisher, C., Bayes, S., & Schutze, R. (2014). Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery & Women’s Health, 59(2), 192–197.CrossRef Byrne, J., Hauck, Y., Fisher, C., Bayes, S., & Schutze, R. (2014). Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery & Women’s Health, 59(2), 192–197.CrossRef
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Routledge. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Routledge.
go back to reference Colin, R. K. (2012). Paul IBM SPSS statistics 19 made simple. Psychology Press. Colin, R. K. (2012). Paul IBM SPSS statistics 19 made simple. Psychology Press.
go back to reference Free, M. L. (2007). Cognitive therapy in groups: Guidelines and resources for practice. Wiley. Free, M. L. (2007). Cognitive therapy in groups: Guidelines and resources for practice. Wiley.
go back to reference Ghazaie, M., Davoodi, I., Neysi, A., Mehrabizadeh Honarmand, M., & Bassak Nejad, S. (2016). The effectiveness of cognitive-behavioral therapy on fear of childbirth, fear of pain, self-efficacy of childbirth and tendency to caesarean in nulliparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 19(31), 1–12. Ghazaie, M., Davoodi, I., Neysi, A., Mehrabizadeh Honarmand, M., & Bassak Nejad, S. (2016). The effectiveness of cognitive-behavioral therapy on fear of childbirth, fear of pain, self-efficacy of childbirth and tendency to caesarean in nulliparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 19(31), 1–12.
go back to reference Hassanzadeh, R., Abbas-Alizadeh, F., Meedya, S., Mohammad-Alizadeh-Charandabi, S., & Mirghafourvand, M. (2020). Comparison of childbirth experiences and postpartum depression among primiparous women based on their attendance in childbirth preparation classes. The Journal of Maternal-Fetal & Neonatal Medicine, 1–8. Hassanzadeh, R., Abbas-Alizadeh, F., Meedya, S., Mohammad-Alizadeh-Charandabi, S., & Mirghafourvand, M. (2020). Comparison of childbirth experiences and postpartum depression among primiparous women based on their attendance in childbirth preparation classes. The Journal of Maternal-Fetal & Neonatal Medicine, 1–8.
go back to reference Hosseini, V. M., Nazarzadeh, M., & Jahanfar, S. (2018). Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women and Birth, 31(4), 254–262.CrossRef Hosseini, V. M., Nazarzadeh, M., & Jahanfar, S. (2018). Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women and Birth, 31(4), 254–262.CrossRef
go back to reference Howarth, A. M., & Swain, N. R. (2019). Skills-based childbirth preparation increases childbirth self-efficacy for first time mothers. Midwifery, 70, 100–105.CrossRefPubMed Howarth, A. M., & Swain, N. R. (2019). Skills-based childbirth preparation increases childbirth self-efficacy for first time mothers. Midwifery, 70, 100–105.CrossRefPubMed
go back to reference Jamshidbiki, S. (2014). The effect of education on maternal role attainment and stress in the postpartum period among primiparous women: MS Thesis, Iran. Nursing and Midwifery School of Tehran University of ...; 2014. Jamshidbiki, S. (2014). The effect of education on maternal role attainment and stress in the postpartum period among primiparous women: MS Thesis, Iran. Nursing and Midwifery School of Tehran University of ...; 2014.
go back to reference Javadifar, N. (2013). Development and psychometric evaluation of an instrument to assess the Iranian first-time mothers’ experiences of maternal role adaptation. Iran School Of Nursing and Midwifery of Tehran University of Medical Sciences. Javadifar, N. (2013). Development and psychometric evaluation of an instrument to assess the Iranian first-time mothers’ experiences of maternal role adaptation. Iran School Of Nursing and Midwifery of Tehran University of Medical Sciences.
go back to reference Karimi, F. Z., Dadgar, S., Abdollahi, M., Yousefi, S., Tolyat, M., & Khosravi Anbaran, Z. (2017). The relationship between minor ailments of pregnancy and quality of life in pregnant women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 20(6), 8–21. Karimi, F. Z., Dadgar, S., Abdollahi, M., Yousefi, S., Tolyat, M., & Khosravi Anbaran, Z. (2017). The relationship between minor ailments of pregnancy and quality of life in pregnant women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 20(6), 8–21.
