Childbirth Preparation Research Articles

Evaluation of childbirth self-efficacy and associated factors among pregnant women.

Increasing the rate of Normal Vaginal Delivery (NVD) and reducing elective cesarean section is one of the important concerns, especially in Iran. Childbirth self-efficacy can play an important role in managing the fear of childbirth and increasing the rate of NVD. The aim of this study was to determine demographic, fertility, and social factors related to childbirth self-efficacy. The present study was a single-group, single-stage, multivariate, cross-sectional study that assessed childbirth self-efficacy and associated factors in 358 eligible pregnant women with gestational age of 37 weeks and over in Guilan (North Iranian province) from November 2018 to July 2019. Data collection was performed based on consecutive sampling method from the pregnant women referring to the prenatal clinic. Data collection tools included a demographic and reproductive characteristics questionnaire; Lowe's childbirth self-efficacy Inventory and Zimet's perceived social support multidimensional questionnaire. There was a significant relationship between the educational level of pregnant women and Outcome Expectancy (OE) and Self-efficacy Expectancy (EE) and also between the spousal level of education and OE (P < 0.05). Parity, previous experience of birth, participation in pregnancy preparation classes, access to information sources about childbirth, and birth preference were significantly related to OE and EE (P < 0.05). There was a significant relationship between the two domains of perceived social support, spouse and friends, and the OE and EE (P < 0.05). The multivariate logistic regression model revealed that birth preference was a predictor for OE and EE, while a pregnant woman's education level and perceived social support in the domain of significant others were predictors for OE. Spousal age, mean family income, and participation in the prenatal preparation classes were predictors for EE. Regarding the importance of self-efficacy in childbirth in encouraging pregnant women to perform NVD, pregnancy and childbirth preparation classes with an emphasis on concepts including self-efficacy of childbirth should be focused by midwives and other health-care workers in order to improve pregnant women's knowledge regarding the benefits of NVD and to strengthen their belief in the benefits of pain-compatible actions.

Design, implementation, and validation of an application for childbirth preparation classes to improve the performance of midwifery students: Study protocol.

Childbirth preparation classes are incredibly useful for midwifery students as future medical personnel. Nowadays, given the outbreak of Covid-19 pandemic and as mobile applications are extensively welcomed, virtual space can be used for education in the area of childbirth preparation classes. Given the lack of an application for childbirth preparation classes, this study will be conducted to design, implement and validate such an application to improve the performance of midwifery students in the areas of pregnancy and safe delivery. The present study will be conducted in three phases. In the first phase, content will be provided to Information Technology experts based on the content of the national guidelines for physiological delivery in Iran, and the application will be designed and validated for the use of midwifery students, then develop app for other medical students, midwives and physicians. In the second phase, the assessment will be based on Kirkpatrick's model. In the third stage, develop app for other medical students, midwives and physicians based on the results of the first and second phase. SPSS version 17 will be used in this phase for analysis of data through descriptive and analytical tests. Owing to the expansion of virtual space and the outbreak of Covid-19 pandemic, design, validation, and evaluation of an application for childbirth preparation classes is an exceptionally significant necessity which contributes to the process of educating midwifery students.

Edukasi Persiapan Persalinan Pada Ibu Hamil Trimester III di Puskesmas Kalumpang Mamuju

The third trimester of pregnancy starts at 28 weeks to 40 weeks of gestation. Pregnant women tend to look worried at this gestational age, perhaps feeling the discomfort experienced by pregnant women in the third trimester, this discomfort can affect labor and the postpartum period. In the second pillar of safe motherhood, it is stated that antenatal care is a means for pregnant women to prepare for the birthing process. Maternal unpreparedness for childbirth is one of the causes of the high maternal mortality rate. If during pregnancy there are obstetric complications and the mother does not know what preparations are needed before giving birth, then the mother will not receive appropriate and timely services. This activity aims to provide education regarding preparation for childbirth in the hope that pregnant women can know in advance the preparations for childbirth. In this activity, pre and posttests were carried out using a questionnaire to measure the knowledge of pregnant women and provide education using the counseling method. This activity was carried out at the Kalumpang Community Health Center. The results obtained from this activity were that the knowledge of pregnant women after counseling changed to good at 86.5% from previous knowledge which was adequate at 55.2%. This is because pregnant women receive additional information regarding preparation for childbirth through counseling. From this activity, it is hoped that all pregnant women will be active in using Maternal and Child Health books, not only keeping them but reading and studying them for maternal knowledge.

