Effectiveness of Childbirth Education on Nulliparous Women’s Knowledge of Childbirth Preparation, Pregnancy Anxiety and Pregnancy Outcomes

Madhavanprabhakaran, Girija Kalayil; D’Souza, Melba Sheila; Nairy, KarkadaSubrahmanya

doi:10.5812/nmsjournal.32526

Cited by 11 publications

(14 citation statements)

References 27 publications

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“…First, Ferguson et al (2013) observed that prenatal education had a positive effect on PrA. Data collected here shows that prenatal education, combined with relaxation techniques (Madhavanprabhakaran et al, 2017) or telephone counseling (Sanaati et al, 2017), was effective in reducing PrA, just like psychoeducation combined with relaxation techniques (Akbarian et al, 2018; Akbarzadeh et al, 2016; Mohammadi & Parandin, 2019). As education is what these trials have in common, it might be the primary component that contributes to the intervention's efficacy.…”

Section: Discussionmentioning

confidence: 59%

“…Prenatal education has been studied with PrA as well. Madhavanprabhakaran et al (2017) used a group education concerning planned childbirth which included breathing and relaxation techniques. Compared to the control group, that received the usual care (treatment as usual [TAU]), anxiety decreased significantly only in the intervention group.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, it should be noted that relaxation techniques were used in many studies as part of the intervention (Akbarian et al, 2018; Downe et al, 2015; Madhavanprabhakaran et al, 2017; Mohammadi & Parandin, 2019; Sezen & Ünsalver, 2019) or even as a comparison or control group (Akbarzadeh et al, 2016; Khojasteh et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

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Psychological, educational, and alternative interventions for reducing fear of childbirth in pregnant women: A systematic review

et al. 2020

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Objective This review aims to identify non‐medical interventions that may reduce the fear of childbirth, directly or indirectly (through its factors). Methods This review followed the PRISMA guidance and a rigorous protocol that was registered in PROSPERO. Searches were done in ProQuest, the International Clinical Trials Registry Platform, and Google Scholar. All RCTs published in the last 5 years, in English or Spanish, regarding women with a low‐risk pregnancy and without mental disorders were included. Results From 5147 articles found, only 69 were full‐text assessed. Finally, 18 studies were included suggesting that prenatal education, psychoeducation, and counseling might be effective, whereas cognitive‐behavioral therapy and some alternative therapies require more research. The results of relaxation techniques were contradictory. Results also suggest that social support and exposure (through education) might have an important role in the efficacy of interventions. Conclusions More appropriately randomized and blinded trials are necessary that use a prespecified definition of fear of childbirth and comprehensive measurement tools specific for pregnant women.

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Section: Discussionmentioning

confidence: 59%

Section: Resultsmentioning

confidence: 99%

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Psychological, educational, and alternative interventions for reducing fear of childbirth in pregnant women: A systematic review

et al. 2020

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“…While the prevalence of PSA is reported to be around 29% in high‐income countries 4 , studies from LMICs such as India, Iran, Tanzania and China have reported rates up to 55.7%. Most studies report higher rates of PSA in the third trimester of pregnancy 5,6 .…”

mentioning

confidence: 99%

“…The risk factors for PSA are different in LMICs compared to high‐income countries. Studies conducted in India and Africa have emphasized that – despite good family support and marital life – perceived stress, active depression and the number of people living in the home predicted PSA 5 . In high‐income countries, young age, being unmarried, lower education, lower household income, being nulliparous, and having an undesired pregnancy were associated with a higher risk for PSA 4 .…”

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confidence: 99%

Pregnancy specific anxiety: an under‐recognized problem

Chandra

Nanjundaswamy

2020

World Psychiatry

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Cognitive behavioral stress management effects on prenatal anxiety among low-income women.

Ponting¹,

Chavira²,

Schetter³

et al. 2022

Journal of Consulting and Clinical Psychology

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Objective: Few studies have tested cognitive behavioral therapy to reduce prenatal anxiety despite substantial empirical support among individuals seeking treatment for anxiety symptoms. We examined whether a brief cognitive behavioral intervention delivered to low-income pregnant women would be efficacious for reducing prenatal anxiety. Method: A sample of 100 primarily ethnic and racial minority pregnant women with subclinical anxiety (74% Latina, 18% Black; M age = 26.5) were randomized to an 8-week cognitive behavioral stress management (CBSM) intervention (n = 55), or to an attentional control condition (n = 45). Two forms of anxiety (state and pregnancy-specific) were measured at baseline, posttreatment, and at follow-up in the postpartum using the State-Trait Personality Inventory-State and the Pregnancy Related Anxiety scale, respectively. Intent-to-treat (ITT) and completer analyses were conducted using linear mixed models to test mean differences in both forms of anxiety by group assignment and by intervention completion (<7 vs. ≥7 sessions) at post-treatment and follow-up timepoints. Results: ITT results revealed no intervention Group × Time interactions for state, F(3, 356) = .51, p = .68, or pregnancyspecific anxiety, F(2, 184.39) = .75, p = .47, indicating no intervention effect post-treatment or at follow-up. Completer analyses showed that women who received all intervention content (34.5%) had significantly less state anxiety at post-treatment compared to women who had not completed the intervention, (65.5%; M sessions = 3.62); F(6, 270.67) = 2.35, p = .03, and those in the control condition. Conclusions: While we did not find support for the use of CBSM to treat prenatal anxiety among low-income women, those who received a full dose benefited in state anxiety immediately postintervention. What is the public health significance of this article?This study suggests that cognitive behavioral stress management as a treatment for subclinical anxiety among Latinas and Black women may be efficacious, but only if all sessions are attended. Research examining the impact of dosage and strategies to improve adherence may be a meaningful future direction to improve treatments for ethnic and racial minority women with prenatal anxiety.

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Effectiveness of Childbirth Education on Nulliparous Women’s Knowledge of Childbirth Preparation, Pregnancy Anxiety and Pregnancy Outcomes

Cited by 11 publications

References 27 publications

Psychological, educational, and alternative interventions for reducing fear of childbirth in pregnant women: A systematic review

Psychological, educational, and alternative interventions for reducing fear of childbirth in pregnant women: A systematic review

Pregnancy specific anxiety: an under‐recognized problem

Cognitive behavioral stress management effects on prenatal anxiety among low-income women.

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