The Effect of a Birth Preparation Program with Spousal Participation Based on Self-Efficacy Theory on Fear of Childbirth, Self-Efficacy, Mode of Delivery and Outcomes: Study Protocol for a Randomised Trial

Öz

Aim: This protocol presents the design of a study aimed at investigating the effects of a self-efficacy–based birth preparation programme with spousal participation on fear of childbirth, self-efficacy, mode of delivery, and birth interventions. Methods: The study was designed as a pre-test, post-test, parallel group, randomised controlled trial. The population of the study will consist of nulliparous pregnant women and their spouses who apply to the hospital, and the sample will include of a total of 60 couples, with 30 couples allocated to the experimental group and 30 to the control group, based on power analysis. A pre-test will be administered to eligible couples prior to randomization. Following randomization a birth preparation programme based on self-efficacy theory with spousal participation will be applied to the couples included in the experimental group, and no intervention will be applied to the control group. Data collection has started and is expected to be completed in May 2025. Conclusion: It is anticipated that eliminating the fear of childbirth in both expectant mothers and fathers will increased competence levels regarding the birth process; thus the social support received by pregnant women from their spouses may be positively affected and vaginal birth rates may increase through enhanced self-efficacy for vaginal birth.

Anahtar Kelimeler

• Clinical protokol
• Delivery
• Prenatal education
• Randomized controlled trials
• Self-efficacy

Öz Yeterlilik Kuramına Dayalı Eş Katılımlı Doğuma Hazırlık Programının Doğum Korkusu, Öz Yeterliliği, Doğum Şekli ve Sonuçlarına Etkisi: Randomize Kontrollü Çalışma Protokolü

Öz

Amaç: Bu protokol, öz yeterlilik kuramına dayalı eş katılımlı doğuma hazırlık programının doğum korkusu, öz yeterliliği, doğum şekli ve doğumda uygulanan müdahaleler üzerindeki etkisini araştırmayı amaçlayan bir çalışmanın tasarımını sunmaktadır. Yöntem: Çalışma ön-test, son-test, paralel gruplu, randomize kontrollü bir çalışma olarak planlanmıştır. Araştırmanın evrenini hastaneye başvuran nullipar gebeler ve eşleri, örneklemini ise güç analizi sonucunda deney ve kontrol gruplarında 30'ar çift olmak üzere toplam 60 çift oluşturacaktır. Uygun çiftlere ön test uygulanacaktır. Randomizasyon sonucunda deney grubuna dahil edilen çiftlere eş katılımlı öz yeterlilik teorisine dayalı bir doğuma hazırlık programı uygulanacak, kontrol grubuna ise herhangi bir müdahale uygulanmayacaktır. Sonuç: Bu çalışma ile hem anne adaylarının hem de baba adaylarının doğum korkusunun giderilmesinin, eşlerin doğum sürecine ilişkin yeterlilik düzeylerinin artmasına katkı sağlayacağı, bu durumun gebelerin eşlerinden aldıkları sosyal desteği olumlu yönde etkileyeceği ve vajinal doğuma ilişkin öz yeterlilik düzeyinin artmasıyla vajinal doğum oranlarının yükselmesine katkıda bulunacağı düşünülmektedir.

Anahtar Kelimeler

• Doğum
• Obstetrik
• Klinik protokol
• Prenatal eğitim
• Randomize kontrollü çalışmalar
• Öz Yeterlilik

Kaynakça

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