Embracing Motherhood: Impact of Nurse Led Fear and Apprehension Related to Labour or Childbirth Improving Intervention (FALCI) in Reducing Childbirth Fear Among Pregnant Women

Shivangi Mudgal; Naseema Shafqat; Geeta Bhardwaj; Arun Kumar Dora

doi:10.18502/jfrh.v17i4.14596

Shivangi Mudgal Department of Obstetrics and Gynaecological Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Naseema Shafqat Department of Obstetrics and Gynaecological Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Geeta Bhardwaj Department of Obstetrics and Gynaecological Nursing College, AIIMS Bhopal, Madhya Pradesh, India
Arun Kumar Dora Department of Obstetrics and Gynaecology, AIIMS Bhopal, Madhya Pradesh, India

DOI: https://doi.org/10.18502/jfrh.v17i4.14596

Keywords: Childbirth Apprehension; Childbirth Fear; Fear and Apprehension Related to Labour or Childbirth Improving; Pregnant Women; Tokophobia; Wijma Delivery Expectancy Questionnaire

Abstract

Objective: Childbirth is a complex process with various dimensions including physical, psychological, emotional, social, and cultural aspects. The study intended to assess the effectiveness of Nurse led FALCI (Fear and Apprehension related to Labour or Childbirth Improving) Intervention in reducing childbirth fear among pregnant women.

Materials and methods: A quasi-experimental study was conducted among 115 pregnant women (selected through purposive sampling) at antenatal OPD of tertiary care hospital of Bhopal. Data was collected using Wijma Delivery Expectancy Questionnaire (DEQ) and self-structured questionnaire on socio-demographic and clinical variables. The intervention (FALCI) was carried out in two phases, each lasting for 30 minutes conducted at week 3-4 and week 5-6 and information booklet was provided for reinforcement. The data was analysed using two-way repeated measures mixed ANOVA (within group and between groups).

Results: Findings revealed that most of the pregnant women in both experimental (68.5%) and control (90.2%) group had high level of childbirth fear. Post-intervention data revealed mean of pretest, posttest
1 and posttest 2 were 73.85, 46.94 and 37.90 in experimental group and the mean of pretest, posttest
1 and posttest 2 were 75.49, 72.59 and 72.67 in control group respectively and found that there is significant difference in childbirth fear (within group, F value=114.69, p<0.001 in experimental group and F =0.575, p=0.564 in control group) and between groups (F value= 81.52, p value <0.001). However, no significant association was found between childbirth fear and sociodemographic/clinical variables.

Conclusion: The study findings revealed that Nurse led FALCI intervention was effective in reducing childbirth fear among the pregnant women and it is recommended that such intervention must be planned at all levels and implemented as routine protocol in maternity services.