Effect Structured Teaching Program regarding Childbirth Preparation on Anxiety and Maternal Outcome among Primigravida Women

Abstract

Background: Childbirth education is an essential component of prenatal care. Preparing for childbirth helps women cope with their pregnancies and improves pregnancy outcomes. Aim: To determine the effect of a structured teaching program regarding childbirth preparation on anxiety and maternal outcomes among primigravida women. Subjects and method: Design: A quasi-experimental design was applied. Setting: The study was conducted at antenatal care clinics and labor room at Mansoura University Hospital. Subjects: Purposive sample, the sample consisted of 68 primigravida women who attended the research setting and were included in this study. Tools of data collection: (1) The Structured interview questionnaire, (II) Primigravida women's knowledge about the labor process and childbirth preparation, (III) Anxiety Rating Scale,(IV) Observation checklist to assess compliance during labor, and Tool (V): Modified WHO Partograph for monitoring the duration of labor. Results: Women's ages ranged from 25- 35 years. The studied sample demonstrated a significantly higher level of childbirth preparation knowledge (P 0.< 001), with a high reported satisfactory knowledge level (75.8%) of childbirth preparation in post-intervention than the pre-intervention (20%). The findings revealed that there was a significant (p<0.05) difference in the mode of delivery (p<0.05), anxiety level (p<0.05), and knowledge level (p<0.05). There was a significant improvement in a primigravida woman's knowledge, anxiety, and maternal outcome about childbirth preparation after the implementation of the structured teaching program. Conclusion: The findings concluded that structured teaching programs regarding childbirth preparation had a positive effect on anxiety and maternal outcomes among primigravida women. Recommendations: Continuous childbirth teaching programs for pregnant women in different antenatal care settings are highly recommended.