Implementation of birth plans integrated into childbirth preparation classes for vaginal birth: a qualitative study of women, their husbands and clinicians’ perspectives in Iran

BackgroundUnderstanding women’s experience of birth planning is necessary for introducing and implementing this process in the Iranian maternity services. This study aims to explore perceptions of birth plan implementation in Iran from the perspective of women, their husbands, and clinicians.MethodsThis qualitative study was conducted in Iran. Qualitative data were collected from November 2020 to March 2021 by conducting semi-structured in-depth interviews with ten mothers who prepared a birth plan, and 15 key informants (obstetricians, midwives, and husbands) who were involved in the implementation process of birth plans. Data were analyzed using conventional qualitative content analysis.ResultsData reduction process resulted in 380 codes that were categorized in 16 subcategories and five main categories. The main categories were “Guide and pattern of preparing for childbirth pathway”, “Maternal empowerment and sense of triumph”, “Facilitating and enhancing communication”, “Successful transition to parenthood and women’s satisfaction”, and “Challenges associated with implementation of the birth plan”. The overarching theme “Birth plan: The missing link in promotion of vaginal birth in Iran” was constructed from these categories.ConclusionFindings of this study highlight the effectiveness of the implementation of birth plan along with childbirth preparation classes for increasing the likelihood of a successful vaginal birth and promoting empowerment and satisfaction in women during the childbirth process. The findings of this study could pave the way for developing, introducing, and implementing of birth plan in Iran.

Transition in vaginal Lactobacillus species during pregnancy and prediction of preterm birth in Korean women

The predominance of vaginal Lactobacillus species, specifically L. crispatus, is important for pregnancy maintenance, but varies by race. The composition of the vaginal microbiome can affect susceptibility to adverse pregnancy outcomes. We performed 16S rRNA gene amplicon sequencing on vaginal swabs taken from Korean pregnant women. Here, we report the transition of Lactobacillus spp. in samples of full-term birth (FTB) collected longitudinally in the second and third trimesters of pregnancy in a cohort study (n = 23) and their association with Lactobacillus abundance and preterm birth (PTB) in a case–control study (n = 200). Lactobacillus species, which was dominant in FTB samples including those that received interventions in the second trimester, did not change until 37 weeks of gestation. However, L. crispatus was replaced by other Lactobacillus species after 37 weeks. The PTB risk showed a closer association with the Lactobacillus abundance than with community state type determined by Lactobacillus species. PTB was associated with less than 90% of Lactobacillus abundance and an increase in Ureplasma parvum in the second trimester. Thus, the vaginal microbiome may change in preparation for childbirth in response to multiple intrinsic factors after 37 weeks of gestation. Monitoring the Lactobacillus abundance may help improve the reliability of microbial PTB biomarkers.

Reproductive strategies of Russian women: results of the pilot survey

The sphere of reproduction as an integral part of the health of population today is medicalized at all stages of the formation of reproductive decisions — from conception to childbirth. The choice of reproductive strategies is influenced by two polar trends: the increasing importance of innovative methods of assisted reproductive technologies (ART) and medically-associated reproduction (MAR), on the one hand, and the growing popularity of traditional methods of pregnancy and childbirth management based on folk healing, yoga, oriental medicine and health improving practices, homeopathy, popular psychology and so on., on the other. Thus, two sides of procreative behavior manifest themselves: both the patterns reflecting a biomedical approach based on scientific innovations and the social behavioral models related to public perceptions of health, well-being and gender roles in the society. The article presents the results of a pilot survey of women of reproductive age (n=54) conducted in April 2022 via an electronic questionnaire. The study focused on two topics: ART (awareness and attitude to various ART programs) and pregnancy and childbirth (perception of different forms of preparation for childbirth, the preferred form of childbirth, attitude to medical interventions in the birth process). Data analysis showed that women's reproductive intentions remain medicalized and take into account the possibilities of ART. Also, the results of the survey confirm the growing demand for humanization of maternity care, which is reflected in the desire of women to carefully approach organization of their own childbirth and team of assistants, to attend courses for expectant parents, be more informed and comprehensively prepared.

