The effect of pregnancy training classes based on bandura self‑efficacy theory on postpartum depression and anxiety and type of delivery
نویسندگان
1
2
3
4
5 Health Center No. 1, Isfahan University of Medical Sciences, Isfahan, Iran
doi
چکیده
BACKGROUND: Postpartum depression and anxiety is one of the most common complicationsthat women face and cause many problems for mother, baby, and family. Considering the effect ofself‑efficacy on women’s adaptation to pregnancy and delivery conditions and their mental healthduring this period, the present study was designed to investigate the effect of pregnancy trainingclasses based on Bandura self‑efficacy theory on postpartum depression and anxiety and type ofdelivery.MATERIALS AND METHODS: In this clinical trial study, 64 pregnant women were randomly dividedinto intervention and control groups. Mothers in the intervention group received pregnancy trainingin eight sessions (each session was 2‑hour) from the 20th week of pregnancy. The classes were runby a trained midwife and the content of the training was based on Bandura self‑efficacy components.The mothers in the control group received routine care. The demographic‑reproductive informationform, Beck Depression and Spielberger Anxiety Questionnaire were completed by pregnant womenof both groups at several times, before the program, 1 week and 1 month after delivery.RESULTS: The results showed that the training program significantly decreased the depressionscore in 1 week and 1 month after delivery in the intervention group compared to the control group.In addition, this training program decreased the mean score of apparent and hidden anxiety in theintervention group 1 month after delivery, although this decrease was not statistically significant.Furthermore, 80.55% of the intervention group and 58.33% of the control group had vaginal delivery,which were significantly different between the two groups in terms of the type of delivery.CONCLUSION: The findings showed that pregnancy training classes based on Bandura self‑efficacytheory decrease depression and anxiety and increases vaginal delivery rate.