Factors associated with childbirth self-efficacy in Australian childbearing women.

Schwartz, L; Toohill, J; Creedy, DK; Baird, K; Gamble, J; Fenwick, J

Factors associated with childbirth self-efficacy in Australian childbearing women.

Schwartz, L Toohill, J Creedy, DK Baird, K

Gamble, J Fenwick, J

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Publisher:: BMC
Publication Type:: Journal Article
Citation:: BMC pregnancy and childbirth, 2015, 15, (1), pp. 29
Issue Date:: 2015-02-13

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Field	Value	Language
dc.contributor.author	Schwartz, L
dc.contributor.author	Toohill, J
dc.contributor.author	Creedy, DK
dc.contributor.author	Baird, K https://orcid.org/0000-0003-0142-6962
dc.contributor.author	Gamble, J
dc.contributor.author	Fenwick, J
dc.date.accessioned	2021-08-29T07:17:14Z
dc.date.available	2015-02-03
dc.date.available	2021-08-29T07:17:14Z
dc.date.issued	2015-02-13
dc.identifier.citation	BMC pregnancy and childbirth, 2015, 15, (1), pp. 29
dc.identifier.issn	1471-2393
dc.identifier.issn	1471-2393
dc.identifier.uri	http://hdl.handle.net/10453/150249
dc.description.abstract	<h4>Background</h4>Childbirth confidence is an important marker of women's coping abilities during labour and birth. This study investigated socio-demographic, obstetric and psychological factors affecting self-efficacy in childbearing women.<h4>Method</h4>This paper presents a secondary analysis of data collected as part of the BELIEF study (Birth Emotions - Looking to Improve Expectant Fear). Women (n = 1410) were recruited during pregnancy (≤24 weeks gestation). The survey included socio-demographic details (such as age and partner support); obstetric details including parity, birth preference, and pain; and standardised psychological measures: CBSEI (Childbirth Self-efficacy Inventory), W-DEQ A (childbirth fear) and EPDS (depressive symptoms). Variables were tested against CBSEI first stage of labour sub-scales (outcome expectancy and self-efficacy expectancy) according to parity.<h4>Results</h4>CBSEI total mean score was 443 (SD = 112.2). CBSEI, W-DEQ, EPDS scores were highly correlated. Regardless of parity, women who reported low childbirth knowledge, who preferred a caesarean section, and had high W-DEQ and EPDS scores reported lower self-efficacy. There were no differences for nulliparous or multiparous women on outcome expectancy, but multiparous women had higher self-efficacy scores (p < .001). Multiparous women whose partner was unsupportive were more likely to report low self-efficacy expectancy (p < .05). Experiencing moderate pain in pregnancy was significantly associated with low self-efficacy expectancy in both parity groups, as well as low outcome expectancy in nulliparous women only. Fear correlated strongly with low childbirth self-efficacy.<h4>Conclusion</h4>Few studies have investigated childbirth self-efficacy according to parity. Although multiparous women reported higher birth confidence significant obstetric and psychological differences were found. Addressing women's physical and emotional wellbeing and perceptions of the upcoming birth may highlight their level of self-efficacy for birth.<h4>Trial registration</h4>Australian New Zealand Controlled Trials Registry ACTRN12612000526875 , 17(th) May 2012.
dc.format	Electronic
dc.language	eng
dc.publisher	BMC
dc.relation.ispartof	BMC pregnancy and childbirth
dc.relation.isbasedon	10.1186/s12884-015-0465-8
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Humans
dc.subject.mesh	Pain
dc.subject.mesh	Cesarean Section
dc.subject.mesh	Regression Analysis
dc.subject.mesh	Adaptation, Psychological
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Depression
dc.subject.mesh	Fear
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Spouses
dc.subject.mesh	Parity
dc.subject.mesh	Pregnancy
dc.subject.mesh	Labor, Obstetric
dc.subject.mesh	Parturition
dc.subject.mesh	Pregnancy Trimester, Second
dc.subject.mesh	Social Support
dc.subject.mesh	Adult
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Patient Preference
dc.subject.mesh	Adaptation, Psychological
dc.subject.mesh	Adult
dc.subject.mesh	Australia
dc.subject.mesh	Cesarean Section
dc.subject.mesh	Depression
dc.subject.mesh	Fear
dc.subject.mesh	Female
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Humans
dc.subject.mesh	Labor, Obstetric
dc.subject.mesh	Pain
dc.subject.mesh	Parity
dc.subject.mesh	Parturition
dc.subject.mesh	Patient Preference
dc.subject.mesh	Pregnancy
dc.subject.mesh	Pregnancy Trimester, Second
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Regression Analysis
dc.subject.mesh	Self Efficacy
dc.subject.mesh	Social Support
dc.subject.mesh	Spouses
dc.title	Factors associated with childbirth self-efficacy in Australian childbearing women.
dc.type	Journal Article
utslib.citation.volume	15
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2021-08-29T07:17:12Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	15
utslib.citation.issue	1

Abstract:

Background

Childbirth confidence is an important marker of women's coping abilities during labour and birth. This study investigated socio-demographic, obstetric and psychological factors affecting self-efficacy in childbearing women.

Method

This paper presents a secondary analysis of data collected as part of the BELIEF study (Birth Emotions - Looking to Improve Expectant Fear). Women (n = 1410) were recruited during pregnancy (≤24 weeks gestation). The survey included socio-demographic details (such as age and partner support); obstetric details including parity, birth preference, and pain; and standardised psychological measures: CBSEI (Childbirth Self-efficacy Inventory), W-DEQ A (childbirth fear) and EPDS (depressive symptoms). Variables were tested against CBSEI first stage of labour sub-scales (outcome expectancy and self-efficacy expectancy) according to parity.

Results

CBSEI total mean score was 443 (SD = 112.2). CBSEI, W-DEQ, EPDS scores were highly correlated. Regardless of parity, women who reported low childbirth knowledge, who preferred a caesarean section, and had high W-DEQ and EPDS scores reported lower self-efficacy. There were no differences for nulliparous or multiparous women on outcome expectancy, but multiparous women had higher self-efficacy scores (p < .001). Multiparous women whose partner was unsupportive were more likely to report low self-efficacy expectancy (p < .05). Experiencing moderate pain in pregnancy was significantly associated with low self-efficacy expectancy in both parity groups, as well as low outcome expectancy in nulliparous women only. Fear correlated strongly with low childbirth self-efficacy.

Conclusion

Few studies have investigated childbirth self-efficacy according to parity. Although multiparous women reported higher birth confidence significant obstetric and psychological differences were found. Addressing women's physical and emotional wellbeing and perceptions of the upcoming birth may highlight their level of self-efficacy for birth.

Trial registration

Australian New Zealand Controlled Trials Registry ACTRN12612000526875 , 17(th) May 2012.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/150249