go back to reference Karimi, F. Z., Nosrati Hadiabad, S. F., Abdollahi, M., & Karimi, L. (2020). Frequency of sleep disorders and individual related factors in pregnant women referred to Mashhad health centers in 2019. The Iranian Journal of Obstetrics, Gynecology and Infertility, 23(1), 25–32. Karimi, F. Z., Nosrati Hadiabad, S. F., Abdollahi, M., & Karimi, L. (2020). Frequency of sleep disorders and individual related factors in pregnant women referred to Mashhad health centers in 2019. The Iranian Journal of Obstetrics, Gynecology and Infertility, 23(1), 25–32.
go back to reference Khanzadeh, A., Rostampour, A., Nedaee, N., & Khosrojavid, M. (2017). Effectiveness of cognitive-behavioral education on anxiety during pregnancy and delivery method in primiparous women. Journal of Nursing Education, 5, 24–32.CrossRef Khanzadeh, A., Rostampour, A., Nedaee, N., & Khosrojavid, M. (2017). Effectiveness of cognitive-behavioral education on anxiety during pregnancy and delivery method in primiparous women. Journal of Nursing Education, 5, 24–32.CrossRef
go back to reference Khojasteh, F., Eshteharian Dokht, Z., & Ansari, H. (2018). Comparison of in-person counseling and telephone support on delivery self-efficacy in primiparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 21(9), 26–34. Khojasteh, F., Eshteharian Dokht, Z., & Ansari, H. (2018). Comparison of in-person counseling and telephone support on delivery self-efficacy in primiparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 21(9), 26–34.
go back to reference Khorsandi, M., Jafarabadi, M. A., Jahani, F., & Rafiei, M. (2013). Cultural adaptation and psychometric testing of the short form of Iranian childbirth self-efficacy inventory. Iranian Red Crescent Medical Journal, 15(11), e11741.CrossRefPubMedPubMedCentral Khorsandi, M., Jafarabadi, M. A., Jahani, F., & Rafiei, M. (2013). Cultural adaptation and psychometric testing of the short form of Iranian childbirth self-efficacy inventory. Iranian Red Crescent Medical Journal, 15(11), e11741.CrossRefPubMedPubMedCentral
go back to reference Klabbers, G. A., Wijma, K., Paarlberg, K. M., Emons, W. H., & Vingerhoets, A. J. (2019). Haptotherapy as a new intervention for treating fear of childbirth: A randomized controlled trial. Journal of Psychosomatic Obstetrics and Gynecology, 40(1), 38–47.CrossRefPubMed Klabbers, G. A., Wijma, K., Paarlberg, K. M., Emons, W. H., & Vingerhoets, A. J. (2019). Haptotherapy as a new intervention for treating fear of childbirth: A randomized controlled trial. Journal of Psychosomatic Obstetrics and Gynecology, 40(1), 38–47.CrossRefPubMed
go back to reference Kordi, M., Fasanghari, M., Asgharipour, N., & Esmaily, H. (2016). Effect of a maternal role training program on postpartum maternal role competence in nulliparous women with unplanned pregnancy. Journal of Mazandaran University of Medical Sciences, 25(134), 124–134. Kordi, M., Fasanghari, M., Asgharipour, N., & Esmaily, H. (2016). Effect of a maternal role training program on postpartum maternal role competence in nulliparous women with unplanned pregnancy. Journal of Mazandaran University of Medical Sciences, 25(134), 124–134.
