Hassan, S., Mohamed, S., Ahmed, M., Mahmoud Elgamasy, B., Amein Ghanem, N., Mohamed Mohamed, E. (2024). Effectiveness of Prenatal Counseling Program on Childbirth Fear and Self-efficacy among Primigravidas. Assiut Scientific Nursing Journal, 12(46), 244-254. doi: 10.21608/asnj.2024.313065.1892
Sabah Saleh Hassan; Safaa H Mohamed; Mona R Ahmed; Basma Said Mahmoud Elgamasy; Naglaa Mohammed Amein Ghanem; Eman Asran Mohamed Mohamed. "Effectiveness of Prenatal Counseling Program on Childbirth Fear and Self-efficacy among Primigravidas". Assiut Scientific Nursing Journal, 12, 46, 2024, 244-254. doi: 10.21608/asnj.2024.313065.1892
Hassan, S., Mohamed, S., Ahmed, M., Mahmoud Elgamasy, B., Amein Ghanem, N., Mohamed Mohamed, E. (2024). 'Effectiveness of Prenatal Counseling Program on Childbirth Fear and Self-efficacy among Primigravidas', Assiut Scientific Nursing Journal, 12(46), pp. 244-254. doi: 10.21608/asnj.2024.313065.1892
Hassan, S., Mohamed, S., Ahmed, M., Mahmoud Elgamasy, B., Amein Ghanem, N., Mohamed Mohamed, E. Effectiveness of Prenatal Counseling Program on Childbirth Fear and Self-efficacy among Primigravidas. Assiut Scientific Nursing Journal, 2024; 12(46): 244-254. doi: 10.21608/asnj.2024.313065.1892
Effectiveness of Prenatal Counseling Program on Childbirth Fear and Self-efficacy among Primigravidas
1Assistant Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Minia University. Egypt.
2Assistant Professor of Obstetric and Gynecological Nursing Department, College of health science, Al Rayan National College, Medinah, Al Munawwarah, Saudi Arabia, Faculty of Nursing, Assuit University, Egypt.
3Lecturer of Maternal & Newborn Health Nursing, Faculty of Nursing, Assuit University, Egypt
4Lecturer of Maternal & Newborn Health Nursing, Faculty of Nursing, Cairo University, Egypt.
5Assistant Professor of Community Health Nursing Department, Faculty of Nursing, Minia University, Egypt.
6Lecturer of Psychiatric and Mental Health Nursing, Faculty of Nursing, Damanhur University, Egypt.
Abstract
Background: Fear of childbirth (FOC) is becoming more widely acknowledged as a critical psychological health issue among expectant mothers worldwide. Aim: To assess effectiveness of prenatal counseling program on improving childbirth fear and self-efficacy among primigravida women. Design: A pre- and post-test randomized controlled design with two groupings that are parallel was utilized. Setting: The research was conducted at the department of Obstetrics and Gynecology antenatal clinic at Damanhur Educational Hospital. Subjects: A purposive sample of 120 primigravidas was involved (60 in each group). Tools: Four tools were employed in the process of gathering data. Tool (I) Structured interviewing questionnaire, Tool (II): Wijma Delivery Expectancy/ Experience Questionnaire (WDEQ-A), Tool (III) Childbirth Self-Efficacy Inventory (CBSEI), Tool (IV) Childbirth preference. Results: The study group has lower childbirth fear with a mean of 51.7±19.3 compared to the control group mean of 84.1±24.7 and higher childbirth self-efficacy with a mean of 247.9±26.6 compared with the control group mean of 213.8± 32.8.Conclusion: There was an improvement in childbirth fear and childbirth self-efficacy among primigravidas following the counseling program that promoting preference of vaginal delivery over cesarean section. Recommendations: Prenatal counseling about labor and birthing process should be integrated into routine prenatal care among primigravidas.