Effect of a Childbirth Psychoeducation Program on the Level of Fear of Childbirth in Primigravid Women

Journal of Evidence-Based Care

Shahed Masoudi¹  Masoumeh Kordi²  Habibolah Esmaily³  Mohaddeseh Bakhshi⁴ 

[1] Assistant Professor of Clinical Psychology, Department of Clinical Psychology Quchan Branch, Islamic Azad University, Quchan, Iran;Assistant Professor of Midwifery, Evidence Based Care Research Center,School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;Associate Professor, Department of Biostatistics and Health Sciences Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran;Instructor of Midwifery, Department of Midwifery, Quchan Branch, Islamic Azad University, Quchan, Iran;

关键词: Education;    Fear;    Natural delivery;   

DOI  :  10.22038/ebcj.2017.25676.1575

来源: DOAJ

【 摘 要 】

Background: Severe fear of childbirth (FOC) is the most important cause of elective and emergency cesarean section and results in an unpleasant experience among women. Implementing a psychoeducational program can promote mothers’ knowledge and reduce the FOC. Aim: the aim of this study was to determine the effect of childbirth psychoeducational program on the FOC intensity in primigravid women. Method: This randomized clinical trial was conducted on 122 primigravid women with a gestational age of 14 to 28 weeks referred to healthcare centers of Mashhad, Iran, during 2015-2016. The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), versions A and B, was used for the data collection. The subjects had the FOC scores of 66 or higher based on the W-DEQ, version A. The women in the intervention group received the psychoeducational program for three weeks (one 90-minute session per week) by a clinical psychologist; however, the control group underwent the routine prenatal care. The FOC intensity was reassessed using W-DEQ, version B, six weeks postpartum in both groups. Data analysis was performed in SPSS, version 20, using Mann-Whitney U and Wilcoxon tests. Results: The mean age of the subjects was 23.2±3.6 and 24.2±4.4 years in the intervention and control groups, respectively. After the intervention, the Mann-Whitney U test demonstrated a significant difference between the intervention (83.5±21.7) and control (92.6±18.4) groups regarding the mean FOC score (P=0.001). Implications for Practice: The childbirth psychoeducational program could diminish the FOCin primigravid women with severe FOC. We recommend midwives and expert psychologists to incorporate psychoeducational programs in childbirth classes.

【 授权许可】

Unknown