Factors Associated With Low Childbirth Self‐Efficacy for Vaginal Birth in High‐Risk Pregnant Women
Yılmaz Sarıboğa, Zeynep Gürkan, Remzi SarıkayaABSTRACT
Background
Low childbirth self‐efficacy is a significant indicator of vaginal birth and is closely related to adverse perinatal outcomes.
Objectives
This study aimed to evaluate factors associated with low childbirth self‐efficacy for vaginal birth in high‐risk pregnant women.
Methods
This descriptive study was conducted between July and December 2022 in Van, Turkey, with a total of 200 participants. Data collection instruments included a Socio‐demographic Questionnaire and the Self‐Efficacy Regarding Vaginal Birth (SEVB) scale. Independent t‐test, chi‐square test and multivariable binary logistic regression were employed for data analysis.
Results
The mean age of the participants was 27.74 ± 5.12 years, and the mean gestational age was 33.22 ± 4.28 weeks. Unplanned pregnancy status (p = 0.002), a history of caesarean section (p = 0.013), multiparity (p = 0.001), age (p < 0.01) and gestational age (p = 0.001) were associated with low childbirth self‐efficacy for vaginal birth. In multivariate analysis, only age (B: 1111; 95% CI: 1038–1189; p = 0.002) and gestational age (B: 1120; 95% CI: 1034–1214; p = 0.004; and p = 0.005) were independently associated with low childbirth self‐efficacy.
Conclusions
Low childbirth self‐efficacy for vaginal birth was associated with higher maternal age and gestational ages. Identifying high‐risk pregnant women with low childbirth self‐efficacy will improve the care process for women and their newborns.