Edukasi Pentingnya Peran Suami Dalam Kepatuhan Pemeriksaan ANC Ibu Hamil Di Pulau Pa’jenekang Kabupaten Pangkep

Antenatal Care is one of the pillars of safe motherhood in an effort to reduce maternal and fetal morbidity and mortality. To make the program successful, the Indonesian government carries out activities such as antenatal care in improving the health quality of pregnant women. Another program that has been launched by the Government of Indonesia is "Making Pregnancy Safer" where it is expected that the husband's participation, knowledge and involvement can increase during the pregnancy process. But until now there are still many husbands who do not understand their role properly. So it is necessary to make efforts to increase knowledge through counseling about the importance of the husband's role as a facilitator in preparing the process of pregnancy to delivery. Counseling is done using the lecture method using leaflets. Evaluation was carried out before and after the provision of counseling materials. Counseling was carried out for 1 day on Pa'Jenekang Island, Kab. Pangkep became 28 husbands. The results showed that 78.6% experienced an increase in knowledge about the importance of the husband's role as a facilitator while 21.4% had no increase in knowledge. One of the factors that influence the increase in knowledge of the husband's role is age and level of education. Suggestions for health workers should always include husbands in providing KIE in preparation for childbirth by explaining their role in the process of pregnancy and childbirth of the wife.

Peningkatan Pengetahuan Kader Kesehatan mengenai Program Persiapan Persalinan dan Pencegahan Komplikasi (P4K) di Kecamatan Gumukmas

Background: Maternal mortality rate in the region of East Java has increased in 2020 namely 98,39/100.000 KH. Jember has the highest of maternal mortality rate in the East Java, which is 173,53/100.000 KH. Maternal mortality can occur either during pregnancy, childbirth or the puerperium period. Gumukmas is one of district in Jember which has a percentage of birth assisted by health workers as much as 98,2%, which means that there are still 1,8% of mother who gave birth not assisted by health provider. Kader as part of the community that close to pregnan women are expected to be able yo take a role in the implementation of the Childbirth Planning and Camplications Prevention Program (P4K). The aim of this study is to improve the kader’s ability to provide information to pregnant women about preparation for childbirth in Gumukmas. Method: the method that used is counseling by evaluating the increase of kader’s knowledge through pre and posttest questionnaire.Result: the result was found that 88% of kader have increase of knowledge in childbirtg preparation program and prevention of complication, 12 % have the same knowledge, and there were no participants with decrease of knowledge. This shows that the counseling carried out is quite efficient. Suggestion This result is expected to increase the ability of kader in providing education to pregnant women and families in preparing safety deliveries

Birth preparedness and complication readiness among husbands and its association with skilled birth attendance in southern Ethiopia

