Akademik Veri Yönetim Sistemi
4. Uluslararası 5. Ulusal Doğum Sonu Bakım Kongresi, Denizli, Türkiye, 29 Eylül - 01 Ekim 2022, ss.328
Introduction: Having a positive birth experience, which has an important place in a woman's
life, is one of the most basic rights of all women. For this reason, it is very important for women
to be ready for childbirth, and this is largely provided by birth preparation training. Objective:
In this study, it was aimed to determine the effect of the web-based labor preparation program,
which was developed based on the Health Belief Model and supported by motivational
interviewing, on the fear of childbirth, birth self-efficacy and birth process in primigravida
women. Method: The sample of the study, in which the randomized controlled single-blind
experimental design was applied, consisted of a total of 73 primigravida women, 37 of which
were in the experimental group and 36 in the control group. Women in both groups used the
website designed for childbirth preparation. In addition, women in both groups were
interviewed once a week for five weeks. The motivational interview method was used in line
with the Health Belief Model for the women in the experimental group. A placebo interview
was performed in the control group. Chi-square and student t tests were used in the evaluation
of the data, as well as descriptive statistics (number, percentage, mean, standard deviation).
Results: Before the intervention, while the mean scores of Birth Health Belief Scale (DSİÖ)
Self-Efficacy and Motivation, Benefit, Sensitivity and Perception of Seriousness were similar
in both groups (p>0.05), there was a significant difference between the mean Perception of
Obstacles (p<0.005) . There was no statistical difference between the post-intervention groups
in terms of DSIS sub-dimension mean scores (p>0.05). After the intervention, the Wijma Birth
Expectation/Experience Scale A (W-DEQ) Version score average of the experimental group
was statistically lower than the control group (p<0.001), the short version of the Self-Efficacy
Scale in Labor and the sufficiency expectation sub-dimension score average was significantly
lower than the control group. was high (p<0.05). The mean score of the Wijma Birth
Expectation/Experience Scale B (W-DEQ B) version was found to be significantly lower in the
experimental group than in the control group (p<0.001). There was no significant difference in
terms of delivery types in both groups (p>0.05). It was determined that the women in the
experimental group had shorter first and third stages of labor and less laceration development
compared to the control group (p<0.05). Conclusion: It was determined that the web-based
labor preparation program, which was developed based on the Health Belief Model and
supported by motivational interviewing, reduced the fear of birth in primigravida women,
increased birth self-efficacy and positively affected the birth process.
Keywords: Health belief model, birth preparation education, fear of birth, self-efficacy, mode
of birth, motivational interview.