Effect of husband education in childbirth support on women's self-efficacy and labor outcomes: a quasi-experimental study

Document Type : Original Article

Authors

1 Muhammadiyah University of Pringsewu, Tanjung Baru, Kedamaian, Bandar Lampung, Lampung Province, Indonesia

2 Politeknik Kesehatan Kartini Bali, Bali, Indonesia

Abstract

Background: Labor is an experience that requires confidence but can induce a feeling of fear. Women's readiness and self-efficacy for pregnancy and childbirth are issues in preventing long labor. The husband's support can increase the mother's childbirth self-efficacy.
Objectives: To determine the effect of husband education in childbirth support on women's childbirth self-efficacy and labor outcomes.
Methods: A quasi-experimental study with pretest-posttest design was conducted from June to October 2022 at the Independent Midwifery Practice Centers of Pringsewu Regency, Indonesia. The participants were 138 pregnant women who were randomly allocated into two groups. The data collection instrument included the Childbirth Self-Efficacy Inventory (CBSEI), a questionnaire for assessing the husbands’ childbirth support knowledge and skills, and two questionnaires developed by the researchers to record respondents' characteristics and current pregnancy outcomes. Data analysis was performed using the chi-square test, the independent samples t-test, and the Multivariate analysis of variance.
Results: There was a significant increase in the husband's knowledge and skills in childbirth support, four domains of childbirth self-efficacy, pain, duration of the first and second stages of labor, and success of initiating breastfeeding (P <0.001). Multivariate analysis showed that of all variables, the variable most influenced by the intervention was first-stage self-efficacy expectancy, which was 0.746 (74.6%), while the variable least influenced was the duration of the first stage of labor, which was 0.199 (19.9%).
Conclusion: Husband education in childbirth support can increase the mother's childbirth self-efficacy and birth outcomes.