go back to reference Lowe, N. K. (2000). Self-efficacy for labor and childbirth fears in nulliparous pregnant women. Journal of Psychosomatic Obstetrics and Gynecology, 21(4), 219–224.CrossRefPubMed Lowe, N. K. (2000). Self-efficacy for labor and childbirth fears in nulliparous pregnant women. Journal of Psychosomatic Obstetrics and Gynecology, 21(4), 219–224.CrossRefPubMed
go back to reference Ngai, F. W., Chan, S. W. C., & Ip, W. Y. (2009). The effects of a childbirth psychoeducation program on learned resourcefulness, maternal role competence and perinatal depression: A quasi-experiment. International Journal of Nursing Studies, 46(10), 1298–1306.CrossRefPubMed Ngai, F. W., Chan, S. W. C., & Ip, W. Y. (2009). The effects of a childbirth psychoeducation program on learned resourcefulness, maternal role competence and perinatal depression: A quasi-experiment. International Journal of Nursing Studies, 46(10), 1298–1306.CrossRefPubMed
go back to reference Qiu, L., Sun, N., Shi, X., Zhao, Y., Feng, L., Gong, Y., & Yin, X. (2020). Fear of childbirth in nulliparous women: A cross-sectional multicentre study in China. Women and Birth, 33(2), e136–e141.CrossRefPubMed Qiu, L., Sun, N., Shi, X., Zhao, Y., Feng, L., Gong, Y., & Yin, X. (2020). Fear of childbirth in nulliparous women: A cross-sectional multicentre study in China. Women and Birth, 33(2), e136–e141.CrossRefPubMed
go back to reference Rastegari, L., Mohebbi, P., & Mazlomzadeh, S. (2013). The effect of childbirth preparation training classes on perceived self-efficacy in delivery of pregnant women. Journal of Advances in Medical and Biomedical Research, 21(86), 105–115. Rastegari, L., Mohebbi, P., & Mazlomzadeh, S. (2013). The effect of childbirth preparation training classes on perceived self-efficacy in delivery of pregnant women. Journal of Advances in Medical and Biomedical Research, 21(86), 105–115.
go back to reference Rondung, E., Ternström, E., Hildingsson, I., Haines, H. M., Sundin, Ö., Ekdahl, J., Karlström, A., Larsson, B., Segeblad, B., Baylis, R., & Rubertsson, C. (2018). Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: randomized controlled trial. JMIR Mental Health, 5(3), e10420.CrossRefPubMedPubMedCentral Rondung, E., Ternström, E., Hildingsson, I., Haines, H. M., Sundin, Ö., Ekdahl, J., Karlström, A., Larsson, B., Segeblad, B., Baylis, R., & Rubertsson, C. (2018). Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: randomized controlled trial. JMIR Mental Health, 5(3), e10420.CrossRefPubMedPubMedCentral
go back to reference Salehi, K., & Kohan, S. (2017). Maternal-fetal attachment: What we know and what we need to know. International Journal of Pregnancy and Child Birth, 2(5), 146–148. Salehi, K., & Kohan, S. (2017). Maternal-fetal attachment: What we know and what we need to know. International Journal of Pregnancy and Child Birth, 2(5), 146–148.
go back to reference Salmela-Aro, K., Read, S., Rouhe, H., Halmesmäki, E., Toivanen, R. M., Tokola, M. I., & Saisto, T. (2012). Promoting positive motherhood among nulliparous pregnant women with an intense fear of childbirth: RCT intervention. Journal of Health Psychology, 17(4), 520–534.CrossRefPubMed Salmela-Aro, K., Read, S., Rouhe, H., Halmesmäki, E., Toivanen, R. M., Tokola, M. I., & Saisto, T. (2012). Promoting positive motherhood among nulliparous pregnant women with an intense fear of childbirth: RCT intervention. Journal of Health Psychology, 17(4), 520–534.CrossRefPubMed
go back to reference Sawilowsky, S. S. (2009). New effect size rules of thumb. Journal of Modern Applied Statistical Methods, 8(2), 26.CrossRef Sawilowsky, S. S. (2009). New effect size rules of thumb. Journal of Modern Applied Statistical Methods, 8(2), 26.CrossRef
go back to reference Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. Trials, 11(1), 1–8.CrossRef Schulz, K. F., Altman, D. G., & Moher, D. (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. Trials, 11(1), 1–8.CrossRef
go back to reference Stoll, K., Swift, E. M., Fairbrother, N., Nethery, E., & Janssen, P. (2018). A systematic review of nonpharmacological prenatal interventions for pregnancy-specific anxiety and fear of childbirth. Birth, 45(1), 7–18.CrossRefPubMed Stoll, K., Swift, E. M., Fairbrother, N., Nethery, E., & Janssen, P. (2018). A systematic review of nonpharmacological prenatal interventions for pregnancy-specific anxiety and fear of childbirth. Birth, 45(1), 7–18.CrossRefPubMed
go back to reference Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2007). Using multivariate statistics. Pearson. Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2007). Using multivariate statistics. Pearson.
