THE STUDY OF RELATIONSHIP BETWEEN CHILDBIRTH SELFEFFICACY AND ATTITUDE TOWARD NORMAL DELIVERY WITH PREGNANCY ANXIETY IN PRIMIGRAVIDA WOMEN REFERRED TO SELECTED HEALTH CARE CENTERS OF SHAHRIAR CITY IN 2018

Anxiety is one of the psychological problems of pregnant mothers. That is a
powerful factor in predicting negative outcomes during childbirth. Women with low self-efficacy in
childbirth are afraid that they will not be able to cope well with the pain of childbirth. Therefore, selfefficacy can play an important role in choosing the type of delivery. On the other hand, misconceptions
about childbirth and high levels of anxiety during pregnancy also increase the rate of elective cesarean
section. The purpose of this study was to investigate the relationship between self-efficacy and attitude
toward delivery with pregnancy anxiety in primigravida women referred to selected health centers of
Shahriar in 2018.
Materials & Methods: This was a cross-sectional study. Six health centers were identified for the present
study. The sample included 265 first mothers. Demographic questionnaires, Louis' delivery selfefficacy, and Harman's attitude toward pregnancy and Wendenberg's anxiety were used for data
collection.
Results: The results showed that the expected self-efficacy had a significant and inverse correlation with
anxiety and its dimensions. Attitude toward delivery had a significant and positive correlation with
anxiety and its dimensions. There was a significant and inverse correlation between attitude and
expected self-efficacy.
Conclusion: Educational interventions based on increasing self-efficacy and positive attitude toward
vaginal delivery can be effective in reducing pregnancy anxiety