Fostering childbirth education on upright positions and mobility during labor in nulliparous women
Abstract Background Upright labor positions and movement during labor have a positive effect on childbirth, yet the predominant labor positions are still horizontal. Therefore, it is important to explore how it is possible to improve childbirth education, particularly its instructional design, to st...
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-06166-4 |
| _version_ | 1797387999141429248 |
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| author | Hanna Borer Ilana Dubovi |
| author_facet | Hanna Borer Ilana Dubovi |
| author_sort | Hanna Borer |
| collection | DOAJ |
| description | Abstract Background Upright labor positions and movement during labor have a positive effect on childbirth, yet the predominant labor positions are still horizontal. Therefore, it is important to explore how it is possible to improve childbirth education, particularly its instructional design, to strengthen women’s self-efficacy toward the use of upright positions and mobility during labor. The aim of the study was to evaluate the impact of an instructional approach based on a cognitive engagement ICAP (Interactive, Constructive, Active, Passive) framework on the development of knowledge, attitudes, and self-efficacy expectations toward upright positions and mobility during labor. Methods A prospective quasi-experimental study was conducted among nulliparous women from the ultra-orthodox Jewish community (n = 74). While the control group (n = 34) participated in routine childbirth education, the intervention group (n = 36) learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy. Results The post-test analysis revealed that women in the intervention group compared to the control group gained significantly higher knowledge scores (p < 0.05), more positive attitudes (p < 0.001), and stronger self-efficacy expectations toward upright positions and mobility during labor (p < 0.01). Conclusions The findings suggest that by fostering women’s cognitive engagement levels during childbirth education toward the interactive and constructive modes of the ICAP framework, women’s self-efficacy to move during labor and to use upright positions can be induced. These results can serve as a foundation to improve the overall effectiveness of childbirth instruction. Trial registration The study was registered retrospectively. |
| first_indexed | 2024-03-08T22:34:19Z |
| format | Article |
| id | doaj.art-6adb78a7e0914963965f782036ba1111 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-08T22:34:19Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-6adb78a7e0914963965f782036ba11112023-12-17T12:32:58ZengBMCBMC Pregnancy and Childbirth1471-23932023-12-0123111010.1186/s12884-023-06166-4Fostering childbirth education on upright positions and mobility during labor in nulliparous womenHanna Borer0Ilana Dubovi1Nursing Department, Faculty of Medicine, The Stanley Steyer School of Health Professions, Tel Aviv UniversityNursing Department, Faculty of Medicine, The Stanley Steyer School of Health Professions, Tel Aviv UniversityAbstract Background Upright labor positions and movement during labor have a positive effect on childbirth, yet the predominant labor positions are still horizontal. Therefore, it is important to explore how it is possible to improve childbirth education, particularly its instructional design, to strengthen women’s self-efficacy toward the use of upright positions and mobility during labor. The aim of the study was to evaluate the impact of an instructional approach based on a cognitive engagement ICAP (Interactive, Constructive, Active, Passive) framework on the development of knowledge, attitudes, and self-efficacy expectations toward upright positions and mobility during labor. Methods A prospective quasi-experimental study was conducted among nulliparous women from the ultra-orthodox Jewish community (n = 74). While the control group (n = 34) participated in routine childbirth education, the intervention group (n = 36) learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy. Results The post-test analysis revealed that women in the intervention group compared to the control group gained significantly higher knowledge scores (p < 0.05), more positive attitudes (p < 0.001), and stronger self-efficacy expectations toward upright positions and mobility during labor (p < 0.01). Conclusions The findings suggest that by fostering women’s cognitive engagement levels during childbirth education toward the interactive and constructive modes of the ICAP framework, women’s self-efficacy to move during labor and to use upright positions can be induced. These results can serve as a foundation to improve the overall effectiveness of childbirth instruction. Trial registration The study was registered retrospectively.https://doi.org/10.1186/s12884-023-06166-4ICAP frameworkCognitive engagementChildbirth educationUpright positionsLaborMobility |
| spellingShingle | Hanna Borer Ilana Dubovi Fostering childbirth education on upright positions and mobility during labor in nulliparous women BMC Pregnancy and Childbirth ICAP framework Cognitive engagement Childbirth education Upright positions Labor Mobility |
| title | Fostering childbirth education on upright positions and mobility during labor in nulliparous women |
| title_full | Fostering childbirth education on upright positions and mobility during labor in nulliparous women |
| title_fullStr | Fostering childbirth education on upright positions and mobility during labor in nulliparous women |
| title_full_unstemmed | Fostering childbirth education on upright positions and mobility during labor in nulliparous women |
| title_short | Fostering childbirth education on upright positions and mobility during labor in nulliparous women |
| title_sort | fostering childbirth education on upright positions and mobility during labor in nulliparous women |
| topic | ICAP framework Cognitive engagement Childbirth education Upright positions Labor Mobility |
| url | https://doi.org/10.1186/s12884-023-06166-4 |
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