IntroductionBirth preparedness and Complication Readiness (BPCR) promotes prompt use of skilled delivery and readiness for any complications to reduce delays in the provision of emergency care. Husband’s involvement in preparation for childbirth is one way to mitigate life-threatening delays in providing care during childbirth. The current study assessed the association of the husband’s involvement in birth preparedness and complication readiness with the use of skilled birth attendants.MethodA community-based cross-sectional study was conducted among 1,432 husbands. Study participants were selected from Arbaminch university health and demographic surveillance sites. Data were collected electronically using the Open Data Kit. The data were exported to STATA version 16 for analysis. Descriptive statistics were computed to describe the sociodemographic and reproductive variables of the study. The associations between birth preparedness and complication readiness practice and birth in the presence of a skilled birth attendant were assessed using multiple logistic regressions after adjusting for known confounders. Explanatory variables on bivariate logistic regression analysis were entered into multivariable logistic regression analysis, and a p-value of less than 0.05 was used to ascertain statistical significance.ResultsMean age of respondents was 33.7 (SD ± 6.2) years. Of all the respondents, 140 (10.3%) had made at least three preparations according to birth preparedness and complication readiness. After controlling for confounders through multivariable logistic regression, giving birth in the presence of a skilled birth attendant consistently increased with husbands involved in birth preparedness and complication readiness (AOR = 4.1, 95% CI: 2.5–6.9). Husbands whose wives had complications during previous pregnancy were 33% less likely to have skilled birth attendants (AOR = 0.67, 95% CI: 0.49–0.917). Moreover, husbands whose houses were near the health facilities were more likely to have skilled birth attendants for their wives (AOR = 3.93, 95% CI: 2.57–6.02).ConclusionHusband’s involvement in birth preparedness and complication readiness is strongly associated with using skilled birth attendants in Ethiopia. It is imperative that when designing husband’s involvement programs targeting birth preparedness and complication readiness, programs and strategies should focus on enhancing activities that are inclusive of husbands in birth preparedness and complication education.

Assess the Effectiveness of Video Assisted Teaching on Knowledge Regarding Child Birth Preparation Among Primi Gravida Mother in hospital

Background: The researcher noticed that pregnant mother in the prenatal OPDs of the hospitals lacked knowledge about labor preparation throughout her clinical experience. In the third trimester, many of them were unprepared for their life' most significant event. Many new mothers described their labour and delivery as being "awful."The researcher concluded that in order for these mothers to have a satisfying and healthy birthing experience, they needed to get information on labor preparation.Method: This interventional trial was carried out in August 2020 at a hospital in the Maharashtra (India) city of Wardha. The population of primigravida moms was chosen for this study using a non-probability convenience sampling approach.Result: In this study 30 sample taken for the research the research design taken for that pre-experimental and the study was quantitative research study. The research conducted in hospital H0 show that primigravida mother knowledge level in pre-test 16.67% which is poor score, 83.33% which is The H0 was acceptable because the average score had a minimum of 3 and a maximum of 10. In the post-test 33.33% the score was very good, 66.67% score was excellent The H1 was approved since the post-test minimum and maximum scores were 17 and 25, respectively. It is concluded that there is H0 and H1 is accepted. It helpful in improve the knowledge level of primigravida mother.Conclusion: We draw the conclusion from this study that there is a lack of understanding among primigravida mothers regarding childbirth preparation, so we launched the video aided programme to raise knowledge and awareness of the subject.

Effectiveness of Virtual and In-person Methods of Education on Pregnant Women’s Satisfaction With Childbirth Preparation Classes: A Pilot Study

Background: Childbirth preparation classes are among the most important components of pregnancy education. This pilot study was conducted to compare the level of satisfaction of pregnant women from holding childbirth preparation classes using two methods of virtual and in-person training. Methods: This is a quasi-experimental post-test pilot study that was performed on 30 nulliparous women in Milad Hospital affiliated with Iran’s Social Security Organization, Tehran, Iran from September 2019 to June 2020. The subjects were recruited by convenience sampling and then were assigned voluntarily to two groups of virtual (n=15) and in-person (n=15) training. Both groups received the same educational content on childbirth preparation at 20 to 37 weeks of pregnancy. The virtual educational content was designed based on Mayer’s multimedia principles and shared through the Telegram application. The courses were held in eight 2-hour sessions. The satisfaction questionnaire was completed by the participants at 36-38 weeks of pregnancy. The significance level was set at P≤0.05. Results: There was a significant difference between the total score of satisfaction with childbirth preparation courses between the virtual group compared to the in-person training group (P=0.028). Also, the results showed that the virtual group was able to significantly attract the spouse’s participation in accepting the role of parent compared to the in-person group (P=0.05). Also, 100% and 46.7% of the virtual and in-person groups, respectively, were completely satisfied with the way the educational content was presented (P&lt;0.01). Conclusion: Considering the greater satisfaction of pregnant women with virtual training compared to in-person training and its important role in attracting the participation of the spouse and considering that in-person classes are held as a national routine, virtual classes are recommended to be held alongside in-person classes. It is also recommended to use a larger sample size and random allocation in future studies.

