Effects of online antenatal education on worries about labour, fear of childbirth, preparedness for labour and fear of covid-19 during the covid-19 pandemic: A single-blind randomised controlled study

Uludağ, Elif; Serçekuş, Pınar; Vardar, Okan; Özkan, Sevgi; ALATAŞ, Süleyman Erkan

doi:10.1016/j.midw.2022.103484

Cited by 14 publications

(9 citation statements)

References 40 publications

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“…Similarly, a previous qualitative study exploring women’s perceptions of childbirth experiences found that childbirth preparation could improve women’s self-confidence for a future birth [ 18 ]. Women with well preparedness for childbirth could understand the labour process and overcome fears and worries about labour, which could help them achieve a positive labour experience, contributing to fertility intentions [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

The association between childbirth-related fear, childbirth readiness, and fertility intentions, and childbirth readiness as the mediator

Zeng

Zhang

et al. 2023

Reprod Health

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Background Fertility intentions have been proved to be a reliable predictor of actual fertility behaviour. Also, childbirth-related fear (CBRF) has been proven to be negatively associated with childbirth readiness and fertility intentions among women, while childbirth readiness was positively related to fertility intentions. However, the associations and potential mechanisms between CBRF, childbirth readiness, and fertility intentions remain unknown. This study aimed to investigate the unique association between CBRF, childbirth readiness, and fertility intentions and whether childbirth readiness would mediate the relationship between CBRF and fertility intentions. Method A cross-sectional study of women (N = 1119, aged 16–53 years) who gave birth within 72 h was conducted. Using a convenience sampling, women were recruited from obstetric wards—10 comprehensive hospitals and 3 specialized hospitals in 7 provinces in mainland China. Pearson correlation was used to examine the relationship between CBRF, childbirth readiness, fertility intentions, and social support. Multivariate linear regression was further used to analyze the association between demographic and personal characteristics, CBRF, childbirth readiness, and fertility intentions. Mediation analysis was used to examine whether childbirth readiness mediates the relationship between CBRF and fertility intentions. Results Women with high childbirth readiness (β = 0.09, P = 0.002) had higher fertility intentions. However, women with high CBRF (β = − 0.17, P < 0.001) were more likely to have lower fertility intentions. CBRF had both direct and indirect effects on the level of fertility intentions. As predicted, childbirth readiness mediated the relationship between CBRF and the level of fertility intentions (estimate = − 0.012, 95% bootstrap CI: − 0.021 to − 0.005). Higher CBRF was associated with lower scores of childbirth readiness, which was associated with lower levels of fertility intentions. Conclusions This study established the evidence that CBRF had both direct and indirect effects on the level of fertility intentions and childbirth readiness mediated the relationship between CBRF and the level of fertility intentions. Specifically, higher CBRF was associated with lower scores of childbirth readiness, which was associated with lower levels of fertility intentions. This finding suggested that it is important for health policymakers and health providers to pay more attention to improving women’s childbirth readiness, which might reduce the negative influence of CBRF on fertility intentions, thus strengthening their fertility intentions.

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Section: Discussionmentioning

confidence: 99%

The association between childbirth-related fear, childbirth readiness, and fertility intentions, and childbirth readiness as the mediator

Zeng

Zhang

et al. 2023

Reprod Health

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“…This data offers us the possibility to help new mothers create maternity groups led by mental health professionals and mothers with similar experiences that can help create a community of support that calms this symptomatology. Antenatal care groups are not only valid in situations of health crisis but also in situations of medical or social complications providing a positive experience by promoting practical and emotional support for women ( Renbarger et al, 2021 ; Uludağ et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Childbirth experience during the COVID-19 pandemic: A qualitative thematic analysis

2023

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“…32 A small trial involving 44 first-time mothers in Turkey during the pandemic reported that participation in 8 online interactive educational sessions using Microsoft Teams significantly decreased women's worries about labor, fear of childbirth and fear of COVID-19, and improved their preparedness for labor. 33 A mixed-method study conducted in a southern Brazilian city involving 30 mothers of toddlers reported that a moderated WhatsApp support group was feasible and acceptable and improved maternal psychosocial well-being during the pandemic. 34…”

Section: Discussion Similar Initiativesmentioning

confidence: 99%

“…[27][28][29][30][31] There are fewer publications on the use of these interventions during the COVID-19 pandemic, and the largest studies were conducted in high-income countries. [32][33][34] We describe the development, implementation, and growth of the Godmother Project, a virtual initiative to educate and support Brazilian pregnant and postpartum women during the COVID-19 pandemic. We also report participants' feedback and lessons learned.…”

mentioning

confidence: 99%

The Godmother Project: A Virtual Initiative to Support Pregnant and Postpartum Women in Brazil During the COVID-19 Pandemic

Amaro¹,

Pessalli²,

Cunha³

et al. 2023

Glob Health Sci Pract

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A WhatsApp-based health educational initiative was designed to provide support and health information to Brazilian pregnant and postpartum women after in-person educational activities were canceled during the pandemic.nThe project was very well received by women, and the number of participants continues to grow despite the reinstatement of in-person educational activities.nThe welcoming, supportive attitude of the nurse educators managing the WhatsApp groups is key to ensuring successful interactions with and between the women. n Due to its success, the project was incorporated into routine antenatal services and is now offered to all women interested in perinatal education and support, along with the in-person educational sessions, as part of a blended approach.

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Effects of online antenatal education on worries about labour, fear of childbirth, preparedness for labour and fear of covid-19 during the covid-19 pandemic: A single-blind randomised controlled study

Cited by 14 publications

References 40 publications

The association between childbirth-related fear, childbirth readiness, and fertility intentions, and childbirth readiness as the mediator

The association between childbirth-related fear, childbirth readiness, and fertility intentions, and childbirth readiness as the mediator

Childbirth experience during the COVID-19 pandemic: A qualitative thematic analysis

The Godmother Project: A Virtual Initiative to Support Pregnant and Postpartum Women in Brazil During the COVID-19 Pandemic

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