Journal List > J Korean Acad Nurs > v.42(4) > 1002841

Eom, Kim, Kim, Bang, and Chun: Effects of a One Session Spouse-Support Enhancement Childbirth Education on Childbirth Self-Efficacy and Perception of Childbirth Experience in Women and their Husbands



This study was conducted to evaluate the effect of a one-session spouse-support enhancement childbirth education on childbirth self-efficacy and perception of childbirth experience.


The design of this study was a nonequivalent control group pretest-posttest experiment. The participants in the study were 31 couples in the experimental group and 30 in the control group. The experimental couples were provided with one session on spouse-support enhancement childbirth education the night before delivery. Data were collected at two hours after delivery using the Childbirth Self-Efficacy Inventory (CBSEI) and perception of childbirth experience scale. Data were analyzed using PASW statistics 18 program. Frequencies, percentage, mean, χ2 test, t-test were used for data analysis.


Childbirth self-efficacy significantly increased in the experimental group as compared to the control group, but there was no significant difference in perception of childbirth experience in the experimental group compared to the control group.


The results suggest that a one-session childbirth education has beneficial effects on enhancing childbirth self-efficacy in pregnant couples. A one-session spouse-support enhancement childbirth education is recommended as an effective nursing intervention to promote couple's childbirth self-efficacy and it is also recommended that modifications of program to promote women's childbirth experience should be considered.

Figures and Tables

Table 1
Outline of One-session Spouse-leading Childbirth Education
Table 2
Homogeneity of Characteristics between Experimental and Control Groups (N=61)

Exp.=Experimental group; Cont.=Control group; IVP=Intravenous pitocin; PROM=Premature rupture of membrane; SGA=Small for gestational age; LGA=Large for gestational age.

aFisher's exact test.

Table 3
Differences in Pre-post Childbirth Self-efficacy between Experimental and Control Groups (N=61)

Exp.=Experimental group; Cont.=Control group.

Table 4
Difference in Perception of Childbirth Experience between Experimental and Control Groups (N=61)

Exp.=Experimental group; Cont.=Control group.


This study was conducted as a clinical nursing research study at Samsung Medical Center.


1. Bernat SH, Wooldridge PJ, Marecki M, Snell L. Biofeedback-assisted relaxation to reduce stress in labor. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 1992. 21(4):295–303.
2. Cho MY. Primiparas' perceptions of their delivery experience and their maternal-infant interaction: Compared according to delivery method. Seoul: Ewha Womans University;Unpublished doctoral dissertation.
3. Chun NM. The effect of childbirth education on primipara's childbirth experience and postpartum maternal adaptation. 2001. Seoul: Seoul National University;Unpublished master's thesis.
4. Cohen J. Statistical power analysis for the behavioral sciences. 1988. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates.
5. Ip WY, Tang CS, Goggins WB. An educational intervention to improve women's ability to cope with childbirth. Journal of Clinical Nursing. 2009. 18:2125–2135.
6. Jeon MH. A study on primiparous husband's state anxiety, perceived support and the perception of childbirth experience. Korean Journal of Women Health Nursing. 2004. 10(1):51–58.
7. Kim YJ, Kim IO. A phenomenological perspective and discovery of meaning in primiparas spouse's experience of the participation during labor. Qualitative Research. 2003. 4(2):61–72.
8. Kwak IJ, Park KH, Lee MY, Kim MR, Lee HS, Hong YM, et al. The effect of one session spouse's support reinforcement prenatal education program to participation and support degree of spouse to pregnant women during labor. Clinical Nursing Research. 2004. 10(1):42–55.
9. Lee EH, Kim JI, Kim YM, Kim YM. Study on pain, efficacy and comfort during first stage of laboring women. Korean Journal of Women Health Nursing. 2005. 11(2):129–134.
10. Lee MK. Effects of san-yin-jiao (SP-6) acupressure on labor pain, delivery time, serum β-endorphin and intensity of uterine contractions in women during labor. 2003. Seoul: Yonsei University of Korea;Unpublished doctoral dissertation.
11. Lim HY, Baek YM, Oh KE, Moon HK. Labor and delivery experience of women who have had lamaze education. Clinical Nursing Research. 2006. 12(1):33–42.
12. Lowe NK. Maternal confidence in coping with labor: A self-efficacy concept. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 1991. 20:457–463.
13. Lowe NK. Maternal confidence for labor: Development of the childbirth self-efficacy inventory. Research in Nursing and Health. 1993. 16:141–149.
14. Marut JS, Mercer RT. Comparison of primiparas' perception of vaginal and cesarean birth. Nursing Research. 1979. 28:260–266.
15. Nichols FH, Humenick SS. Childbirth education: Practice, research, and theory. 2000. 2nd ed. Louis, MO: W. B. Saunders Company.
16. Oh HL, Sim JS, Kim JS. The effects of prenatal education on primiparas' perception of delivery experience, self-confidence and satisfaction in maternal role performance. Korean Journal of Women Health Nursing. 2002. 8(2):268–277.
17. Oh JH, Lee HJ, Kim YK, Min J, Park KO. The effect ofchildbirth education and family participated delivery in a labor-delivery-recovery room on primiparas' anxiety, labor pain and perception of childbirth experience. Clinical Nursing Research. 2006. 12(2):145–156.
18. Park KH, Kwak IJ, Lee MY, Lee MS, Lee SJ, Park HJ, et al. The need of pregnant women and spouses about spouse's support during labor. Clinical Nursing Research. 2002. 8(1):17–35.
19. Park NJ. Women's perception of nursing student support during labor. Korean Journal of Women Health Nursing. 1998. 4(3):297–308.
20. Yeo JH. Childbirth experience of participants in lamaze childbirtheducation. Korean Journal of Women Health Nursing. 2010. 16(3):215–223.
21. Zwelling E. Childbirth education in the 1990s and beyond. Journal of Obstetric, Gynecologic, Neonatal, and Nursing. 1996. 25:425–432.
Similar articles