Embracing Motherhood: Impact of Nurse Led Fear and Apprehension Related to Labour or Childbirth Improving Intervention (FALCI) in Reducing Childbirth Fear Among Pregnant Women

Journal of Family & Reproductive Health Pub Date : 2023-12-31 DOI:10.18502/jfrh.v17i4.14596

Shivangi Mudgal, Naseema Shafqat, Geeta Bhardwaj, Arun Kumar Dora

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Abstract

Objective: Childbirth is a complex process with various dimensions including physical, psychological, emotional, social, and cultural aspects. The study intended to assess the effectiveness of Nurse led FALCI (Fear and Apprehension related to Labour or Childbirth Improving) Intervention in reducing childbirth fear among pregnant women. Materials and methods: A quasi-experimental study was conducted among 115 pregnant women (selected through purposive sampling) at antenatal OPD of tertiary care hospital of Bhopal. Data was collected using Wijma Delivery Expectancy Questionnaire (DEQ) and self-structured questionnaire on socio-demographic and clinical variables. The intervention (FALCI) was carried out in two phases, each lasting for 30 minutes conducted at week 3-4 and week 5-6 and information booklet was provided for reinforcement. The data was analysed using two-way repeated measures mixed ANOVA (within group and between groups). Results: Findings revealed that most of the pregnant women in both experimental (68.5%) and control (90.2%) group had high level of childbirth fear. Post-intervention data revealed mean of pretest, posttest 1 and posttest 2 were 73.85, 46.94 and 37.90 in experimental group and the mean of pretest, posttest 1 and posttest 2 were 75.49, 72.59 and 72.67 in control group respectively and found that there is significant difference in childbirth fear (within group, F value=114.69, p<0.001 in experimental group and F =0.575, p=0.564 in control group) and between groups (F value= 81.52, p value <0.001). However, no significant association was found between childbirth fear and sociodemographic/clinical variables. Conclusion: The study findings revealed that Nurse led FALCI intervention was effective in reducing childbirth fear among the pregnant women and it is recommended that such intervention must be planned at all levels and implemented as routine protocol in maternity services.

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拥抱母亲：护士引导的分娩或生产恐惧和忧虑改善干预（FALCI）对减少孕妇分娩恐惧的影响

目的：分娩是一个复杂的过程，涉及生理、心理、情感、社会和文化等多个方面。本研究旨在评估由护士主导的 FALCI（与分娩或改善分娩相关的恐惧和忧虑）干预措施在减少孕妇分娩恐惧方面的效果。材料和方法：在博帕尔市三级医院的产前门诊部对 115 名孕妇（通过目的性抽样选出）进行了一项准实验研究。使用 Wijma 分娩预期问卷（DEQ）和有关社会人口学和临床变量的自我结构式问卷收集数据。干预（FALCI）分两个阶段进行，每个阶段持续 30 分钟，分别在第 3-4 周和第 5-6 周进行，并提供了信息手册作为强化。数据采用双向重复测量混合方差分析（组内和组间）。结果研究结果表明，实验组（68.5%）和对照组（90.2%）的大多数孕妇对分娩有高度恐惧。干预后的数据显示，实验组的前测、后测 1 和后测 2 的平均值分别为 73.85、46.94 和 37.90，对照组的前测、后测 1 和后测 2 的平均值分别为 75.49、72.59 和 72.67。对照组的前测 1 和后测 2 平均值分别为 75.49、72.59 和 72.67，实验组和对照组在分娩恐惧方面存在显著差异（组内，实验组的 F 值=114.69，P<0.001；对照组的 F 值=0.575，P=0.564），组间也存在显著差异（F 值=81.52，P<0.001）。然而，分娩恐惧与社会人口学/临床变量之间并无明显关联。结论研究结果表明，由护士主导的 FALCI 干预措施能有效减少孕妇的分娩恐惧，因此建议必须在各级规划此类干预措施，并将其作为产科服务的常规方案加以实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of Family & Reproductive Health

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