The mediating effect of maternal childbirth self-efficacy on the relationship between reproductive health literacy during pregnancy and expected mode of delivery
10.3969/j.issn.1672-8467.2024.05.017
- VernacularTitle:孕妇分娩自我效能在孕期生殖健康素养与分娩意向之间的中介效应
- Author:
Fang-Ping XU
1
;
Xin-Li ZHU
;
Xiao-Jiao WANG
;
Chun-Xiang ZHU
;
Chun-Yi GU
Author Information
1. 复旦大学附属妇产科医院护理部 上海 200011;复旦大学护理学院 上海 200032
- Keywords:
pregnancy;
health literacy;
self-efficacy;
expected mode of delivery;
mediating effect
- From:
Fudan University Journal of Medical Sciences
2024;51(5):765-771
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating effect of maternal childbirth self-efficacy between reproductive health literacy during pregnancy and expected mode of delivery,in order to provide a reference for obstetric care providers to carry out scientific and reasonable childbirth decision support interventions.Methods A questionnaire survey was conducted among pregnant women in late pregnancy seeing doctors in Obstetric Clinic of Obstetrics and Gynecology Hospital,Fudan University from Oct 2020 to Feb 2021 using convenience sampling.A general information questionnaire,the Reproductive Health Literacy Scale,and Childbirth Self-efficacy Scale were used in the survey.Linear regression and Logistic regression analyses were used to assess the associations between reproductive health literacy during pregnancy and childbirth self-efficacy and expected mode of delivery,respectively,and to assess the significance of the mediating effect of childbirth self-efficacy between productive health literacy during pregnancy and expected mode of delivery.The MacKinnon's product-of-coefficients method was used to assess the mediating effect of maternal childbirth self-efficacy.Results A total of 343 participants were included in the study.Regression analysis results of factors influencing expected mode of delivery showed that reproductive health literacy during pregnancy(c'=1.644,95%CI:2.223-12.059)and childbirth self-efficacy(β=2.211,95%CI:6.300-13.215)were associated with expected mode of delivery(P<0.001);childbirth self-efficacy was significantly and positively associated with reproductive health literacy during pregnancy(β=1.280,95%CI:0.102-0.165,P<0.01).Childbirth self-efficacy was a mediating variable for health literacy during pregnancy and expected mode of delivery with an effect size of 24.8%.Conclusion Childbirth self-efficacy mediated the association between reproductive health literacy during pregnancy and expected mode of delivery.Obstetric care providers should focus on strengthening maternal care and childbirth education,improving pregnant women's childbirth self-efficacy and reproductive health literacy during pregnancy,thereby enabling women to make scientific decisions on expected mode of delivery in order to promote normal childbirth.
