Gözde Gökçe İsbir1, Figen İnci2, Hatice Önal3, Pelin Dıkmen Yıldız4. 1. Department of Midwifery, Nigde University Nigde Zubeyde Hanım School of Health, 51200 Niğde, Türkiye. Electronic address: gozdegokce@gmail.com. 2. Department of Nursing(,) Nigde University Nigde Zubeyde Hanım School of Health, 51200 Niğde, Türkiye. Electronic address: figeninci@gmail.com. 3. Department of Nursing(,) Nigde University Nigde Zubeyde Hanım School of Health, 51200 Niğde, Türkiye. Electronic address: hatonal@hotmail.com. 4. School of Health Sciences, City University London, London, United Kingdom. Electronic address: Pelin.Dikmen.1@city.ac.uk.
Abstract
BACKGROUND: Fear of birth and low childbirth self-efficacy is predictive of post-traumatic stress disorder symptoms following childbirth. The efficacy of antenatal education classes on fear of birth and childbirth self-efficacy has been supported; however, the effectiveness of antenatal classes on post-traumatic stress disorder symptoms after childbirth has received relatively little research attention. PURPOSE: This study examined the effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder symptoms following childbirth. DESIGN: Quasi-experimental study. METHODS: The study was conducted in a city located in the Middle Anatolia region of Turkey and data were collected between December 2013 and May 2015. Two groups of women were compared-an antenatal education intervention group (n=44), and a routine prenatal care control group (n=46). The Wijma Delivery Expectancy/Experience Questionnaire, Version A and B, Childbirth Self-efficacy Inventory and Impact of Event Scale-Revised was used to assess fear of childbirth, maternal self-efficacy and PTSD symptoms following childbirth. RESULTS: Compared to the control group, women who attended antenatal education had greater childbirth self-efficacy, greater perceived support and control in birth, and less fear of birth and post-traumatic stress disorder symptoms following childbirth (all comparisons, p<0.05). CONCLUSIONS: Antenatal education appears to alleviate post-traumatic stress disorder symptoms after childbirth.
BACKGROUND: Fear of birth and low childbirth self-efficacy is predictive of post-traumatic stress disorder symptoms following childbirth. The efficacy of antenatal education classes on fear of birth and childbirth self-efficacy has been supported; however, the effectiveness of antenatal classes on post-traumatic stress disorder symptoms after childbirth has received relatively little research attention. PURPOSE: This study examined the effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder symptoms following childbirth. DESIGN: Quasi-experimental study. METHODS: The study was conducted in a city located in the Middle Anatolia region of Turkey and data were collected between December 2013 and May 2015. Two groups of women were compared-an antenatal education intervention group (n=44), and a routine prenatal care control group (n=46). The Wijma Delivery Expectancy/Experience Questionnaire, Version A and B, Childbirth Self-efficacy Inventory and Impact of Event Scale-Revised was used to assess fear of childbirth, maternal self-efficacy and PTSD symptoms following childbirth. RESULTS: Compared to the control group, women who attended antenatal education had greater childbirth self-efficacy, greater perceived support and control in birth, and less fear of birth and post-traumatic stress disorder symptoms following childbirth (all comparisons, p<0.05). CONCLUSIONS: Antenatal education appears to alleviate post-traumatic stress disorder symptoms after childbirth.
Authors: Luísa M M Fernandes; Sônia Lansky; Bernardo J Oliveira; Amélia A L Friche; Christine T Bozlak; Benjamin A Shaw Journal: BMC Pregnancy Childbirth Date: 2020-05-05 Impact factor: 3.007