Skills-based childbirth preparation increases childbirth self-efficacy for first time mothers

Abstract

ObjectiveTo explore the potential benefits of skills-based childbirth preparation on first time mother's childbirth self-efficacy. DesignAn RCT of an education programme for skills-based childbirth preparation was conducted. Data were examined for significant differences between groups over time and at outcome. SettingFirst time New Zealand mothers completed the requirements of the study in the privacy of their own homes. ParticipantsOne hundred and eighty-two first time mothers who self-selected met eligibility and were recruited to the study. Of these 137 completed the study (75% retention rate). InterventionAn anonymised version of The Pink Kit Method for Birthing Better® (CKT, 2001), a multi-media, skills-based and self-directed childbirth preparation programme. The course includes: breathing exercises, verbal and non-verbal communication exercises, tension reducing exercises, and body exercises as well as advice about stages, delivery methods, and when to use the skills. Measurementsthe Childbirth Self-Efficacy Inventory (Scale) (CBSEI), New Zealand Adaptation (Lowe, 1993) at 24 weeks and 36 weeks gestation. FindingsThere were no differences between groups in childbirth self-efficacy at the baseline measurement at 24 weeks gestation. At 36 weeks gestation the Intervention Group showed a significant increase in childbirth self-efficacy. The Intervention Group self-efficacy score was also statistically different from each of the control groups at 36 weeks gestation. Key conclusionsA skills-based self-directed childbirth preparation programme was able to increase childbirth self-efficacy in a sample of first time mothers. Implicationsfor practice: Women might be encouraged to participate in these types of skills-based programmes to aid childbirth.