Evaluation of Antenatal Education on Fear of ChildBirth, Depression, Anxiety, Maternal Self-Efficacy, and Delivery Mode in Primiparous Pregnant Women: A Prospective Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 6
- 主要终点
- The Wijma Delivery Expectancy/Experience Questionnaire B version (W-DEQ-B)
研究概览
简要总结
The aim of this study was to investigate the effects of antenatal education on birth fear, depression, anxiety, stress, maternal self-efficacy, and mode of delivery in primiparous pregnant women
详细描述
There is still a lack of evidence regarding the effects of antenatal education on birth fear, maternal self-efficacy, anxiety, stress, depression, and mode of delivery. Therefore, this study aimed to investigate the effects of antenatal education on birth fear, anxiety, stress, depression, maternal self-efficacy, and mode of delivery
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Childbirth at fullterm (born at 38-42 weeks)
- •Nulliparous women
- •Women between the ages of 18-35
- •Singleton pregnancy in 20 and 36 weeks of gestation
- •Having a healthy newborn
- •No participation in another prenatal program
- •Absence of any psychiatric illness or comorbidities
- •No use medications for a diagnosed mental disorder
- •Baby with normal birth weight and APGAR score of 8 and above
- •Women who have not developed postpartum complications
- •Women without complicated/high-risk pregnancies, who do not experience a perinatal death or stillbirth
- •Speaks and understands Turkish
- •Women with a total fear of childbirth score W-DEQ-A ≥60 will be included.
- •Women who give birth through vaginal route
排除标准
- •Women who do not meet the sample selection criteria
结局指标
主要结局
The Wijma Delivery Expectancy/Experience Questionnaire B version (W-DEQ-B)
时间窗: 6-8 weeks postpartum
W-DEQ- B was developed by Wijma et al. to determine postpartum feelings and thoughts about the fear of women who gave vaginal birth (1998). The scale consists of a total of 33 6-point Likert-type questions. Each item is defined as 1 with a score between 1-6 and 6 as none. The minimum score on the scale is 33, while the maximum score is 198. The higher the scores, the higher the fear of birth experienced by women
Perceived Stress Scale (PSS)
时间窗: 6-8 weeks postpartum
The scale developed by Cohen, Kamarck and Mermelstein (1983) and its Turkish adaptation was carried out by Eskin, Harlak, Demirkıran and Dereboy (2013), which aims to measure how stressful some situations in a person's life are perceived, consists of 14 items. The "Perceived Stress Scale" consists of the dimensions of "Perception of Inadequate Self-Efficacy" and "Perception of Stress/Discomfort". Participants evaluated each item on a 5-point Likert-type scale ranging from "Never (0)" to "Very often (4)". The internal consistency coefficient of the Turkish scale was 0.84 and the test-retest reliability was 0.87.
Warwick-Edinburgh Mental Well-being Scale (WEMWBS)
时间窗: 6-8 weeks postpartum
The Turkish adaptation of the scale, developed in 2007 by Tennant et al., was done by Keldal in 2015. It is a five-point Likert-type scale, including 14 items. The lowest and the highest scores are 14 and 70 points. High scores indicate high mental wellbeing. Cronbach's alpha value of the scale was determined as 0.89
Multidimensional Scale of Perceived Social Support (MSPSS)
时间窗: 6-8 weeks postpartum
The scale developed by Zimet et al. in 1988 and Turkish adaptation, validity and reliability studies were carried out by Eker, Arkar, and Yaldız (2001). The MSPSS is a 12-item scale, and includes 3 groups about the source of support, each of which consisting of 4 items, which are family, friend, and a special person. In the Cronbach's Alpha Method that was used to measure the internal consistency, values were found to be between 0.80 and 0.95
Wijma Delivery Expectancy/ Experience Questionnaire (W-DEQ- A)
时间窗: at 20 to 36 weeks gestational age
The scale was developed by Klaas and Barbro Wijma to measure the fear of childbirth and its Turkish adaptation and validity and reliability were conducted by Körükçü, Kukulu, and Fırat (2012, 2018). The scale consists of 33 items and the answers are enumerated between 0 and 5 as a 6-item liker scale, in which 0 means "completely" and 5 means "none". The range of the total score of the scale is between 0 and 165. The higher the scores, the higher the fear of birth experienced by women
次要结局
未报告次要终点
研究者
Leyla Kaya
Principal Investigator
Saglik Bilimleri Universitesi