Keywords

Main Subjects

References

  1. World Health Organization. Maternal mortality Evidence brief. 2019. Available from: https://iris.who.int/bitstream/handle/10665/329886/WHO-RHR-19.20-eng.pdf?ua=1. [Last access date: 31 October2023].
  2. The Global Economy. Maternal mortality - Country rankings in South East Asia. 2020. Available from: https://www.theglobaleconomy.com/rankings/maternal_mortality/South-East-Asia/ [Last access date: 31 October2023].
  3. National Population and Family Planning Agency. Indonesian Demographic Health Survey 2017. Jakarta: Badan Pusat Statistik. 2018. Available from: https://dhsprogram.com/pubs/pdf/FR342/FR342.pdf [Last access date: 31 October2023].
  4. Nisa SMK, Murti B, Qadrijati I. Psychosocial Factors Associated with Anxiety and Delivery Pain. J Matern Child Heal 2018;3(1):44-58. doi:10.26911/thejmch.2018.03.01.05
  5. Nystedt A, Hildingsson I. Diverse definitions of prolonged labour and its consequences with sometimes subsequent inappropriate treatment. BMC Pregnancy Childbirth 2014;14:233. doi:10.1186/1471-2393-14-233 PMid:25031035 PMCid:PMC4105110
  6. Lowe N. A review of factors associated with dystocia and cesarean section in nulliparous women. J Midwifery Womens Heal 2007;52: 216-28. doi:10.1016/j.jmwh.2007.03.003 PMid:17467588
  7. Lowe N. Self-efficacy for labor and childbirth fears in nulliparous. J Psychosom Obs Gynaecol 2010;21(4):219-24. doi:10.3109/01674820009085591 PMid:11191169
  8. Schwartz L, Toohill J, Creedy DK, Baird K, Gamble J, Fenwick J. Factors associated with childbirth self-efficacy in Australian childbearing women. BMC Pregnancy Childbirth 2015;15(1):1-9. doi:10.1186/s12884-015-0465-8 PMid:25879780 PMCid:PMC4333169
  9. Kartini F, Emilia O, Dasuki D, Prabandari YS. Developing Indonesian version of childbirth self-efficacy inventory (Cbsei)-C32. Bali Med J 2019;8(3):859. doi:10.15562/bmj.v8i3.1538
  10. Tilden EL, Caughey AB, Lee CS, Emeis C. The Effect of Childbirth Self-Efficacy on Perinatal Outcomes. J Obstet Gynecol Neonatal Nurs 2016;45(4):465-80. doi:10.1016/j.jogn.2016.06.003
    PMid:27290918 PMCid:PMC5079266
  11. Bostan FS, Kabukcuoğlu K. Factors relating to childbirth self efficacy among pregnant women: a CHAID analysis. J Obstet Gynaecol (Lahore) 2022;42(7):2805-12. doi:10.1080/01443615.2022.2109412 PMid:35959843
  12. Wilson CL, Simpson JA. Childbirth Pain, Attachment Orientations, and Romantic Partner Support During Labor and Delivery. Pers Relatsh 2016;23(4):622-644. doi:10.1111/pere.12157 PMid:28529444 PMCid:PMC5436727
  13. Agushybana F. Influence of husband support on complication during pregnancy and childbirth in Indonesia. J Heal Res 2016; 30 (4):249-55. doi:10.14456/jhr.2016.34.
  14. Mok YK, Cheung KW, Wang W, Li RHW, Shek NWM, Yu Ng EH. The effects of not having continuous companion support during labour on pregnancy and neonatal outcomes during the COVID-19 pandemic. Midwifery 2022;108:103293. doi:10.1016/j.midw.2022.103293 PMid:35240431 PMCid:PMC8860747
  15. Kashaija DK, Mselle LT, Mkoka DA. Husbands' experience and perception of supporting their wives during childbirth in Tanzania. BMC Pregnancy Childbirth 2020;20(1):85. doi:10.1186/s12884-019-2715-7 PMid:32039718 PMCid:PMC7011545
  16. Gibore NS, Bali TAL. Community perspectives: An exploration of potential barriers to men's involvement in maternity care in a central Tanzanian community. PLoS One 2020;15(5):e0232939. doi:10.1371/journal.pone.0232939 PMid:32437360 PMCid:PMC7241761
  17. King TL, Brucker MC, Osborne K, Jevitt C. Varney's Midwifery. Burilington: World Headquarters Jones & Bartlett Learning; 2019
  18. Bakoil MB, Manalor LL, Diaz MF, Tuhana VE. Education On The Benefits Of Husband Support To The Mother During Childbirth. J Kreat Pengabdi Kpd Masy 2021;4(4):787-94. doi:10.33024/jkpm.v4i4.3904
  19. Karningsih K, Yulfitria F, Fratidhina Y. Empowerment of pregnant women and husbands regarding the use of Sp6 acupressure in the East Jakarta Pmb work area. In: Prosiding Seminar Nasional Poltekkes Jakarta III 2022. 2022. page 349-57. Available from: https://www.poltekkesjakarta3.ac.id/ejurnalnew/index.php/ProsidingSEMNAS2022/article/view/1175 [Last access date: 31 October2023]
  20. Serçekuş P, Başkale H. Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery 2016;34:166-72. doi:10.1016/j.midw.2015.11.016 PMid:26656473
  21. Elyasari E, Feryani F, Aisa S, Arsulfa A. Pendampingan Persalinan oleh Suami Berpengaruh terhadap Lama Persalinan Kala 1: Penelitian Kuasi Eksperiman. Heal Inf J Penelit 2022;14(2):237-244. doi:10.36990/hijp.v14i2.763