go back to reference Tilden, E. L., Caughey, A. B., Lee, C. S., & Emeis, C. (2016). The effect of childbirth self-efficacy on perinatal outcomes. Journal of Obstetric, Gynecologic and Neonatal Nursing, 45(4), 465–480.CrossRef Tilden, E. L., Caughey, A. B., Lee, C. S., & Emeis, C. (2016). The effect of childbirth self-efficacy on perinatal outcomes. Journal of Obstetric, Gynecologic and Neonatal Nursing, 45(4), 465–480.CrossRef
go back to reference Toohill, J., Fenwick, J., Gamble, J., Creedy, D. K., Buist, A., Turkstra, E., & Ryding, E. L. (2014). A randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. Birth, 41(4), 384–394.CrossRefPubMed Toohill, J., Fenwick, J., Gamble, J., Creedy, D. K., Buist, A., Turkstra, E., & Ryding, E. L. (2014). A randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. Birth, 41(4), 384–394.CrossRefPubMed
go back to reference Waldum, Å. H., Jacobsen, A. F., Lukasse, M., Staff, A. C., Falk, R. S., Vangen, S., & Sørbye, I. K. (2020). The provision of epidural analgesia during labor according to maternal birthplace: A Norwegian register study. BMC Pregnancy and Childbirth, 20, 1–10.CrossRef Waldum, Å. H., Jacobsen, A. F., Lukasse, M., Staff, A. C., Falk, R. S., Vangen, S., & Sørbye, I. K. (2020). The provision of epidural analgesia during labor according to maternal birthplace: A Norwegian register study. BMC Pregnancy and Childbirth, 20, 1–10.CrossRef
go back to reference Wijma, K., Wijma, B., & Zar, M. (1998). Psychometric aspects of the W-DEQ; A new questionnaire for the measurement of fear of childbirth. Journal of Psychosomatic Obstetrics and Gynecology, 19(2), 84–97.CrossRefPubMed Wijma, K., Wijma, B., & Zar, M. (1998). Psychometric aspects of the W-DEQ; A new questionnaire for the measurement of fear of childbirth. Journal of Psychosomatic Obstetrics and Gynecology, 19(2), 84–97.CrossRefPubMed
go back to reference Willson, R., & Branch, R. (2006). Cognitive behavioural therapy for dummies. Wiley. Willson, R., & Branch, R. (2006). Cognitive behavioural therapy for dummies. Wiley.
go back to reference Wulcan, A. C., & Nilsson, C. (2019). Midwives’ counselling of women at specialised fear of childbirth clinics: A qualitative study. Sexual and Reproductive Healthcare, 19, 24–30.CrossRefPubMed Wulcan, A. C., & Nilsson, C. (2019). Midwives’ counselling of women at specialised fear of childbirth clinics: A qualitative study. Sexual and Reproductive Healthcare, 19, 24–30.CrossRefPubMed
Metagegevens
Titel
Exploring the Effect of Cognitive-Behavioral Educations on Childbirth Self-efficacy, Childbirth Fear, and Adaptation of Maternal Role Among Primiparous Women: A Quasi-Experimental Study
Auteurs
Fatemeh Eidouzaei
Leila Amiri-Farahani
Abolfazl Mohammadi
Sally Pezaro
Publicatiedatum
30-07-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 3/2023
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI
https://doi.org/10.1007/s10942-022-00472-0

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