Educational Intervention in the Fear-Avoidance Delivery

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Educational Intervention in the Fear-Avoidance Delivery: a Prospective Study.

Conditions
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Pregnancy Related

Intervention / Treatment
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* Other: Prenatal education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Spanish women living in Málaga, > 18 years old, 26-30 weeks pregnant, to fill all the items of the questionnaires, to perform sessions the Maternal Education Protocol in Malaga Exclusion Criteria: No performin inclusion criteria. No voluntary participation.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: A single groupof pregant women will complete the spanish version of Delivery Expectancy/Experience Questionnaire, Version A (WDEQ-A, spanish version) before and after an educational information.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental arm<br>There will only one experimental arm in order to study test-retest validity after having validate the questionnaire. The beginning of the maternal education takes place between 26 and 30 weeks of gestation and ends between 32 and 36 weeks of gestation. Hence, to study responsiveness, questionnaires will be filed at the beginning of the maternal education and after the two educational sessions related to childbirth. | Other: Prenatal education<br>* 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: 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). 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- rd: Puerperium. rd :Breastfeeding rd : Newborn care rd :Positive parenting.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | inmediate effect | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Age | Age expressed in years | baseline, inmediate effect and 2,4 and 12 weeks. Long time effect 6 months | 
| Weight | Weight expressed in kilograms (Kg) | baseline, inmediate effect and 2,4 and 12 weeks. Long time effect 6 months | 
| Height | Stature expressed in meters (m) | baseline | 
| Body Mass Index | Body Mass Index (BMI) expressed in kilograms per square meter (Kg/m2) | 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 | baseline | 
| Weeks of gestation | Weeks of gestation at the start of the study expressed in numbers | baseline | 
| civil status | Marital status: married/ stable couple; Inestable couple; single | baseline | 
| 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 | baseline | 
| evolution of pregnancy | Current pregnancy risk: low risk, medium risk or high risk | baseline, inmediate effect and 2,4 and 12 weeks. | 
| Previous experience of pregnancy | No experience, miscarriage or death | baseline, inmediate effect and 2,4 and 12 weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pregnancy, fear, Parturition, Prenatal Education