Evaluation of an integrated physical activity program for pregnant women: WELL-DONE! Study

Abstract Background Regular practice of physical activity (PA) during pregnancy has benefits for maternal and fetal health. Therefore, pregnant women (PW) should practice at least 150 minutes of moderate PA per week following the WHO guidelines. The aim of the study is to evaluate the effect of an adapted physical activity (APA) intervention for PW, to be included in childbirth preparation classes (CPCs) in terms of levels of PA, quality of life, physical performance, self-efficacy, sleep quality and anxious-depressive states. Methods The WELL-DONE! Study is a quasi-experimental study conducted with pregnant women at St. Orsola hospital, Bologna. We compared an experimental group (EG) with a control group (CG). EG attended 1hour/week session of APA during the usual CPCs for a 6 weeks period, while the CG received a one hour lesson about PA recommendation in pregnancy. The pre-post evaluation was carried out through questionnaires and motor tests, to which PW were subjected at baseline (T0), after the intervention (T1) and 3 months after delivery (T2). We used the Pregnancy Physical Activity Questionnaire (PPAQ) to collect data regarding PA levels and sedentary behavior. Results A sample of 50 pregnant women aged between 29-46 (mean age=35.44±3.99) was involved in the study (39 CG, 11 EG). After the intervention, PPAQ sedentary activity score was reduced in the EG group (-10.20±24.12) while remaining similar in the CG (0.58±22.65) without statistically significant differences between groups. Conclusions Preliminary results of the study show a reduced sedentary time in PW, highlighting a positive trend in the EG. This data underlines that incorporating APA in the CPCs can be an effective and safe strategy. Nevertheless, further analysis must be needed to find out if this trend can be observed in light PA, in the moderate and vigorous one. Key messages • Physical activity during pregnancy is a valuable tool for improving both mother and child well-being. • Physical activity interventions, implemented in CPCs, seem useful in order to raise awareness about PA importance and reduce sedentarism in PW.

Analysis of the Impact of Covid-19 on Pregnant Women on Preparation for Childbirth

All routine services, including maternal and newborn health services, face many constraints during this pandemic. In the early stages of pregnancy, almost every pregnant woman begins to prepare for labor. There are many things that can be done to prepare, from preparing for the needs of the baby, the needs of the mother, psychological preparation, to preparing for the choice of a birthing facility. Welcoming babies into families is a habit, but during the Covid-19 pandemic, it's another story. Objective: The purpose of this Systematic Review is to analyze the effect of immunization services during the COVID-19 pandemic. Methods: Database search includes Google Scholar, Science Direct, and Pubmed with the keywords used are impact, anxiety; pregnant mother; maternity mother; childbirth, pandemic, COVID-19. The next stage is to select articles according to the criteria, which are published in 2017-2022 with the full text of 12 articles that meet the inclusion criteria. Results: Findings from 12 articles showed that the impact of COVID-19 on the preparation of pregnant women for childbirth in health facilities differed from maternal anxiety. In addition, the anxiety of pregnant women about childbirth greatly affects the mother's readiness to carry out prenatal care and preparation for delivery. And the effects of Covid-19 on childbirth have not been shown to be contagious to the newborn. However, mothers who are infected with Covid-19 must still follow health protocols, including self-isolation or separation from their newborn babies. Conclusion: the impact of covid 19 on preparation for childbirth is the anxiety of pregnant women, This anxiety can be reduced by providing guidance, counseling and education for pregnant women about transmission and routes of transmission. How to protect yourself from COVID-19 and its prevention. It is transmitted from pregnant women to babies. More importantly, if the mother is hesitant and afraid to go for a pregnancy check-up at the hospital for fear of contracting the virus from other people, a solution can be given to check her womb at the nearest midwife or clinic so that she can avoid contact with other people as well as when the delivery process arrives.

