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The Effect of Prenatal Comprehensive Intervention on Childbirth Self-efficacy and Birth Outcomes in Primipara

Author: ZuoChunLi
Tutor: LeiJun
School: Central South University
Course: Nursing
Keywords: Prenatal comprehensive intervention Childbirth self-efficacy Primipara Childbirth
CLC: R473.71
Type: Master's thesis
Year: 2011
Downloads: 130
Quote: 1
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Abstract


Objective To understand the primipara deliveries of the status quo and influencing factors of self-efficacy and to explore antenatal intervention model to enhance childbirth self-efficacy impact of the early maternity response capabilities and birth outcomes. The method of this study is a clinical quasi-experimental research design. To 2010, during the month of August 2010, Third Xiangya Hospital, Central South University, maternity clinics randomly selected 93 primipara intervention group 44 cases, according to the random number table is divided into 49 cases in the control group. General questionnaire, the general situation of the simplified Chinese version of the Childbirth Self-Efficacy Scale (CBSEI-C32), childbirth coping scale (CCB), visual analog scale \self-efficacy, the degree of pain in childbirth coping ability and capacity to assess, select the total labor time, neonatal 1 min Apgar score, cesarean section rate was the objective indicators of birth outcomes. The control group were given routine check-ups and care, the intervention group on the basis of the routine check-ups and care given prenatal comprehensive intervention based on self-efficacy theory. Were 28 weeks pregnant, 38 weeks pregnant, the objective and subjective indicators collected within 48 hours of delivery. The data collation, review, entry SPSS13.0 statistical software for statistical analysis. Results 1.CBSEI-C32 self-efficacy expectations EE-16 average score of points (92.51, 28.67), results expectations OE-16 average score of (94.20 28.15), CBSEI-C32 average score of (186.71 54.40) points. The results indicate that early maternal childbirth self-efficacy expectations level lower than the EE-16 the results expectations OE-16. Different categories of educational level, occupation, source of health care costs, family income, place of residence, and weight gain CBSEI-C32 score difference was not statistically significance (P gt; 0.05) intervention between the two groups before OE-16, EE- 16, CBSEI-C32 score differences without statistical significance (P gt; O.05). After prenatal comprehensive intervention, the intervention group early maternal OE-16, EE-16, CBSEI-C32 score rise higher than the control group (P lt; 0.05) 3. Intervention group early maternity should be listed capacity higher than that in the control group (P lt; 0.05); compared between the two groups, the perception of pain in the intervention group production level lower than that of the control group, the difference was statistically significant (P lt; 0.01). Intervention group early maternal total labor time is shorter than the control group (P lt; 0.01); cesarean section rate of the intervention group than the control group (P lt; 0.05); intervention Neonatal outcome after 1 minute Apgar score difference was not statistically significance (P gt; 0.05). Conclusion 1. The early maternal self-efficacy are expected to be less than the results expected. 2. Prenatal comprehensive intervention can improve the level of self-efficacy primipara maternity, childbirth capacity to respond, reduce primipara production level of pain perception. 3. Prenatal comprehensive intervention can shorten the total labor time, reduce the rate of cesarean section.

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