Self-efficacy in pregnant women with severe fear of childbirth
2013 (English)In: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 42, no 2, 191-202 p.Article in journal (Other academic) Published
Objective: To apply and test the concept of childbirth self-efficacy to expectations of the upcoming birth in the context of severe fear of childbirth (SFOC).
Design: Qualitative study using semi-structured interviews.
Setting: A region in the southeast of Sweden
Participants: Nulliparous pregnant women (n=17) with SFOC.
Method: The interviews were analysed according to content analysis, using deductive and inductive approaches. The seven domains of the childbirth self-efficacy inventory (CBSEI) made up the matrix for the deductive analysis.
Results: Behaviours for coping with labour and childbirth were related to six domains of childbirth self-efficacy; “concentration”, “support”, “control”, “ motor/relaxation”, “selfencouragement” and “breathing”. Most of these behaviours referred to capabilities to carry out (self-efficacy expectancy) rather than to beliefs in effectiveness (outcome expectancy). Five additional sub-domains representing defined childbirth self-efficacy were identified; “guidance”, “the body controls”, “the professionals´ control”, “reliance” and ‘fatalism’.
Conclusion: The domains of childbirth self-efficacy have been deepened and expanded in relation to SFOC. It is imperative to identify pregnant women with SFOC and their efficacy beliefs in order to help them find appropriate coping behaviours prior to the onset of labour, and furthermore these behaviours must be supported by healthcare professionals during labour and childbirth. Support in the form of verbal persuasion emanating from the subdomains of childbirth self-efficacy ought to be added.
Place, publisher, year, edition, pages
John Wiley & Sons , 2013. Vol. 42, no 2, 191-202 p.
CBSEI, content analysis, fear of childbirth, qualitative study, self-efficacy
IdentifiersURN: urn:nbn:se:liu:diva-85649DOI: 10.1111/1552-6909.12024ISI: 000316279500010OAI: oai:DiVA.org:liu-85649DiVA: diva2:572237