Effect of Computerized Educational Program on Self-Efficacy of Pregnant Women to Cope with Childbirth

Authors

  • Mazlomeh Hamzekhani
  • Azam Hamidzade
  • Seyede Fateme Vasegh Rahimparvar
  • Akram Sadat Montazeri

DOI:

https://doi.org/10.22100/jkh.v9i1.407

Keywords:

Computerized educational program, Self–efficacy, Childbirth, Coping.

Abstract

Introduction: The rate of cesarean section in Iran is 3-4 times higher than the accepted rate of the World Health Organization. Maternal education has a key role for increasing self- efficacy of pregnant women to cope with labor, reducing their fear from vaginal childbirth and thus reducing their desire to perform cesarean deliveries. Therefore this study was performed to determine the effect of computerized educational on self-efficacy of pregnant women to cope with labor.

Methods: This study was a randomized clinical trial which carried out on 150 nulliparous pregnant women. Intervention group received the computerized educational program for 6-8 weeks. In order to determine the self-efficacy, the childbirth self efficacy questionnaire (CBSEI) was administered on  pregnant women at 28-32 and 36-38 weeks of pregnancy. Data were analyzed with Chi-square and Mann–Whitney U-test.

Results: There was a significant difference between median and interquartile range on self-efficacy of pregnant women in intervention (607, 20) and control group (394,16) (P>0.001). Moreover we found also a statistically significant difference between median of expected outcome (307) and expected self-efficacy (301) after intervention in both stages of labor between the two groups (P>0.001).

Conclusion: This study confirmed the effectiveness of the computerized educational program on self-efficacy of pregnant women to cope with labor. Therefore it is recommended to use this program as a teaching or complementary method in preparation for childbirth.

References

JamshidiManesh M, Oskouie SF, Jouybary L, Sanagoo A. The process of women’s decision making for selection of cesarean delivery. Iran Journal of Nursing 2009;21(56):55-67.[Persian].

Fathian Z, Sharifirad Gr, Hasanzadeh A, Fathian Z. Study of the effects of behavioral intention model education on reducing the cesarean rate among pregnant women of Khomeiny-Shahr, Isfahan, in 2006. Tabib-e-Shargh 2007.[Persian].

Betrán AP, Merialdi M, Lauer JA, BingShun W, Thomas J, Van Look P, et al. Rates of caesarean section: analysis of global, regional and national estimates. Paediatric and Perinatal Epidemiology 2007;21(2):98-113.

Azizi M, Salari P. C-section in request: an ethical approach. Journal of Medical Ethics and History 2009;2(2):55-66.[Persian].

Gao LL, Ip WY, Sun K. Validation of the short form of the chinese childbirth selfefficacy inventory in Mainland China. Research in Nursing &Health 2011;34(1):49-59.

Schwarzer R, Boehmer S, Luszczynska A, Mohamed NE, Knoll N. Dispositional self-efficacy as a personal resource factor in coping after surgery. Personality and Individual Differences 2005;39(4):807-18.

Khorsandi M, Ghofranipour F, Faghihzadeh S, Hidarnia A, Akbarzadeh Bagheban A, AguilarVafaie ME. Iranian version of childbirth selfefficacy inventory. Journal of Clinical Nursing 2008;17(21):2846-55.

Khorsandi M,Ghofranipour F,Hiadarnia A,Fghihzadeh S. Effects of childbirth education classes on self-efficacy of nulliparous women in coping with labour pain. BLA 2008;8(5)-05-13.

Ip WY, Chan D, Chien WT. Chinese version of the childbirth self efficacy Inventory. Journal of Advanced Nursing 2005;51(6):625-33.

Ip WY, Tang CS, Goggins WB. An educational intervention to improve women’s ability to cope with childbirth. Journal of Clinical Nursing 2009;18(15):2125-35.

Amoshahi A, SafaeiMoghadam M. Vaginal delivery without pain. Isfahan: Naghsh Negin Pub;2007.p.38.[Persian].

Lee LY, Holroyd E. Evaluating the effect of childbirth education class: a mixedmethod study. International Nursing Review 2009;56(3):361-8.

TorkZahrani S. Commentary: childbirth education in Iran. The Journal of Perinatal Education 2008;17(3):51.