  22. Lowe NK. Maternal confidence for labor: Development of the childbirth self‐efficacy inventory. Res Nurs Health 1993;16(2): 141-9. doi:10.1002/nur.4770160209 PMid:8502766
  23. Suryaningsih EK, Zulala NN, Lestari S, Nguyen T Van. Translation and Validation of Childbirth Self-Efficacy Inventory into Indonesia. Open Access Maced J Med Sci 2022;10(G):534-40. doi:10.3889/oamjms.2022.9135
  24. Carvalho B, Cohen SE. Measuring the labor pain experience: Delivery still far off. Int J Obstet Anesth 2013;22(1):6-9. doi:10.1016/j.ijoa.2012.10.002 PMid:23182607
  25. Ministry of Health Indonesia. Pedoman pelayanan antenatal, Persalinan, nifas, dan Bayi baru lahir. Jakarta: JNPKR; 2020. Available from: http://selasi.or.id/wp-content/uploads/2020/10/revisi-2-A5-Pedoman-Pelayanan-Antenatal-Persalinan-Nifas-dan-BBL-di-Era-Adaptasi-Kebiasaan-Baru-1.pdf [Last access date: 31 October2023]
  26. Ministry of Health of the Republic of Indonesia. Maternal Child Health Book version 2020. 2020th ed. Jakarta: Ministry of Health of the Republic of Indonesia; 2020. Available from: https://kesmas.kemkes.go.id/assets/uploads/contents/others/BUKU_KIA_REVISI_2020_LENGKAP.pdf [Last access date: 31 October 2023]
  27. Zhao Y, Wu J, Yang H, Yin X, Li D, Qiu L, et al. Factors associated with childbirth self-efficacy: a multicenter cross-sectional study in China. Midwifery 2021;93:102883. doi:10.1016/j.midw.2020.102883 PMid:33246143
  28. Izadirad H, Niknami S, Zareban I, Hidarnia A. Effects of Social Support and Self-Efficacy on Maternal Prenatal Cares Among the First-Time Pregnant Women, Iranshahr, Iran. J Family Reprod Health 2017;11(2):67-73. PMID: 29282413 PMCID: PMC5742666.
  29. Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H,et al. Causes and outcomes in studies of fear of childbirth: A systematic review. Women Birth 2019;32(2):99-111. doi:10.1016/j.wombi.2018.07.004 PMid:30115515
  30. Kassanesh TM. The Asociation Between Male Involvement In Instituional Delivery And Women's Use Of Instituional Delivery In Debre Tabor Town North Weast Ethiophia : Community Base Survey. Plos One J 2021;16(4);e0249917. doi:10.1371/journal.pone.0249917 PMid:33836011 PMCid:PMC8034730
  31. Leahy-Warren P, McCarthy G, Corcoran P. First-time mothers: social support, maternal parental self-efficacy and postnatal depression. J Clin Nurs 2012;21(3-4):388-97. doi:10.1111/j.1365-2702.2011.03701.x PMid:21435059
  32. Sulistianingsih A, Aswitami NGAP, Saputri N, Rumintang BI, Halimatusyaadiah S, Sundayani L, et al. Effect of new Maternal and Child Health Book on Iron Supplementation Obedience and Labour Outcome in Pregnant Women, Pringsewu District, Lampung Province, Indonesia. Afr J Nurs Midwifery 2023;25:1. doi:10.25159/2520-5293/12897
  33. World Health Organization. WHO Recommendations Intrapartum care for a positive childbirth experience. 2018. Available from: http://apps.who.int/iris/bitstream/10665/260178/1/9789241550215-eng.pdf?ua=1%0Ahttp://www.who.int/reproductivehealth/publications/intrapartum-care-guidelines/en/ [Last access date: 31 October 2023]
  34. Marcelina LA, Rachmawati IN, Ungsianik T. Dissatisfaction with the husband support increases childbirth fear among Indonesian primigravida. Enferm Clin 2019;29:379-83. doi:10.1016/j.enfcli.2019.04.047
  35. Porrett L, Barkla S, Knights J, de Costa C, Harmen S. An exploration of the perceptions of male partners involved in the birthing experience at a regional Australian hospital. J Midwifery Womens Health 2013; 58(1):92-7. doi:10.1111/j.1542-2011.2012.00238.x PMid:23279049
  36. Abdullah A, Hort K, Butu Y, Simpson L. Risk factors associated with neonatal deaths: a matched case-control study in Indonesia. Glob Health Action 2016;9:30445. doi:10.3402/gha.v9.30445 PMid:26895147 PMCid:PMC4759830
  37. Gayatri M, Dasvarma GL. Predictors of early initiation of breastfeeding in Indonesia: A population-based cross-sectional survey. PLoS One 2020;15(9):e0239446. doi:10.1371/journal.pone.0239446 PMid:32970729 PMCid:PMC7514028
  38. Aguiar C, Jennings L. Impact of Male Partner Antenatal Accompaniment on Perinatal Health Outcomes in Developing Countries: A Systematic Literature Review. Matern Child Health J 2015;19(9):2012-9. doi:10.1007/s10995-015-1713-2 PMid:25656727
Nursing and Midwifery Studies
Volume 12, Issue 4
December 2023
Pages 197-205

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History

  • Receive Date: 05 September 2023
  • Revise Date: 04 November 2023
  • Accept Date: 04 November 2023

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