The Intervention Study Of Music Delivery Prenatal Training On The Fear Of Delivery And Self-efficacy Of Pregnant Women

ObjectiveTo investigate the fear degree and self-efficacy of pregnant women in antenatal delivery,analyze the influencing factors of fear of pregnant women in antenatal delivery,intervene pregnant women in antenatal delivery with music delivery antenatal training method,and evaluate their fear of delivery and self-efficacy.Methods(1)Based on the survey of general data of pregnant women,delivery fear scale(CAQ)and delivery self-efficacy scale(CBESEI-32),278 pregnant women in a third grade a general hospital in Chongqing were investigated to understand the current situation of fear and self-efficacy of pregnant women's antenatal delivery and analyze the factors influencing their fear of antenatal delivery.(2)From December 2018 to August 2019,96 pregnant women who met the inclusion criteria were randomly divided into intervention group and control group,48 in each group.The pregnant women in the intervention group received music delivery prenatal training at the same time.General data questionnaire,delivery fear scale(CAQ)and delivery self-efficacy scale(CBESEI-32)were used to investigate the two groups of pregnant women respectively at the time of enrollment and after the training,to evaluate the general situation,delivery fear and self-efficacy level of pregnant women,and to evaluate the effect of music delivery prenatal training.Spss20.0 software was used for statistical analysis.Results:(1)Among 278 pregnant women,the average score of CAQ was(33.58 ± 7.27),which was at the level of mild fear of childbirth,69(24.8%)were pregnant women without fear of childbirth,143(51.4%)were pregnant women with mild fear of childbirth,and 66(23.7%)were pregnant women with moderate fear of childbirth;the scores of CAQ dimensions from high to low were: fetal health dimension(11.80 ± 3.16),respectively Self control(8.66 ± 1.86),labor pain injury dimension(8.05 ± 2.16),and medical care(5.07 ± 1.59).(2)Among 278 pregnant women,the mean score of CBESEI-32 was(87.77 ± 11.71);the mean score of oe-16 was(45.37 ± 6.41)higher than that of ee-16(42.40 ± 6.45).(3)The total score of CAQ in Chinese version of pregnant women in different age,delivery experience,relationship between pregnancy and spouse,relationship between mother-in-law and daughter-in-law,prenatal education,influence of relatives and friends on delivery mode were statistically significant(P < 0.05).After multiple stepwise regression analysis,the relationship between pregnancy and spouse,prenatal education and the influence of relatives and friends on the delivery mode of pregnant women entered the regression model.(4)The total score of childbirth fear and self-efficacy of pregnant women were(33.58 ± 7.27)and(87.77 ± 11.71)respectively.There was a negative correlation between the total score of childbirth fear and self-efficacy of pregnant women and all dimensions(r=-0.119~0.194,all P < 0.01).(5)Before the intervention of music delivery prenatal training,there was no significant difference in the average scores of CAQ and all dimensions between the two groups(P > 0.05).After the intervention,the scores of CAQ and all dimensions in the intervention group were significantly lower than those before the intervention(P < 0.05),and significantly lower than those in the control group(P < 0.05).(6)There was no significant difference in CBESEI-32,oe-16 and ee-16 between the two groups before the intervention of music delivery prenatal training(P > 0.05).After music delivery prenatal training,CBESEI-32,OE-16,EE-16 scores in the intervention group were significantly higher than those in the control group(P < 0.05).Conclusions:(1)The fear of childbirth of pregnant women is at a mild level,and the health of the fetus is the main factor that pregnant women are most concerned about and prone to fear of childbirth.(2)The self-efficacy of women in the third trimester was in the middle level,and the expectation of self-efficacy was lower than the expectation of results,which indicated that the ability of self-control in childbirth was relatively negative(3)Pregnant women's age,childbirth experience,the relationship between pregnant women and their spouses,mother-in-law and daughter-in-law relationship,prenatal education,and the influence of relatives and friends on pregnant women's childbirth mode all have an impact on pregnant women's prenatal childbirth fear.Among them,the relationship between pregnancy and spouse,prenatal education and the influence of relatives and friends on the delivery mode of pregnant women are the main factors.(4)Music delivery prenatal training can reduce the fear of delivery and improve the self-efficacy of delivery.