Abstract

Background: The self-efficacy of the woman during labor influences its perception and affects her satisfaction with the childbirth experience. Several studies have shown that childbirth preparation classes need to integrate and reinforce this concept. Objective: To assess the effectiveness of the Build Trust to Childbirth programme in the perception of labor self-efficacy of pregnant women. Methodology: Longitudinal, quasi-experimental study, with pre- and post-test with repeated measures. Conducted in an institution of northern Portugal. Sample of 66 pregnant women in the experimental group and 55 in the control group. The Childbirth Self-Efficacy Inventory was used. Results: The self-efficacy expectations increased very significantly over time in the experimental group (F(1.81; 118) = 37.26; p = 0.000). There were no statistically significant differences between the groups (F(1; 119) = 3.39; p = 0.068). Conclusion: The programme promoted a significant increase in labor self-efficacy of the pregnant woman, with no significant differences with the control group

Highlights

  • BackgroundIn Portugal, childbirth preparation is a right, explained by Law no. 142/99 of 31 August (Lei no: 142/99 de 31 de agosto, 1999)

  • In the expulsive period (EP; Table 1), pregnant women in the control group manifested a higher outcome expectation (M = 8.58; SD = 1.08), yet, no statistically significant differences occurred between the groups (t (119) = -1.23; p = 0.221)

  • As mentioned by Howharn (2008) in the quasi-experimental study conducted with the purpose of determining the effectiveness of childbirth preparation classes in the self-efficacy to cope with labor pain, we found that information and the practice of behavioral and cognitive techniques for dealing with labor increased outcome expectations

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Summary

Introduction

BackgroundIn Portugal, childbirth preparation is a right, explained by Law no. 142/99 of 31 August (Lei no: 142/99 de 31 de agosto, 1999). 142/99 of 31 August (Lei no: 142/99 de 31 de agosto, 1999) It consists of a useful intervention in the woman/couple preparation, whose primary goal is to teach the woman/couple techniques for the correct use of coping strategies to manage labor. It has been performed in various health institutions in our country for many years, there is no supporting evidence of its effectiveness in the promotion of the labor self-efficacy. Conclusion: The programme promoted a significant increase in labor self-efficacy of the pregnant woman, with no significant differences with the control group

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