The aim of this research is to study the responsiveness of the Spanish Version of Wijma Delivery Expectancy/Experience Questionnaire, Version A (WDEQ-A) in pregnant women after an educational intervention.
The Wijma Delivery Expectancy/Experience Questionnaire is a self-report instrument designed to measure the fear of childbirth in terms of the woman's cognitive appraisal of childbirth, which is now the most commonly used measure of fear of childbirth. The version A, measures the fear before a delivery (WDEQ-A). It consists of 33 items on a 6-point Likert scale (0 = do not agree; 5 = totally agree). The total score ranges from 0 to 165; the higher the score, the greater the fear the pregnant women experience. A higher score (over 85) indicates a more intense fear of childbirth, and a score of over 100 is considered as a phobia; thus, the scale can measure individual degrees of fear among women before and after their deliveries In Spain, there is no specific instrument to test the effectiveness of different practices that are commonly used to reduce the fear of childbirth as the maternal education. Hence, after cross-cultural adaptation into Spanish of the questionnaire (WDEQ-A-Sp), the responsiveness after and educational intervention will be analysed. Descriptive analyses will be applied to calculate means and standard deviations of the demographic variables. Distribution and normality will be determined by the one-sample Kolmogorov-Smirnov tests (significance \>0.05). Responsiveness will calculated following COSMIN requirements.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
52
Education intervention will consist of a total of six sessions one week apart, with two hours of duration each one. The sessions that are exclusively oriented towards preparation for childbirth are session 1 and session 2. The content of each session is: 1. St. Birth: Start of childbirth, Symptoms and Signs, Delivery schedules, Phases of childbirth, Normal childbirth, Other circumstances (Obstetrical pathology / previous pathology, Induction of labor, Instrumental birth, Caesarean section). 2. nd:methods for relieving birth pain: Alternative Methods of Pain Relief, Pharmacological analgesia, Regional analgesia. Local and regional anesthesia, General anesthesia, breathing training and accompaniment during childbirth- 3. rd: Puerperium. 4. rd :Breastfeeding 5. rd : Newborn care 6. rd :Positive parenting.
Antonio Cuesta-Vargas
Málaga, Spain
Responsiveness of WDEQ-A-Sp after an educational intervention
Responsiveness of Spanish Version of Wijma Delivery Expectancy/Experience Questionnaire, Version A (WDEQ-A-Sp) after an educational intervention in pregnant women
Time frame: inmediate effect
Age
Age expressed in years
Time frame: baseline, inmediate effect and 2,4 and 12 weeks. Long time effect 6 months
Weight
Weight expressed in kilograms (Kg)
Time frame: baseline, inmediate effect and 2,4 and 12 weeks. Long time effect 6 months
Height
Stature expressed in meters (m)
Time frame: baseline
Body Mass Index
Body Mass Index (BMI) expressed in kilograms per square meter (Kg/m2)
Time frame: aseline, inmediate effect and 2,4 and 12 weeks. Long time effect 6 months
Educational level
Education qualification: Junior high school, High School or Degree/Master degree
Time frame: baseline
Weeks of gestation
Weeks of gestation at the start of the study expressed in numbers
Time frame: baseline
civil status
Marital status: married/ stable couple; Inestable couple; single
Time frame: baseline
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Obstetric history
Obstetric information if there have been previous birth(s): No pregnancy, Natural birth, natural with with epidural, instrumental delivery, cesarean operation or emergency cesarean operation
Time frame: baseline
evolution of pregnancy
Current pregnancy risk: low risk, medium risk or high risk
Time frame: baseline, inmediate effect and 2,4 and 12 weeks.
Previous experience of pregnancy
No experience, miscarriage or death
Time frame: baseline, inmediate effect and 2,4 and 12 weeks.