Factors Associated With Low Childbirth Self-Efficacy for Vaginal Birth in High-Risk Pregnant Women

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-01-21 DOI:10.1111/ijn.13323

Yılmaz Sarıboğa, Zeynep Gürkan, Remzi Sarıkaya

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引用次数: 0

Abstract

Background

Low childbirth self-efficacy is a significant indicator of vaginal birth and is closely related to adverse perinatal outcomes.

Objectives

This study aimed to evaluate factors associated with low childbirth self-efficacy for vaginal birth in high-risk pregnant women.

Methods

This descriptive study was conducted between July and December 2022 in Van, Turkey, with a total of 200 participants. Data collection instruments included a Socio-demographic Questionnaire and the Self-Efficacy Regarding Vaginal Birth (SEVB) scale. Independent t-test, chi-square test and multivariable binary logistic regression were employed for data analysis.

Results

The mean age of the participants was 27.74 ± 5.12 years, and the mean gestational age was 33.22 ± 4.28 weeks. Unplanned pregnancy status (p = 0.002), a history of caesarean section (p = 0.013), multiparity (p = 0.001), age (p < 0.01) and gestational age (p = 0.001) were associated with low childbirth self-efficacy for vaginal birth. In multivariate analysis, only age (B: 1111; 95% CI: 1038–1189; p = 0.002) and gestational age (B: 1120; 95% CI: 1034–1214; p = 0.004; and p = 0.005) were independently associated with low childbirth self-efficacy.

Conclusions

Low childbirth self-efficacy for vaginal birth was associated with higher maternal age and gestational ages. Identifying high-risk pregnant women with low childbirth self-efficacy will improve the care process for women and their newborns.

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高危孕妇阴道分娩自我效能低的相关因素

背景：低分娩自我效能感是阴道分娩的重要指标，与不良的围产儿结局密切相关。目的：本研究旨在评估高危孕妇顺产时分娩自我效能低的相关因素。方法：这项描述性研究于2022年7月至12月在土耳其凡进行，共有200名参与者。数据收集工具包括社会人口调查问卷和阴道分娩自我效能（SEVB）量表。采用独立t检验、卡方检验和多变量二元logistic回归进行数据分析。结果：患者平均年龄27.74±5.12岁，平均胎龄33.22±4.28周。非计划妊娠状态（p = 0.002）、剖宫产史（p = 0.013）、多胎（p = 0.001）、年龄(p)结论：阴道分娩分娩自我效能低与产妇年龄和胎龄较高相关。识别低分娩自我效能的高危孕妇将改善对妇女及其新生儿的护理过程。

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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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.