Kiani M, SiadatSA. Design of educational software:new approach based on computer education.Second Conference of Electronic Learning 2007;1-14.

Sitzmann T, KraigerK, StewartD, WisherR. The comparative effectiveness of web-based and classroom instruction: a mata-analysis. PersPsychol 2006;59(3):623-64.

Sieber S, Germann N, Barbir A, Ehlert U. Emotional wellbeing and predictors of birthanxiety, selfefficacy, and psychosocial adaptation in healthy pregnant women. Acta Obstetricia Et Gynecologica Scandinavica 2006;85(10):1200-7.

Drummond J, Rickwood D. Childbirth confidence: validating the childbirth selfefficacy inventory (CBSEI) in an Australian sample. Journal of Advanced Nursing 1997;26(3):613-22.

Bandura A. Health promotion by social cognitive means. Health Education &Behavior 2004;31(2):143-64.

Lowe NK. Self-efficacy for labor and childbirth fears in nulliparous pregnant women. Journal of Psychosomatic Obstetrics & Gynecology 2000;21(4):219-24.

Wuitchik M, Hesson K, Bakal DA. Perinatal predictors of pain and distress during labor. Birth 1990;17(4):186-91.

Saisto T, Ylikorkala O, Halmesmäki E. Factors associated with fear of delivery in second pregnancies. Obstetrics & Gynecology 1999;94(5, Part 1):679-82.

Bhagwanani SG, Seagraves K, Dierker LJ, Lax M. Relationship between prenatal anxiety and perinatal outcome in nulliparous women: a prospective study. Journal of the National Medical Association 1997;89(2):93.

Johnson R, Slade P. Does fear of childbirth during pregnancy predict emergency caesarean section? BJOG: An International Journal of Obstetrics & Gynaecology 2002;109(11):1213-21.

Jeffries PR. Computer versus lecture: a comparison of two methods of teaching oral medication administration in a nursing skills laboratory. Journal of Nursing Education 2001;40(7):323-29.

Casazza K, Ciccazzo M. The method of delivery of nutrition and physical activity information may play a role in eliciting behavior changes in adolescents. Eating Behaviors 2007;8(1):73-82.

Shomaker TS, Ricks DJ, Hale DC. A prospective, randomized controlled study of computer-assisted learning in parasitology. Academic Medicine 2002;77(5):446-9.

Ingadóttir E, Thome M. Evaluation of a webbased course for community nurses on postpartum emotional distress. Scandinavian Journal of Caring Sciences 2006;20(1):86-92.

Hausenblas HA, Brewer BW, Van Raalte JL, Cook B, Downs DS, Weis CA, et al. Development and evaluation of a multimedia CD-ROM for exercise during pregnancy and postpartum. Patient Education and Counseling 2008;70(2):215-9.

Kuo SC, Chen YS, Lin KC, Lee TY, Hsu CH. Evaluating the effects of an Internet education programme on newborn care in Taiwan. Journal of Clinical Nursing 2009;18(11):1592-601.

Huang MZ, Kuo SC, Avery MD, Chen W, Lin KC, Gau ML. Evaluating effects of a prenatal webbased breastfeeding education programme in Taiwan. Journal of Clinical Nursing 2007;16(8):1571-9.

Beranova E, Sykes C. A systematic review of computer-based softwares for educating patients with coronary heart disease. Patient Education and Counseling 2007;66(1):21-8.

Twomey A. Web-based teaching in nursing: lessons from the literature. Nurse Education Today 2004;24(6):452-8.

Hewitt-Taylor J. Facilitating distance learning in nurse education. Nurse Education in Practice 2003;3(1):23-9.

Choi H. A problem-based learning trial on the Internet involving undergraduate nursing students. The Journal of Nursing Education 2003;42(8):359-63.

Published

2013-12-03

Issue

Section

Original Article(s)

How to Cite

Effect of Computerized Educational Program on Self-Efficacy of Pregnant Women to Cope with Childbirth. (2013). Knowledge and Health in Basic Medical Sciences, 9(1), Page:13-20. https://doi.org/10.22100/jkh.v9i1.407

Most read articles by the same author(s)