Preferred ways of giving birth in non-pregnant and pregnant nulliparous women: the role of control beliefs

Purpose To explore the association between delivery-specific, health-related control beliefs and preferred ways of delivery in nulliparous Hungarian women. Moreover, since data about the delivery-specific control beliefs and delivery-related preferences of non-pregnant nulliparous women are lacking,...

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Main Authors: Tamás Martos, Viola Sallay, Beatrix Rafael, Barna Konkolÿ Thege
Format: Article
Language:English
Published: Taylor & Francis Group 2021-07-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:http://dx.doi.org/10.1080/0167482X.2019.1710486
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author Tamás Martos
Viola Sallay
Beatrix Rafael
Barna Konkolÿ Thege
author_facet Tamás Martos
Viola Sallay
Beatrix Rafael
Barna Konkolÿ Thege
author_sort Tamás Martos
collection DOAJ
description Purpose To explore the association between delivery-specific, health-related control beliefs and preferred ways of delivery in nulliparous Hungarian women. Moreover, since data about the delivery-specific control beliefs and delivery-related preferences of non-pregnant nulliparous women are lacking, the present study also seeks to provide descriptive information in this regard. Methods A total of 984 Hungarian nulliparous women (26.45 ± 5.42 years; 660/77.2% non-pregnant and 224/22.8% pregnant) were included in the present study. The online assessment included measures of delivery-specific (internal-, healthcare professional-, and chance-related) health control beliefs, fears of childbirth, self-esteem, as well as preferences regarding delivery setting (i.e. spontaneous vaginal birth in hospital, planned cesarean birth and home birth). Results Healthcare professional-related control beliefs were associated with a stronger preference for spontaneous vaginal birth in hospital (OR = 1.87, 95% CI: 1.56–2.23) and planned cesarean birth (OR = 1.96, 95% CI: 1.60–2.40), alongside a weaker preference for home birth (OR = 0.31, 95% CI: 0.25–0.39). In contrast, internal delivery-specific control beliefs predicted a weaker preference for planned cesarean (OR = 0.66, 95% CI: 0.55–0.78) and a stronger preference for home birth (OR = 1.63, 95% CI: 1.33–2.00). A general preference index for medicalized ways of delivery was negatively associated with internal – and positively with healthcare professional – and chance-related control beliefs (βs = −.173, .074 and .445, respectively). Conclusions Delivery-related control beliefs are important psychological characteristics in the prediction of preferences for ways of delivery. Understanding delivery-specific control beliefs may be an important component of supporting women to give birth in a mentally and physically healthy way.
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spelling doaj.art-bac1733deb914eea93042d5a4eabe4c02023-09-14T12:44:01ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422021-07-0142320121110.1080/0167482X.2019.17104861710486Preferred ways of giving birth in non-pregnant and pregnant nulliparous women: the role of control beliefsTamás Martos0Viola Sallay1Beatrix Rafael2Barna Konkolÿ Thege3Institute of Psychology, University of SzegedInstitute of Psychology, University of SzegedInstitute of Psychology, University of SzegedWaypoint Research Institute, Waypoint Centre for Mental Health CarePurpose To explore the association between delivery-specific, health-related control beliefs and preferred ways of delivery in nulliparous Hungarian women. Moreover, since data about the delivery-specific control beliefs and delivery-related preferences of non-pregnant nulliparous women are lacking, the present study also seeks to provide descriptive information in this regard. Methods A total of 984 Hungarian nulliparous women (26.45 ± 5.42 years; 660/77.2% non-pregnant and 224/22.8% pregnant) were included in the present study. The online assessment included measures of delivery-specific (internal-, healthcare professional-, and chance-related) health control beliefs, fears of childbirth, self-esteem, as well as preferences regarding delivery setting (i.e. spontaneous vaginal birth in hospital, planned cesarean birth and home birth). Results Healthcare professional-related control beliefs were associated with a stronger preference for spontaneous vaginal birth in hospital (OR = 1.87, 95% CI: 1.56–2.23) and planned cesarean birth (OR = 1.96, 95% CI: 1.60–2.40), alongside a weaker preference for home birth (OR = 0.31, 95% CI: 0.25–0.39). In contrast, internal delivery-specific control beliefs predicted a weaker preference for planned cesarean (OR = 0.66, 95% CI: 0.55–0.78) and a stronger preference for home birth (OR = 1.63, 95% CI: 1.33–2.00). A general preference index for medicalized ways of delivery was negatively associated with internal – and positively with healthcare professional – and chance-related control beliefs (βs = −.173, .074 and .445, respectively). Conclusions Delivery-related control beliefs are important psychological characteristics in the prediction of preferences for ways of delivery. Understanding delivery-specific control beliefs may be an important component of supporting women to give birth in a mentally and physically healthy way.http://dx.doi.org/10.1080/0167482X.2019.1710486delivery-related preferencesdelivery-related control beliefsnulliparous womenfear of childbirth
spellingShingle Tamás Martos
Viola Sallay
Beatrix Rafael
Barna Konkolÿ Thege
Preferred ways of giving birth in non-pregnant and pregnant nulliparous women: the role of control beliefs
Journal of Psychosomatic Obstetrics and Gynecology
delivery-related preferences
delivery-related control beliefs
nulliparous women
fear of childbirth
title Preferred ways of giving birth in non-pregnant and pregnant nulliparous women: the role of control beliefs
title_full Preferred ways of giving birth in non-pregnant and pregnant nulliparous women: the role of control beliefs
title_fullStr Preferred ways of giving birth in non-pregnant and pregnant nulliparous women: the role of control beliefs
title_full_unstemmed Preferred ways of giving birth in non-pregnant and pregnant nulliparous women: the role of control beliefs
title_short Preferred ways of giving birth in non-pregnant and pregnant nulliparous women: the role of control beliefs
title_sort preferred ways of giving birth in non pregnant and pregnant nulliparous women the role of control beliefs
topic delivery-related preferences
delivery-related control beliefs
nulliparous women
fear of childbirth
url http://dx.doi.org/10.1080/0167482X.2019.1710486
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AT beatrixrafael preferredwaysofgivingbirthinnonpregnantandpregnantnulliparouswomentheroleofcontrolbeliefs
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