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Paper Information

Journal:   JOURNAL OF MEDICAL COUNCIL OF I.R.I.   SPRING 2008 , Volume 26 , Number 1; Page(s) 89 To 95.
 
Paper: 

SURVEY STUDY OF CHILDBIRTH SELF EFFICACY AMONG PREGNANT WOMEN

 
 
Author(s):  KHOURSANDI M.*, GHOFRANIPOUR F.A., HEYDARNIA ALI REZA, FAGHIHZADEH S., AKBARZADEH A.R., VAFAEI M.
 
* ARAK UNIVERSITY OF MEDICAL SCIENCES
 
Abstract: 

Aim: To determine childbirth self efficacy among the pregnant women referred to a prenatal care clinic.
Background: Self-efficacy – certainly of concern during labor – involves an individual’s evaluation of her/his capabilities to cope with stressful situations and perform required behaviors. Before any event, self efficacy predicts how much one attempts for coping with labor and how long continues his/her effort. Researchers have indicated that women with low self efficacy assume normal delivery as an inaccessible event, and experience high level of fear during their pregnancy. Considering the importance of self efficacy in choosing normal vaginal delivery and coping with childbirth fear, it is necessary to determine the level of self efficacy among pregnant women. This can provide basic knowledge for suitable educational interventions to promote childbirth self efficacy.
Methods: The present cross-sectional study was carried out on 176 pregnant women admitted to some OB/GYN clinics. These clinics were randomly selected from teaching and governmental OB/GYN hospitals. To establish construct validity of the CBSEI, exploratory factor analysis (EFA) was performed. To test reliability, internal consistency was assessed by Cronbach's alpha coefficient.
Findings: Results indicated that childbirth self efficacy has a high internal consistency of about 0.84-0.91. There were statistically significant differences between the outcome-AL and efficacy-AL for active labor (t (171) = 7.543, 95% CI = 12.63-21.58, P<0.001), and between the outcome-SS and efficacy-SS for second stage of labor (t (167) =8, 7681, 95% CI = 16.12 - 25.49, P<0.001).
Conclusion: This study confirms the role of childbirth self efficacy as an important factor in coping with the pain of labor.

 
Keyword(s): SELF EFFICACY, CHILDBIRTH FEAR, VALIDITY, RELIABILITY
 
References: 
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