Journal List > Korean J Women Health Nurs > v.17(4) > 1037293

TOOLS
Kim, Kim, and Cheong: Effects of a Coaching-based Childbirth Program on Anxiety and Childbirth Self-efficacy among Primigravida Women
Original Article
Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2011; 17(4): 369-377.

Published online: 28 December 2011

DOI: https://doi.org/10.4069/kjwhn.2011.17.4.369

Effects of a Coaching-based Childbirth Program on Anxiety and Childbirth Self-efficacy among Primigravida Women

Sue Kim1, Hee-Sook Kim2, Ha-Yoon Cheong3

1Associate Professor, College of Nursing · Nursing Policy Research Institute, Yonsei University, Korea.

2Clinical Instructor, College of Nursing · Research Institute of Nursing Science, Seoul National University, Korea.

3Doctoral Student, College of Nursing, Yonsei University, Korea.

Address reprint requests to: Kim, Hee-Sook, College of Nursing, Seoul National University, Daehak-ro 103, Jongno-gu, Seoul 110-799, Korea. Tel: 82-2-740-8462, Fax: 82-2-747-3948, kimhs02041@hotmail.com

Received 22 October 2011       Accepted 6 December 2011

Copyright © 2011 Korean Academy of Women's Health Nursing

Abstract

Purpose

Childbirth self-efficacy plays an important role in women's ability to cope with labor and delivery. Coaching has been gaining popularity as a way to promote cognitive, emotional and behavioral change. This study aimed to test the effects of a Coaching-based childbirth program on anxiety and childbirth self-efficacy among primigravida women.

Methods

The study design was a quasi-experimental pre-post design. A coaching-based childbirth program was developed synthesizing concepts and techniques from the literature on coaching and was verified by an expert panel. It consisted of four weekly 2-hour small group sessions. Pregnant women were recruited from H hospital in Seoul. Childbirth self-efficacy and state anxiety were measured before and after the program.

Results

Although there was a no significant reduction in anxiety, there were statistically significant increase for childbirth self-efficacy in the experimental group when compared to the control group.

Conclusion

The program appears to increase childbirth self-efficacy for pregnant women. Future studies may benefit from using mixed coaching modalities and consider measuring health behaviors and obstetric outcomes to gain insights on its long-term impact.

Keywords: Childbirth, Anxiety, Self-efficacy

Figures and Tables

Figure 1
Research design.
kjwhn-17-369-g001
Figure 2
Contents of the coaching-based childbirth program.
kjwhn-17-369-g002
Table 1
Homogeneity test of Characteristics between the Experimental and Control Groups at Baseline (N=60)
kjwhn-17-369-i001

CSE=childbirth self efficacy.

†Fisher's exact test.

Table 2
Differences in Anxiety, Childbirth Outcome-expectancy and Self-efficacy expectancy between the Experimental and Control Group after Propensity Score Matching (N=60)
kjwhn-17-369-i002

Notes

This work was supported by the 2008 Faculty-Student Research Fund, College of Nursing, Yonsei University.

References

1. Beebe K.R., Lee K.A., Carrieri-Koblman V., Humphreys J. The effects of childbirth self-efficacy and anxiety during pregnancy on prehospitalization labor. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN/NAACOG. 2007. 36(5):410–418.
2. Bobak I.M., Lowdermilk D.L., Jensen M.D. Maternity nursing. 1995. 4th ed.St. Louis: Mosby.
3. Hayes E. From the sidelines: Coaching as a nurse practitioner strategy for improving health outcomes. Journal of the American Academy of Nurse Practitioners. 2007. 19:555–562.
4. Faul F., Erdfelder E., Lang A.G., Buchner A. G*Power3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007. 39:175–191.
5. Green J.M., Coupland V.A., Kitzinger J.V. Expectations, experiences, and psycho-logical outcomes of childbirth: A prospective study of 85 women. Birth. 1990. 17:15–23.
6. Hayes E. Coaching as a nurse practitioner strategy for improving health outcomes. Journal of the American Academy of Nurse Practitioners. 2007. 19:555–562.
7. Hong S.J. The effects of information offer on pregnant women's anxiety and labor pain. 2002. Seoul: Kyung Hee University;Unpublished master thesis.
8. Huffman M. Health Coaching: A new and exciting technique to enhance patient self-management and improve outcomes. Home Healthcare Nurse. 2007. 25(4):271–274.
9. Ip W.Y., Chung T.K., Tang C.S. The Chinese version of the childbirth self efficacy inventory. Journal of Advanced Nursing. 2005. 51:625–633.
10. Jung G.A. Effect of childbirth education on labor pain, anxiety, perception of birth experience in Primiparas. 1994. Daegu: Kyungpook National University;Unpublished doctoral dissertation.
11. Jung M.S. Effect of childbirth education on knowledge, anxiety, labor pain and self-cooperation in primipara and husbands. Journal of Kyungpook Nursing Science. 2003. 7(2):99–114.
12. Khorsandi M., Ghofranipour F., Faghihzadeh S., Hidarnia A., Bagheban A., Aguilar-Vafaie M.E. Iranian version of childbirth self-efficacy inventory. Journal of Clinical Nursing. 2008. 17:2846–2855.
13. Kim H.O. An ethnographic study about Taegyo practice in Korea. The Journal of Nurses Academic Society. 1997. 27(2):411–422.
14. Kim J.I. Comparison of prenatal education programs for the primigravida. Korean Journal of Women Health Nursing. 2005. 11(3):225–231.
15. Kim J.T., Shin D.G. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978. 21(11):69–75.
16. Lee K.H. Change of the childbearing culture: Family centered delivery. Nursing Science. 2000. 12(2):11–16.
17. Lee M.K. Factors influencing self confidence during delivery in laboring women. Korean Journal of Women Health Nursing. 2005. 11(1):20–26.
18. Lee S.J., Yoo J.S., Shin M.K., Park C.G., Choi E.J. The use of propensity score matching for evaluation of the effects of nursing intervention. Journal of Korean Academy of Nursing. 2007. 37(3):414–421.
19. Lee S.K. The effects of group coaching on emotional intelligence and self-efficacy of the nurses. 2007. Seoul: Yonsei University;Unpublished doctoral dissertation.
20. Lowe N.K. Difference in first and second stage labor pain between nulliparous and multiparous women. Journal of Psychosomatic Obstetrics and Gynecology. 1992. 13:243–253.
21. Lowe N.K. Maternal confidence for labour: Development of the childbirth self-efficacy inventory. Research in Nursing & Health. 1993. 16:141–149.
22. Moon G.N. The effect of child birth education on labour and delivery. 1993. Daegu: Kyungpook National University;Unpublished master's thesis.
23. Nichols F.H., Humenick S.S. Childbirth practice, research and theory. 1998. Philadelphia: W. B. Saunders.
24. Park C.H., Lee C.H. Effect of antenatal education on pregnant women. Korean Journal of Women Health Nursing. 2002. 8(1):34–54.
25. Park Y.S., Kim Y.I., Park Y.H. The evaluation of childbirth class and educational need of pregnant women. Journal of Korean Academy of Women's Health Nursing. 1996. 2(1):108–118.
26. Spielberger C.D., Gorsuch R.L., Lushene R.E. Manual for the state-trait anxiety inventory. 1970. Palo Alto, California: Consulting Psychologist Press.
27. Stoltzfus T. Coaching questions: A coach's guide to powerful asking skills. 2008. Charleston, SC: Booksurge.
28. Whitmore J. Life coaching guide. 2005. Seoul: Asia Coach Center.
TOOLS
Similar articles