Pregnancy Related
Conditions
Keywords
Pregnancy, fear, Parturition, Prenatal Education
Brief summary
The aim of this research is to study the responsiveness of the Spanish Version of Wijma Delivery Expectancy/Experience Questionnaire, Version A (WDEQ-A) in pregnant women after an educational intervention.
Detailed description
The Wijma Delivery Expectancy/Experience Questionnaire is a self-report instrument designed to measure the fear of childbirth in terms of the woman's cognitive appraisal of childbirth, which is now the most commonly used measure of fear of childbirth. The version A, measures the fear before a delivery (WDEQ-A). It consists of 33 items on a 6-point Likert scale (0 = do not agree; 5 = totally agree). The total score ranges from 0 to 165; the higher the score, the greater the fear the pregnant women experience. A higher score (over 85) indicates a more intense fear of childbirth, and a score of over 100 is considered as a phobia; thus, the scale can measure individual degrees of fear among women before and after their deliveries In Spain, there is no specific instrument to test the effectiveness of different practices that are commonly used to reduce the fear of childbirth as the maternal education. Hence, after cross-cultural adaptation into Spanish of the questionnaire (WDEQ-A-Sp), the responsiveness after and educational intervention will be analysed. Descriptive analyses will be applied to calculate means and standard deviations of the demographic variables. Distribution and normality will be determined by the one-sample Kolmogorov-Smirnov tests (significance \>0.05). Responsiveness will calculated following COSMIN requirements.
Interventions
OTHERPrenatal education
Education intervention will consist of a total of six sessions one week apart, with two hours of duration each one. The sessions that are exclusively oriented towards preparation for childbirth are session 1 and session 2. The content of each session is: 1. St. Birth: Start of childbirth, Symptoms and Signs, Delivery schedules, Phases of childbirth, Normal childbirth, Other circumstances (Obstetrical pathology / previous pathology, Induction of labor, Instrumental birth, Caesarean section). 2. nd:methods for relieving birth pain: Alternative Methods of Pain Relief, Pharmacological analgesia, Regional analgesia. Local and regional anesthesia, General anesthesia, breathing training and accompaniment during childbirth- 3. rd: Puerperium. 4. rd :Breastfeeding 5. rd : Newborn care 6. rd :Positive parenting.
Sponsors
University of Malaga
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Masking description
There will be no masking as the purpose of the study is to analyse responsiveness of a questionnaire after educational intervention
Intervention model description
A single groupof pregant women will complete the spanish version of Delivery Expectancy/Experience Questionnaire, Version A (WDEQ-A, spanish version) before and after an educational information.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Spanish women living in Málaga, \> 18 years old, 26-30 weeks pregnant, to fill all the items of the questionnaires, to perform sessions the Maternal Education Protocol in Malaga
Exclusion criteria
* No performin inclusion criteria. No voluntary participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Responsiveness of WDEQ-A-Sp after an educational intervention | inmediate effect | Responsiveness of Spanish Version of Wijma Delivery Expectancy/Experience Questionnaire, Version A (WDEQ-A-Sp) after an educational intervention in pregnant women |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Weight | baseline, inmediate effect and 2,4 and 12 weeks. Long time effect 6 months | Weight expressed in kilograms (Kg) |
| Age | baseline, inmediate effect and 2,4 and 12 weeks. Long time effect 6 months | Age expressed in years |
| Body Mass Index | aseline, inmediate effect and 2,4 and 12 weeks. Long time effect 6 months | Body Mass Index (BMI) expressed in kilograms per square meter (Kg/m2) |
| Educational level | baseline | Education qualification: Junior high school, High School or Degree/Master degree |
| Height | baseline | Stature expressed in meters (m) |
| civil status | baseline | Marital status: married/ stable couple; Inestable couple; single |
| Obstetric history | baseline | Obstetric information if there have been previous birth(s): No pregnancy, Natural birth, natural with with epidural, instrumental delivery, cesarean operation or emergency cesarean operation |
| evolution of pregnancy | baseline, inmediate effect and 2,4 and 12 weeks. | Current pregnancy risk: low risk, medium risk or high risk |
| Previous experience of pregnancy | baseline, inmediate effect and 2,4 and 12 weeks. | No experience, miscarriage or death |
| Weeks of gestation | baseline | Weeks of gestation at the start of the study expressed in numbers |
Countries
Spain
Outcome results
None listed