The Effect of Training Program Given to Multiple Pregnants by Motivational Interview Method on Fear of Birth and Delivery Style

Abstract

Aim: Within the scope of our research, it was aimed to evaluate the effects of the training programs given with the motivational interview attitude given specifically to the mothers with multiple pregnancies on possible fears of childbirth and self-perception. In this direction, case and control studies were conducted with two groups. In summary, it focused on the effect of self-efficacy experienced during birth and self-efficacy experienced at the same time. Material and Methods: Our study was carried out between August 2022 and November 2022 in Adana Seyhan State Hospital Obstetrics and Gynecology Polyclinic with 73 multiple pregnant women (intervention: 37, control: 36) who met the study. More than one pregnant mother in the sample was randomly selected according to the intervention and control groups. "Training Program Based on Motivational Interview Method for Fear of Birth" was given to 37 pregnant women in the case group, four sessions individually, once a week. Results: In obtaining the relevant data within the scope of our study; Descriptive Personal Form, Wijma Birth Expectation/Experience Scale (W-DEQ) Versions A and B, Birth Self-Efficacy Scale (DSS) Short Version and Birth Evaluation Form were used. During the evaluation of the data, descriptive statistics such as the number of patients and the percentage of gender were recorded. Data are shown as mean±standard deviation, median (percentage). Chi-square test, Independent Groups t test, Mann Whitney U test, Wilcoxon test, repeated measures ANOVA test and Friedman test were used in statistical analysis. Conclusion: In the training program conducted with the motivational interview approach with pregnant mothers, it was revealed that possible fears of birth were minimized, positive increases were observed in birth self-efficacy, and the effect on birth types was not much. Looking at the results of the research; In order to minimize the fear of birth in the prenatal period and to increase self-efficacy during birth, it is recommended to include it in nursing care in a training program based on the motivational interview approach for fear of birth.