The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous women

BACKGROUND: Pregnancy anxiety is associated with a diverse birth outcomes. Mothers' education could have a critical role in increasing their self-efficacy to defeat their anxiety and improve pregnancy and child birth outcomes. The study was conducted to examine the effect of intervention based...

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Main Authors: Narges Gandomi, Gholamreza Sharifzadeh, Marzieh Torshizi, Ensiyeh Norozi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=14;epage=14;aulast=Gandomi
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author Narges Gandomi
Gholamreza Sharifzadeh
Marzieh Torshizi
Ensiyeh Norozi
author_facet Narges Gandomi
Gholamreza Sharifzadeh
Marzieh Torshizi
Ensiyeh Norozi
author_sort Narges Gandomi
collection DOAJ
description BACKGROUND: Pregnancy anxiety is associated with a diverse birth outcomes. Mothers' education could have a critical role in increasing their self-efficacy to defeat their anxiety and improve pregnancy and child birth outcomes. The study was conducted to examine the effect of intervention based on self-efficacy theory on pregnancy anxiety and child birth outcomes. MATERIALS AND METHODS: The study was conducted as a quasi-experimental design on 60primiparous women (26–28 weeks) in Birjand (East Iranian province) from May to September 2017, who were randomly divided into intervention and control groups. The intervention group received 8 sessions of 90-min educational intervention based on self-efficacy theory strategies besides the routine prenatal care. Vanden Bergh's pregnancy anxiety questionnaire and checklist of pregnancy and delivery outcomes were used for data collection. RESULTS: The level of pregnancy anxiety was similar in both groups before the intervention, but immediately and 1 month after the intervention, the mean score of pregnancy anxiety significantly reduced in the intervention group and significantly increased in the control group (P < 0.001). There was a significant difference in mean neonatal weight (P < 0.001) between the two groups. Emergency and elective cesarean section were significantly lower in the intervention group compared to the control group (P < 0.001), but there were no significant differences in the frequency of preterm delivery between two groups (P < 0.05). CONCLUSION: The results provide support for the effectiveness of intervention based on self-efficacy theory in reducing pregnancy anxiety and enhancing positive pregnancy outcomes. Hence, theory-based educational interventions may serve as a cost-effective and noninvasive approach to reduce pregnancy anxiety in Iran.
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spelling doaj.art-a6be211a783f4cd1af5567415818079a2022-12-22T00:07:47ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312022-01-01111141410.4103/jehp.jehp_1548_20The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous womenNarges GandomiGholamreza SharifzadehMarzieh TorshiziEnsiyeh NoroziBACKGROUND: Pregnancy anxiety is associated with a diverse birth outcomes. Mothers' education could have a critical role in increasing their self-efficacy to defeat their anxiety and improve pregnancy and child birth outcomes. The study was conducted to examine the effect of intervention based on self-efficacy theory on pregnancy anxiety and child birth outcomes. MATERIALS AND METHODS: The study was conducted as a quasi-experimental design on 60primiparous women (26–28 weeks) in Birjand (East Iranian province) from May to September 2017, who were randomly divided into intervention and control groups. The intervention group received 8 sessions of 90-min educational intervention based on self-efficacy theory strategies besides the routine prenatal care. Vanden Bergh's pregnancy anxiety questionnaire and checklist of pregnancy and delivery outcomes were used for data collection. RESULTS: The level of pregnancy anxiety was similar in both groups before the intervention, but immediately and 1 month after the intervention, the mean score of pregnancy anxiety significantly reduced in the intervention group and significantly increased in the control group (P < 0.001). There was a significant difference in mean neonatal weight (P < 0.001) between the two groups. Emergency and elective cesarean section were significantly lower in the intervention group compared to the control group (P < 0.001), but there were no significant differences in the frequency of preterm delivery between two groups (P < 0.05). CONCLUSION: The results provide support for the effectiveness of intervention based on self-efficacy theory in reducing pregnancy anxiety and enhancing positive pregnancy outcomes. Hence, theory-based educational interventions may serve as a cost-effective and noninvasive approach to reduce pregnancy anxiety in Iran.http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=14;epage=14;aulast=Gandomianxietyeducationpregnancypregnancy outcomeself-efficacy
spellingShingle Narges Gandomi
Gholamreza Sharifzadeh
Marzieh Torshizi
Ensiyeh Norozi
The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous women
Journal of Education and Health Promotion
anxiety
education
pregnancy
pregnancy outcome
self-efficacy
title The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous women
title_full The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous women
title_fullStr The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous women
title_full_unstemmed The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous women
title_short The effect of educational intervention based on self-efficacy theory on pregnancy anxiety and childbirth outcomes among Iranian primiparous women
title_sort effect of educational intervention based on self efficacy theory on pregnancy anxiety and childbirth outcomes among iranian primiparous women
topic anxiety
education
pregnancy
pregnancy outcome
self-efficacy
url http://www.jehp.net/article.asp?issn=2277-9531;year=2022;volume=11;issue=1;spage=14;epage=14;aulast=Gandomi
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