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The Effects of Childbirth Self‐Efficacy and Anxiety During Pregnancy on Prehospitalization Labor
Abstract
Objective To describe levels of anxiety and self-efficacy for childbirth in nulliparous women during the late third trimester and to identify relationships among those variables, prehospitalization labor pain, management strategies, and hospital admission status.Design A longitudinal, descriptive study.Participants Thirty-five English-speaking nulliparous women, 18 to 40 years of age, more than or equal to 38 week's gestation, with uncomplicated pregnancies. All participants had a significant other (husband or partner) and attended childbirth education programs.Main outcome measures Spielberger Trait Anxiety Inventory, Prenatal Self-Evaluation Questionnaire, Childbirth Self-Efficacy Inventory, McGill Pain Questionnaire-Short Form, postpartum interviews, and medical records review.Results Prenatal anxiety was significantly related to self-efficacy for childbirth in late pregnancy, labor pain, number of hours at home in labor, and admitting cervical dilation. The number of management strategies used was related to pain scores during labor before hospital admission. Women who spent longer periods of time at home in labor arrived at the hospital with a greater cervical dilation.Conclusions Antenatal characteristics influence intrapartal outcomes in nulliparas. Labor environment, at home and in the hospital, is recognized as an important component of the first childbirth experience.
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“Although findings are not coherent [62], previous research suggests that FOB during pregnancy might be positively correlated with the experience of pain during childbirth [63,64], longer birth duration [65-67], and a more negative rating of the overall birth experience [4,5].”
From Comparing internet-based cognitive behavioral therapy with standard care for women with fear of birth: Randomized controlled trial (2018) · cites this paper as [63]
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Cited by
Sorted by citations
The meaning of a very positive birth experience: focus groups discussions with women
Karlström, A., Nystedt, A., & Hildingsson, I. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0683-0 · Cited by 304
“Related to childbirth, Lowe [17] developed the Childbirth Women Selfefficacy Inventory, which has been used in several studies [18, 19].”
MethodChildbirth Fear, Anxiety, Fatigue, and Sleep Deprivation in Pregnant Women
Hall, W. A., Hauck, Y. L., Carty, E. M., Hutton, E. K., Fenwick, J., & Stoll, K. H. (2009) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2009.01054.x · Cited by 279
Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment
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“lower confidence in one's own capability to perform helpful behaviours during labour) was associated with higher anxiety and fear of childbirth (Beebe et al., 2007; Salomonsson et al., 2013).”
BackgroundPsychological perspectives on fear of childbirth
Rondung, E., Thomtén, J., & Sundin, Ö. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.10.007 · Cited by 200
Çankaya, S., & Şimşek, B. (2020) · Clinical Nursing Research · doi:10.1177/1054773820916984 · Cited by 192
“There was a significant negative correlation of anxiety level with childbirth self-efficacy, and also between the ways of coping with the delivery process and the severity of birth pain (Beebe et al., 2007).”
Background
Metadata
- Authors
- Beebe, K. R., Lee, K. A., Carrieri‐Kohlman, V., & Humphreys, J.
- Affiliations
- Dominican University of California (US)
- University of California, San Francisco (US)
- Corresponding author
- Beebe, Kathleen R.
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 36
- Issue
- 5
- Pages
- 410-418
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- OpenAlex
- W2169690232
- Cited by
- 142
- References
- 45
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 10 · 2023: 14 · 2022: 3 · 2021: 12 · 2020: 7 · 2019: 28 · 2018: 7 · 2017: 5 · 2016: 9 · 2015: 8 · 2014: 8 · 2013: 7 · 2012: 3
- FWCI
- 4.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- childbirth self-efficacy, prenatal anxiety, nulliparous women, labor pain, hospitalization, cervical dilatation, intrapartum outcomes, childbirth education, work environment
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Analysis of Variance, Anxiety, Attitude to Health, Female, Humans, Labor, Obstetric, Longitudinal Studies, Pain Measurement, Parity, Pregnancy, Pregnancy Complications, Pregnancy Trimester, Third, Surveys and Questionnaires, Risk Factors, San Francisco, Self Care, Severity of Illness Index, Nursing Methodology Research, Self Efficacy, Parturition, Pregnant People, Pregnant Women, Labor Pain
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