Korean J Women Health Nurs.  2018 Jun;24(2):126-137. 10.4069/kjwhn.2018.24.2.126.

Effects of an Experience-focused Prenatal Program on Stress, Anxiety, Childbirth Confidence, and Maternal-Fetal Attachment on Women in Their First Pregnancy

Affiliations
  • 1Department of Nursing, Mirero Woman's Hospital, Busan, Korea. solee@silla.ac.kr
  • 2Department of Nursing, Silla University, Busan, Korea.

Abstract

PURPOSE
To evaluate the effectiveness of an experience-focused prenatal program on stress, anxiety, childbirth confidence, and maternal-fetal attachment for women in their first pregnancy.
METHODS
The participants were 57 pregnant women at 32 weeks or more of a first pregnancy who agreed to participate in this study. The data were analyzed with descriptive statistics, t-test, χ2 test, and Fisher's exact test using the SPSS 21.0 program.
RESULTS
The experimental group showed significant differences in stress, anxiety, childbirth confidence, and maternal-fetal attachment from the control group.
CONCLUSION
The four-week experience-focused prenatal program can be used for women in their first pregnancy to reduce their stress and anxiety and to increase their childbirth confidence and maternal- fetal attachment.

Keyword

Prenatal program; Stress; Anxiety; Confidence; Attachment

MeSH Terms

Anxiety*
Female
Humans
Parturition*
Pregnancy*
Pregnant Women

Figure

  • Figure 1. Study design.


Cited by  2 articles

Impacts of self-differentiation, psychological discomfort, and marital dyadic adjustment on maternal-fetal attachment in primigravida
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Korean J Women Health Nurs. 2020;26(4):318-325.    doi: 10.4069/kjwhn.2020.11.12.

Do taegyo practices, self-esteem, and social support affect maternal-fetal attachment in high-risk pregnant women? A cross-sectional survey
Da-In Kang, Euna Park
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Reference

References

1. Van Bussel JCH, Spitz B, Demyttenaere K. Anxiety in pregnant and postpartum women: An exploratory study of the role of maternal orientations. Journal of Affective Disorders. 2009; 114(1–3):): 232–242.https://doi.org/10.1016/j.jad.2008.07.018.
Article
2. Yarcheski A, Mahon NE, Yarcheski TJ, Hanks MM, Cannella BL. A meta-analytic study of predictors of maternal-fetal attachment. International Journal of Nursing Studies. 2009; 46(5):708–715. https://doi.org/10.1016/j.ijnurstu.2008.10.013.
Article
3. Kim JI. Comparision of prenatal education program for the primigravida -Focused on anxiety and labor efficacy. Korean Journal of Women Health Nursing. 2005; 11(3):225–231.
4. Lee MJ. Factors influencing self confidence during delivery in laboring women. Korean Journal of Women Health Nursing. 2005; 11(1):20–26.
Article
5. Kim GJ. The effects of Doula Touch delivery education on self-confidence, knowledge of childbirth, couple satisfaction. Journal of the Korea Academia-Industrial cooperation Society. 2013; 14(6):2280–2888. https://doi.org/10.5762/kais.2013.14.6.2880.
6. Lothian JA. Childbirth education at the crossroads. The Journal of Perinatal Education. 2008; 17(2):45–49. https://doi.org/10.1624/105812408x298381.
Article
7. Seong CH, Park KM. Effect of prenatal education program of labor and delivery experience. Journal of the Korea Academia-Industrial cooperation Society. 2014; 15(9):5716–5725. https://doi.org/10.5762/kais.2014.15.9.5716.
Article
8. Hwang NM. The necessity for establishing a public prenatal health promotional education system. Health-welfare Policy Forum. 2010; 163:50–64.
9. Tak C, Lee JY. Study on the maternity education visitor satisfaction in accordance with participation motivation. Event & Convention Research. 2013; 9(1):15–34.
10. Kwon MK, Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth. Journal of Korean Academy of Nursing. 2011; 41(2):276–283. https://doi.org/10.4040/jkan.2011.41.2.276.
Article
11. Mercer RT, Walker LO. A review of nursing interventions foster becoming a mother. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2006; 35(5):568–582.
12. Korean Midwife Association. Childbirth and parent preparation education courses. Seoul: Korean Midwife Association;2015. p. 1–354.
13. Ahn HL. An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravida. Journal of Korean Academy of Nursing. 1985; 15(1):5–16.
14. Spielberger CD. Anxiety: Current trends in theory and research. New York: Academy Press;1972. https://doi.org/10.1016/B978-0-12-657401–2.50008–3.
15. Spielberger CD, Gorsuch R, Lushene RE, Vagg PR, Jacobs GA. Manual for the State-Trait Inventory (Form Y1-Y2). Palo Alto, CA: Consulting Psychologists Press;1983.
16. Hahn DW, Lee CH, Chon KK. Korean adaptation of Spiel-berger's STAT (K-STAT). Korean Journal of Health Psychology. 1996; 1(1):1–14.
17. Walker B. Erdman A. Children education programs: The relationship between confidence and knowledge. Birth. 1984; 11(2):103–108.
18. Lee MK. Effects of San-Yin-Jiao(SP6) acupressure on labor pain, delivery time in women during labor. Journal of Korean Academy of Nursing. 2003; 33(6):753–761.
Article
19. Cranley MS. Development of a tool for the measurement of maternal attachment during pregnancy. Nursing Research. 1981; 30(5):281–284.
Article
20. Chang SB, Kim KY, Kim ES. Changes of maternal-fetal attachment and self efficacy for delivery after the Taekyo-perspective prenatal class. Korean Journal of Women Health Nursing. 2001; 7(1):7–17.
21. Shim CS. Lee YS. Effects of a Yoga-focused prenatal program on stress, anxiety, self confidence and labor pain in pregnant women with in vitro-fertilization treatment. Journal of Korean Academy of Nursing. 2012; 42(3):369–376. https://doi.org/10.4040/jkan.2012.42.3.369.
22. Jun EN, Choi SH. Effect of a public health center prenatal program on body mass index, pregnancy stress and childbirth confidence. Journal of Korean Living Environmental System. 2014; 22(1):1–10. https://doi.org/10.21086/ksles.2015.02.22.1.1.
Article
23. Moon TY, Park SM, Han MS. The influence of regular participation in pregnant exercise on the body-esteem and pregnancy stress. Journal of the Korea Academia-Industrial cooperation Society. 2010; 11(3):1153–1162. https://doi.org/10.5762/kais.2010.11.3.1153.
Article
24. Esimai OA, Fatoye FO, Quiah AG, Vidal OE, Momoh RM. Antepartum anxiety and depressive symptoms: A study of Nigerian women during the three trimesters of pregnancy. Journal of Obstetrics & Gynecology. 2008; 28(2):202–203. https://doi.org/10.1080/01443610801912352.
Article
25. Cranley MS. Response to a critical review of prenatal attachment research. Scholarly Inquiry for Nursing Practice: An International Journal. 1992; 6(1):23–26.
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