Pandemic-related pregnancy stress among a group of Egyptian women during COVID-19 pandemic

Objective: Prenatal maternal stress is a known risk factor for preterm birth, low birth weight, and infant health problems and may have long-term impacts on the offspring. The study aimed to assess pandemic-related pregnancy stress among a group of Egyptian women during COVID-19 pandemic.Methods: The study used a descriptive cross-sectional design on 100 pregnant women who were selected using the purposive sample technique. The study was conducted at antenatal clinics of the Obstetrics and Gynecology Department at Mansoura University Hospitals, Mansoura city, Dakahlia governorate, Egypt. Two tools were utilized for gathering data; a structured interviewing questionnaire was used to assess the socio-demographic and reproductive characteristics of the studied pregnant women and the Pandemic-Related Pregnancy Stress scale was used to assess pandemic-related pregnancy stress among the studied pregnant women.Results: The study findings revealed that less than half of pregnant women during the COVID-19 pandemic reported elevated levels of stress related to feeling unprepared for childbirth and around three-quarters experienced high stress related to perinatal infection.Conclusions: The study concluded that the studied pregnant women during the COVID-19 pandemic had high levels of stress related to inadequate preparation for childbirth and stress related to the potential for perinatal infection. In addition, infection stress was more prevalent than preparedness stress among the studied pregnant women. It is recommended to provide prenatal educational programs related to coping strategies during the pandemic.

The Effect of the Perceived Social Support on Surgical Fears of Pregnancy Decision for Cesarean: An Emergency Department Example

This study was conducted to determine the effect of perceived social support level of pregnant women who applied to the emergency department on the level of surgical fear they experienced before cesarean section. The sample of the study consisted of 100 women who applied to the emergency department of a training and research hospital between 19.01.2022- 31.03.2022 and were given a cesarean section decision. Data were collected using the Introductory Information Form, the Surgical Fear Scale, and the Multidimensional Scale of Perceived Social Support. Percentage distribution, mean, standard deviation, t test for independent groups, One Way ANOVA and Pearson correlation test were used to evaluate the data. It was found that the mean age of the women participating in the study was 29.38±5.98 years, 43% were primary school graduates, 67% did not work, and 85% lived with a nuclear family. The mean score of the women on the perceived social support scale was 57.30±17.58, and the mean score on the surgical fear scale was 39.23±19.65. There was no statistically significant correlation between the total score of the scale of perceived social support and the total score of the surgical fear scale (r=0.082; p=0.416). It was concluded that the women had a moderate level of fear of surgery, and the perceived level of social support did not affect the fear of surgery. In line with these results, it may be recommended to include training that addresses the possibility and process of emergency cesarean section in childbirth preparation training and carry out studies with larger sample groups.

Hiatal failure: effects of pregnancy, delivery, and pelvic floor disorders on level III factors.

The failure of the levator hiatus (LH) and urogenital hiatus (UGH) to remain closed is not only associated with pelvic floor disorders, but also contributes to recurrence after surgical repair. Pregnancy and vaginal birth are key events affecting this closure. An understanding of normal and failed hiatal closure is necessary to understand, manage, and prevent pelvic floor disorders. This narrative review was conducted by applying the keywords "levator hiatus" OR "genital hiatus" OR "urogenital hiatus" in PubMed. Articles that reported hiatal size related to pelvic floor disorders and pregnancy were chosen. Weighted averages for hiatal size were calculated for each clinical situation. Women with prolapse have a 22% and 30% larger LH area measured by ultrasound at rest and during Valsalva than parous women with normal support. Women with persistently enlarged UGH have 2-3 times higher postoperative failure rates after surgery for prolapse. During pregnancy, the LH area at Valsalva increases by 29% from the first to the third trimester in preparation for childbirth. The enlarged postpartum hiatus recovers over time, but does not return to nulliparous size after vaginal birth. Levator muscle injury during vaginal birth, especially forceps-assisted, is associated with increases in hiatal size; however, it only explains a portion of hiatus variation-the rest can be explained by pelvic muscle function and possibly injury to other level III structures. Failed hiatal closure is strongly related to pelvic floor disorders. Vaginal birth and levator injury are primary factors affecting this important mechanism.

