Childbirth Classes
Conditions
Keywords
childbirth education, upright positions, mobility during labor
Brief summary
Background and study aims: A prospective quasi-experimental study will be conducted among nulliparous women from the ultra-orthodox Jewish community. Study design: While the control group participated in routine childbirth education, the intervention group learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy.
Detailed description
Background: Upright labor positions and movement during labor have a positive effect on childbirth, yet the predominant labor positions are still horizontal. Therefore, it is important to explore how it is possible to improve childbirth education, particularly its instructional design, to strengthen women's self-efficacy toward the use of upright positions and mobility during labor. The aim of the study was to evaluate the impact of an instructional approach based on a cognitive engagement ICAP (Interactive, Constructive, Active, Passive) framework on the development of knowledge, attitudes, and self-efficacy expectations toward upright positions and mobility during labor. Methods: A prospective quasi-experimental study was conducted among nulliparous women from the ultra-orthodox Jewish community (n=74). While the control group (n = 34) participated in routine childbirth education, the intervention group (n = 36) learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy.
Interventions
OTHEREducational/Instructional
ICAP constructive-interactive engagement mode
Sponsors
Hana Borrer
Tel Aviv University
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
OTHER
Masking
NONE
Intervention model description
A prospective quasi-experimental study
Eligibility
Sex/Gender
FEMALE
Age
No minimum to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Nulliparous women
Exclusion criteria
\*High-risk pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy toward upright positions and mobility during labor | The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course. | The Childbirth Self-Efficacy Inventory that was developed by Lowe (2000).The participants were asked to rank on a 1-10 Likert scale 18 listed behaviors for how much they can help to cope with labor. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Attitudes towards upright positions and mobility during labor | The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course. | Questionnaire that was constructed according to Ajzen (1991) which defines attitudes as the positive or negative evaluation of certain behavior. The questionnaire includes 6 items; the participants are asked to rank their attitudes on a seven-point Osgood differential semantic scale, where 1 represents negative attitudes, and 7 represents positive attitudes. Higher score means a stronger attitude toward upright positions and mobility during labor. |
| Knowledge about positions and mobility during labor | The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course. | Knowledge questionnaire about labor positions and mobility was developed and validated by the authors. |
Countries
Israel
Outcome results
None listed