{"title":"The Effect of a 'Baby-Midwife-Family' Micro-Video Intervention on Fear of Childbirth Among Primiparous Women.","authors":"Qianqian Zhao, Liangzhentian Yu, Jianlan Lu, Feiyan Guo, Yu Chen","doi":"10.1002/nop2.70803","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effectiveness of a multi-perspective 'Baby-Midwife-Family' micro-video intervention in reducing fear of childbirth among primiparous women, while also examining its effects on childbirth self-efficacy and depressive symptoms.</p><p><strong>Design: </strong>A non-concurrent controlled trial.</p><p><strong>Methods: </strong>This study was conducted at a tertiary hospital in Guangzhou, China. A total of 140 eligible primiparous women were enrolled. Women admitted during Dec 2024-Jan 2025 were allocated to the historical control group (n = 70) and received usual care, whereas those admitted during Feb-Mar 2025 were allocated to the intervention group (n = 70) and received usual care plus the micro-video intervention. Fear of childbirth (primary outcome), childbirth self-efficacy, and depressive symptoms (secondary outcomes) were assessed at hospital admission, before participants entered the delivery room, and on the day after delivery. Data were analysed using repeated-measures analysis of variance with intention-to-treat and per-protocol analyses.</p><p><strong>Results: </strong>Women receiving the micro-video intervention showed significantly greater reductions in fear of childbirth and greater improvements in childbirth self-efficacy over time than those receiving usual care alone. Depressive symptoms decreased over time in both groups, with no significant group effect.</p><p><strong>Conclusion: </strong>The findings support the 'Baby-Midwife-Family' micro-video intervention as a useful addition to childbirth preparation for primiparous women admitted for delivery.</p><p><strong>Impact: </strong>This brief intervention adds to routine maternity nursing care by providing timely childbirth education during the short pre-delivery period.</p><p><strong>Reporting method: </strong>TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) Statement.</p><p><strong>Patient or public contribution: </strong>No patients or public contribution.</p><p><strong>Trial registration: </strong>This study was registered with the Chinese Clinical Trial Registry (Registration No. ChiCTR2500109537, https://www.chictr.org.cn/showproj.html?proj=278878).</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"13 10","pages":"e70803"},"PeriodicalIF":3.1000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675656/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/nop2.70803","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: To evaluate the effectiveness of a multi-perspective 'Baby-Midwife-Family' micro-video intervention in reducing fear of childbirth among primiparous women, while also examining its effects on childbirth self-efficacy and depressive symptoms.
Design: A non-concurrent controlled trial.
Methods: This study was conducted at a tertiary hospital in Guangzhou, China. A total of 140 eligible primiparous women were enrolled. Women admitted during Dec 2024-Jan 2025 were allocated to the historical control group (n = 70) and received usual care, whereas those admitted during Feb-Mar 2025 were allocated to the intervention group (n = 70) and received usual care plus the micro-video intervention. Fear of childbirth (primary outcome), childbirth self-efficacy, and depressive symptoms (secondary outcomes) were assessed at hospital admission, before participants entered the delivery room, and on the day after delivery. Data were analysed using repeated-measures analysis of variance with intention-to-treat and per-protocol analyses.
Results: Women receiving the micro-video intervention showed significantly greater reductions in fear of childbirth and greater improvements in childbirth self-efficacy over time than those receiving usual care alone. Depressive symptoms decreased over time in both groups, with no significant group effect.
Conclusion: The findings support the 'Baby-Midwife-Family' micro-video intervention as a useful addition to childbirth preparation for primiparous women admitted for delivery.
Impact: This brief intervention adds to routine maternity nursing care by providing timely childbirth education during the short pre-delivery period.
Reporting method: TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) Statement.
Patient or public contribution: No patients or public contribution.
Trial registration: This study was registered with the Chinese Clinical Trial Registry (Registration No. ChiCTR2500109537, https://www.chictr.org.cn/showproj.html?proj=278878).
期刊介绍：
Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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