ISSN Print: 2381-1056  ISSN Online: 2381-1064
Journal of Nursing Science  
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Effectiveness of Antenatal Nursing Intervention on Childbirth's Fears, Psychological - Wellbeing and Pregnancy Outcomes in Primipara’s Women
Journal of Nursing Science
Vol.4 , No. 2, Publication Date: Jun. 1, 2018, Page: 17-24
1243 Views Since June 1, 2018, 673 Downloads Since Jun. 1, 2018
 
 
Authors
 
[1]    

Maaly Ebrahim EL-Malky, Department of Psychiatric Mental Health Nursing, Faculty of Nursing, Menoufia University, Shebin El-kom, Egypt.

[2]    

Samah Mohamed El-Homosy, Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Shebin El-kom, Egypt.

[3]    

Eman Seif Soliman Ashour, Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Shebin El-kom, Egypt.

[4]    

Yasser Atta Shehada, Public Health and Community Medicine Department, Faculty of Medicine, Menoufia University, Shebin El-kom, Egypt.

 
Abstract
 

Background: Fear of childbirth is a serious problem for women; it leads to avoidance of pregnancy, maternal and fetal stress, adverse maternal outcomes and an increase in maternal requests for cesarean section without medical reason. The aim of this study was to evaluate the effectivness of antenatal nursing intervention on childbirth fears, psychological- wellbeing and pregnancy outcomes in primiparas' women. A quasi-experimental research design two group (control and study group) was used. The study was conducted in maternal and child health center in Kebly at Shebin Elkom, Menoufia governorate, Egypt. A purposive sample of 100 prim gravida women was randomly assigned into control and study group 50 women for each group. The data gathering instruments were socio demographic questioner, fear of childbirth scale, psychological wellbeing scale and outcomes of pregnancy tool. The main findings of the study revealed that, there were statistically significant reduction of childbirth fears, improvement in psychological well being, and obestetrical outcomes in study group more than control group (P<0.001), women who received the psycho-educational nursing intervention program had lower rates of CS compared to controls. This study concluded that the psycho-educational nursing intervention program (childbirth preparation classes, childbirth fear coping techniques such as breathing exercise and relaxation technique in addition to routine antenatal care) have great effect on Childbirth Fears, Psychological- wellbeing and Pregnancy Outcomes in Primipara’s Women compared to those who received only routine antenatal care.


Keywords
 

Antenatal Nursing Intervention, Childbirth Fear, Psychological-Wellbeing, Pregnancy Outcomes


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