Application of childbirth self-efficacy theory during childbearing of primiparas

Abstract

Objective To explore the application of childbirth self-efficacy theory during childbearing of primiparas. Methods A total of 120 hospitalized primiparas were randomly divided into two groups: control group (routine obstetric nursing) and experimental group (routine obstetric nursing and childbirth self-efficacy nursing) on average. By childbirth self-efficacy scale (CSES), we investigated the primiparous self-efficacy, and analyzed and compared the total stage of labor, cesarean section rate, two hours postpartum hemorrhage and neonatal asphyxia. Results After self-efficacy intervention, the OE-AL of primiparas gained (112.56±17.05) in all dimensional CSES while the score of SE-AL was (102.70±23.88), and the OE-SS was (118.26±23.80) compared with SE-SS (110.42±21.96) in the second stage of labor; all that data higher than those in the control group (t=7.68, 8.65, 6.98, 7.25, respectively; P<0.05). The total stage of labor (452.19±84.20)min and two hours postpartum hemorrhage (183.72±57.78)ml in the experimental group were lower than these in the control group (t=4.87, 4.65, respectively; P<0.05); both rate of cesarean section and neonatal asphyxia were 1.67% lower than these in the control group(χ2=6.95, 3.99, respectively; P<0.05). Conclusions The childbirth self-efficacy scale can measure the childbirth self-efficacy effectively. Enhancing the childbirth self-efficacy intervention Can improve the primipara′s childbirth self-efficacy, shorten the total process, and reduce the rate of cesarean section, amount of two hours postpartum hemorrhage and neonatal asphyxia. Key words: Childbearing; Primipara; Childbirth self-efficacy theory