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Nursing open
Par Zhao Q, Yu L, Lu J et 2 autres.
Contenu en anglais
To evaluate the effectiveness of a multi-perspective 'Baby-Midwife-Family' micro-video intervention in reducing fear of childbirth among primiparous women, while also examining its effects on childbirth self-efficacy and depressive symptoms.
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A non-concurrent controlled trial.
This study was conducted at a tertiary hospital in Guangzhou, China. A total of 140 eligible primiparous women were enrolled. Women admitted during Dec 2024-Jan 2025 were allocated to the historical control group (n = 70) and received usual care, whereas those admitted during Feb-Mar 2025 were allocated to the intervention group (n = 70) and received usual care plus the micro-video intervention. Fear of childbirth (primary outcome), childbirth self-efficacy, and depressive symptoms (secondary outcomes) were assessed at hospital admission, before participants entered the delivery room, and on the day after delivery. Data were analysed using repeated-measures analysis of variance with intention-to-treat and per-protocol analyses.
Women receiving the micro-video intervention showed significantly greater reductions in fear of childbirth and greater improvements in childbirth self-efficacy over time than those receiving usual care alone. Depressive symptoms decreased over time in both groups, with no significant group effect.
The findings support the 'Baby-Midwife-Family' micro-video intervention as a useful addition to childbirth preparation for primiparous women admitted for delivery. Impact: This brief intervention adds to routine maternity nursing care by providing timely childbirth education during the short pre-delivery period. Reporting method: TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) Statement. Patient or public contribution: No patients or public contribution.
This study was registered with the Chinese Clinical Trial Registry (Registration No. ChiCTR2500109537, https://www.chictr.org.cn/showproj.html?proj=278878).
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