Self-care agency and participation in childbirth education: Relationships to labor and delivery

2.50
Hdl Handle:
http://hdl.handle.net/10755/165997
Category:
Abstract
Type:
Presentation
Title:
Self-care agency and participation in childbirth education: Relationships to labor and delivery
Author(s):
Hart, Marcella
Author Details:
Marcella Hart, PhD, Professor, Armstrong Atlantic State University, Department of Nursing, Savannah, Georgia, USA, email: hartmarc@mail.armstrong.edu
Abstract:
The purpose of this study was to examine (1) changes in self-care agency and prenatal attitude towards childbirth participation after attendance at Childbirth Education Classes (CEC); and (2) relationships between self-care agency and prenatal attitude towards childbirth participation and the couple's evaluation of labor and delivery. Orem's Self-care Deficit Nursing Theory was used as the framework for this study. This was a pre post test correlational survey design with a convenience sample of 119 childbirth class couples. The average age of the participants was 30 years; the majority were Caucasian and college educated and had private insurance. The majority of the women were primiparas. Tools measuring Self-care Agency (ASA Scale) and Prenatal Attitude Towards Childbirth Participation (PATCP) scale were given pre and post childbirth classes. Three instruments measuring perceptions of labor and delivery were administered post delivery. Descriptive statistics, t tests, and Pearson's correlations were used to analyze the date. Analysis showed that self-care agency scores of the labor partners were significantly increased after completion of childbirth classes giving some support to Orem's theory. The PATCP scores were significantly increased for both moms and partners indicating that childbirth classes increase couples perception of their ability to have some control in labor and delivery. Self-care agency scores for the women were significantly correlated with labor agency scores; all results were significant with p<.05. Study results lend support to Orem's theory and suggest that nurses should assess a woman's self-care agency as a way to develop interventions to help women better cope with labor. Also the significant increase in the PATCP scores indicate childbirth classes do give couples the feeling they have some control in labor. Further research is needed into effect of epidurals and labor and delivery support on childbirth participation. Increasing the understanding of couple's perception of childbirth can help childbirth educators in designing and implementing classes to better help pregnant couples cope with labor and delivery.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
Feb 29 - Mar 2, 1996
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSelf-care agency and participation in childbirth education: Relationships to labor and deliveryen_GB
dc.contributor.authorHart, Marcellaen_US
dc.author.detailsMarcella Hart, PhD, Professor, Armstrong Atlantic State University, Department of Nursing, Savannah, Georgia, USA, email: hartmarc@mail.armstrong.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165997-
dc.description.abstractThe purpose of this study was to examine (1) changes in self-care agency and prenatal attitude towards childbirth participation after attendance at Childbirth Education Classes (CEC); and (2) relationships between self-care agency and prenatal attitude towards childbirth participation and the couple's evaluation of labor and delivery. Orem's Self-care Deficit Nursing Theory was used as the framework for this study. This was a pre post test correlational survey design with a convenience sample of 119 childbirth class couples. The average age of the participants was 30 years; the majority were Caucasian and college educated and had private insurance. The majority of the women were primiparas. Tools measuring Self-care Agency (ASA Scale) and Prenatal Attitude Towards Childbirth Participation (PATCP) scale were given pre and post childbirth classes. Three instruments measuring perceptions of labor and delivery were administered post delivery. Descriptive statistics, t tests, and Pearson's correlations were used to analyze the date. Analysis showed that self-care agency scores of the labor partners were significantly increased after completion of childbirth classes giving some support to Orem's theory. The PATCP scores were significantly increased for both moms and partners indicating that childbirth classes increase couples perception of their ability to have some control in labor and delivery. Self-care agency scores for the women were significantly correlated with labor agency scores; all results were significant with p<.05. Study results lend support to Orem's theory and suggest that nurses should assess a woman's self-care agency as a way to develop interventions to help women better cope with labor. Also the significant increase in the PATCP scores indicate childbirth classes do give couples the feeling they have some control in labor. Further research is needed into effect of epidurals and labor and delivery support on childbirth participation. Increasing the understanding of couple's perception of childbirth can help childbirth educators in designing and implementing classes to better help pregnant couples cope with labor and delivery.en_GB
dc.date.available2011-10-27T14:38:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:38:06Z-
dc.conference.dateFeb 29 - Mar 2, 1996en_US
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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