The Effect of Mother-Centered Counseling on Self-efficacy and Worry During Pregnancy: A Semi-Experimental Study of Need-based Empowerment in Teenage Mothers in Zahedan

Document Type : Original Article(s)

Authors

1 Faculty Member, Pregnancy Health Research Center AND Department of Midwifery, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran

2 MSc Student, Department of Midwifery, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran

3 Assistant Professor, Pregnancy Health Research Center AND Department of Midwifery, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran

Abstract

Background: Increased worries and low self-efficacy are associated with increased adverse pregnancy outcomes in adolescents. The present study was conducted to determine the effect of mother-centered counseling on the outcome of childbirth and anxiety during pregnancy in teenage mothers.
Methods: This quasi-experimental study was conducted in 2023 on 70 primigravida pregnant teenagers referred to comprehensive health centers in Zahedan. The intervention consisted of 6 group counseling sessions for 45-60 minutes in the second trimester of pregnancy. The tools for data collection were the Cambridge Worry Scale and Childbirth Self-Efficacy Inventory questionnaires. Analysis was done on the data of 32 people in the intervention group and 30 people in the control group. Independent T-tests and Paired T-tests with a significance level of P < 0.05 were used for analysis.
Findings: Before the intervention, the mean score of self-efficacy in the intervention group (93.03 ± 16.75) and control group (99.15 ± 15.24) had no significant difference (P = 0.14), but after the intervention, a significant difference was observed between the intervention group (131.53 ± 12.74) and control group (100.4 ± 14.86) (P < 0.001). There was no significant difference between the intervention group (81.18 ± 10.9) and the control group (84.5 ± 7.23) in terms of mean worry score before intervention (P = 0.16). However, after the intervention, there was a significant difference between the intervention group (54.09 ± 9.86) and the control group (86.3 ± 6.41) (P < 0.001).
Conclusion: Mother-centered counseling increases the self-efficacy of childbirth and reduces worries during pregnancy in pregnant teenagers. It is recommended to hold counseling sessions based on mothers' needs in addition to routine care to improve care.

Highlights

Tahere Boryri: Google Scholar, PubMed 

Samira Khayat: Google Scholar, PubMed

Keywords

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References

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Journal of Isfahan Medical School
Volume 42, Issue 789
1st Week, January
January and February 2025
Pages 952-962

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History

  • Receive Date: 20 July 2024
  • Accept Date: 03 November 2024

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