Impact of Nested Vark (Visual, Auditory, Read, Kinesthetic) Strategies on Parental Attachment, Anxiety, Maternal and Fetal Outcome Among First Time Childbearing Couples: A Randomized Controlled Trial.

The transition to parenthood is not only a tremendous joy but also great stress to a mother (especially a primigravida) both physically and psychologically. The purpose of this research is to improve confidence in first-time childbearing couples, increase parental attachment, alleviate anxiety and promote the maternal and neonatal outcomes of delivery. In a randomized controlled trial design, simple randomization was utilized to enroll 300 first-time childbearing couples who have completed the 24th week of gestation (150 in control and experimental arms). Nested refers to fully contained antenatal exercises, kick chart monitoring, and the use of a preggy imitator. VARK strategies indicate visual (information exhibited through demonstration), auditory (preference for information that is heard or spoken through lectures), read (information displayed as words, text-based input and output), and kinesthetic (preference for gathering information through experience and practice, simulated real, through concrete personal experiences) strategies along with routine care were executed on the experimental group. Data was collected using Condon’s Parental Attachment Scale and Perinatal Anxiety Scale during the pre-test at the 24th week and post-tests at the 32nd, 33-34, and 36-38 weeks of gestation respectively, after the intervention through the self-administration method. Maternal and fetal outcomes were identified through medical records within 24 to 48 hours after delivery. The pre-test parental attachment mean score was significantly increased in post-test (Mothers: 61.44±3.27 to 77.89±32.44, fathers: 51.44±1.93 to 58.89±24.86) the for experimental group after the intervention compared to the control group (Pre-test score mother: 61.41±2.98 to 66.43±31.55, father: 51.24±3.95 to 49.30± 23.55) at p <0.001. The pre-test anxiety mean score was significantly reduced after intervention (mother: 44.60±3.92 to 16.57± 8.18, father: 22.55±3.41 to 6.28±4.47) for the experimental group compared to the control group (mother=46.22±5.12 to 25.03± 13.89, father=22.62±3.39 to 17.92± 9.92) at p <0. 001. The study findings recommend VARK strategies to be advocated with existing hands-on childbirth preparation classes for childbearing couples.

Husband’s Support as Delivery Companion During the Covid-19 Pandemic at Pratama Clinic

Background: Giving birth in the midst of the COVID-19 pandemic requires extra efforts to ensure the safety of mothers and babies from the threat of the coronavirus. Childbirth assistance is needed to provide physical, emotional, and psychological support so that the birth process has a positive meaning for mothers, husbands, children, and families. A husband's support as a delivery companion during the COVID-19 pandemic needs to be considered in terms of preparation for childbirth at home, experience in assisting at the place of delivery, and expectations regarding assistance for subsequent deliveries. Objective: To analyze the husband's support in terms of preparation for childbirth, experience accompanying childbirth, and husband's expectations regarding subsequent delivery assistance during the COVID-19 pandemic. Method: This research used a qualitative descriptive method, namely by conducting in-depth interviews with husbands whose wives gave birth at the Pratama Clinic, Surabaya. The dependent variable is the husband's support and the independent variable is the preparation, experience, and expectations of the delivery companion. Sampling used purposive sampling that met the inclusion criteria, namely mothers with normal delivery and exclusion, namely mothers with complications in their pregnancy so that they were referred to the hospital, the sample size was 10 participants from a total population of 18 mothers who gave birth in July 2021. The study was carried out in July-August 2021 with discourse analysis by collecting documents, interviews, and observations. Results: The husband's support in terms of preparation before his wife gives birth during the COVID-19 pandemic was quite good at paying attention to body resistance and maintaining health protocols so that the swab test results were negative and could give birth at the desired clinic. The husband’s experiences when accompanying his wife to give birth during the COVID-19 pandemic were stressful and more complicated because a swab test was required and there were no other family members to accompany her and the husband was worried about a referral to the hospital. The husband hoped that the birth of the next child will not be in a situation of the COVID-19 pandemic. Conclusion: The husband understood and realized that his support and attention from preparation before delivery until the baby's born is very important so that the mother can give birth smoothly at the desired place of delivery, with the hope that the mother gives birth comfortably and the baby's mother is safe.

