Effect of Self-Efficacy Regarding a Smooth Labor on Cesarean Deliveries Among Primiparas in Taiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/335559
Category:
Abstract
Type:
Presentation
Title:
Effect of Self-Efficacy Regarding a Smooth Labor on Cesarean Deliveries Among Primiparas in Taiwan
Author(s):
Chu, Kuei-Hui; Chen, Ai-Chieh; Chien, Li-Yin; Hsu, Mei-Hwa
Lead Author STTI Affiliation:
Non-member
Author Details:
Kuei-Hui Chu, RN, MS, kueihuichu@gmail.com; Ai-Chieh Chen, RN, MS; Li-Yin Chien, ScD; Mei-Hwa Hsu, RN, MS
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: The objective of this study was to examine the association between self-efficacy regarding a smooth labor during pregnancy and cesarean deliveries among primiparas in Taiwan. Methods: This prospective study included 770 women, who were interviewed during the second and third trimester of pregnancy for their self-efficacy regarding a smooth labor, and at one month postpartum for their actual mode of delivery. Self-efficacy regarding a smooth labor was defined as the level of confidence in going through a smooth normal spontaneous labor process and successfully giving birth to a baby. The scale included 20 items, with a higher score indicating a higher level of self efficacy. Results: The rate of cesarean section was 36.5%. Women undergoing cesarean deliveries have lower mean self-efficacy regarding a smooth labor during second and third trimesters of pregnancy. The logistic regression results showed that spousal age >40 years, being unmarred, and had received assisted reproductive technology were associated with an increased risk for cesarean delivery. After adjusting for those variables, self-efficacy during second trimester (OR = 0.99, 95% CI: 0.98-0.99) and increases in self-efficacy from the second to third trimesters (OR=0.98, 95% CI: 0.97-0.99) were associated with lower risks for cesarean delivery. Conclusion: Health professionals could screen pregnant women with low self-efficacy about labor, identify their concerns and obstacles about normal spontaneous delivery, and intervene to increase their self-efficacy, which could help decrease rate of cesarean section.
Keywords:
self-efficacy; cesarean delivery; prospective study
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffect of Self-Efficacy Regarding a Smooth Labor on Cesarean Deliveries Among Primiparas in Taiwanen_GB
dc.contributor.authorChu, Kuei-Huien_GB
dc.contributor.authorChen, Ai-Chiehen_GB
dc.contributor.authorChien, Li-Yinen_GB
dc.contributor.authorHsu, Mei-Hwaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKuei-Hui Chu, RN, MS, kueihuichu@gmail.com; Ai-Chieh Chen, RN, MS; Li-Yin Chien, ScD; Mei-Hwa Hsu, RN, MSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335559-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: The objective of this study was to examine the association between self-efficacy regarding a smooth labor during pregnancy and cesarean deliveries among primiparas in Taiwan. Methods: This prospective study included 770 women, who were interviewed during the second and third trimester of pregnancy for their self-efficacy regarding a smooth labor, and at one month postpartum for their actual mode of delivery. Self-efficacy regarding a smooth labor was defined as the level of confidence in going through a smooth normal spontaneous labor process and successfully giving birth to a baby. The scale included 20 items, with a higher score indicating a higher level of self efficacy. Results: The rate of cesarean section was 36.5%. Women undergoing cesarean deliveries have lower mean self-efficacy regarding a smooth labor during second and third trimesters of pregnancy. The logistic regression results showed that spousal age >40 years, being unmarred, and had received assisted reproductive technology were associated with an increased risk for cesarean delivery. After adjusting for those variables, self-efficacy during second trimester (OR = 0.99, 95% CI: 0.98-0.99) and increases in self-efficacy from the second to third trimesters (OR=0.98, 95% CI: 0.97-0.99) were associated with lower risks for cesarean delivery. Conclusion: Health professionals could screen pregnant women with low self-efficacy about labor, identify their concerns and obstacles about normal spontaneous delivery, and intervene to increase their self-efficacy, which could help decrease rate of cesarean section.en_GB
dc.subjectself-efficacyen_GB
dc.subjectcesarean deliveryen_GB
dc.subjectprospective studyen_GB
dc.date.available2014-11-17T13:54:55Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:54:55Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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