P20 - The future of Childbirth Education in maternity care; Raising the bar and changing the consumer experience of antenatal education when preparing for parenthood during a global pandemic

There is no doubt at the centre of midwifery exists the experience of the birthing woman, her connection to her midwife and the preparation she makes with her partner for parenthood. Integral to the preparation for parenthood lies childbirth education. In 2019, this question was posed by researchers Kate Levett and Hannah Dahlen. Are we doing enough to prepare women for childbirth? The answer, simply across Australia we are not. Antenatal education programmes within hospitals were said to be time poor and information heavy with scheduling fixed due to staffing pressures. The effects of teaching a broad curriculum in limited sessions were listed as- • leaving consumers of maternity services feeling unprepared • fearful • inadequate in their preparation for physiological childbirth. At St John of God Midland Public Hospital, the consumer experience has shaped our collaboration commenced in October 2021. Working together, consumers at our hospital have access to: • a standardised programme of childbirth education created and delivered by a certified childbirth educator • evidence based education during both low and high risk models of care • the benefits of clinical and non-clinical educational sessions delivered by Lesley and Elissa • an opportunity to gain knowledge and develop skill based comfort measures for labour and birth support • Next Birth After Caesarean specialist parent education during early and late pregnancy Our Presentation. A qualitative review of our innovative collaboration to answer these questions; • What has been the consumer experience of this new model of delivering parent education? • During the pandemic when staff shortages are at an all time high, what impacts have been noticed when staffing a busy public maternity service? • Are we preparing our birthing families to cope with physiological labour and birth? • Bringing outside expertise into maternity departments, could this be the future of delivering childbirth education in Australia?

Does Childbirth Preparation Education Affect Prenatal Adaptation?

OBJECTIVETo determine the effect of childbirth preparation education on the prenatal adaptation of pregnant women.METHODSThis study design was a quasi-experimental; one-group pretest-posttest. This study was conducted with the participation of 42 pregnant women and their spouses. The educations were given in four sessions in a special area designed for childbirth preparation educations in a private hospital where the study was conducted. The data of the study were collected using the Pregnant Women Information Form and the Prenatal Self-Evaluation Questionnaire. Prenatal Self-Evaluation Questionnaire consists of seven subscales which are the well-being of pregnant women and their infants, acceptance of pregnancy, acceptance of motherhood, fear of childbirth, relationship with her mother and relationship with her spouse. The Wilcoxon signed rank test statistics were used to analyze the difference between the pretest and posttest PSEQ scores.RESULTSThe concerns about the well-being of pregnant women and their infants (p &lt; .05), acceptance of pregnancy (p &lt; .05), acceptance of motherhood (p &lt; .05), fear of childbirth (p &lt; .05), relationship with her mother (p &lt; .05), relationship with her spouse (p &lt; .05) subscale and total adaptation score (p &lt; .05) were significantly higher before the education compared with the after the education. However, there was no significant difference between pre and post-education scores regarding readiness for birth subscale (p &gt; .05).CONCLUSIONThis study showed that childbirth preparation education improves prenatal adaptation, acceptance of pregnancy and motherhood, relationship with her mother and relationship with her partner of pregnant women. In addition, it decreased fear of childbirth of pregnant women.