Document Type : Original Article


1 Department of Management, Dehaghan Branch, Islamic Azad University, Dehaghan

2 Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, 1

3 Master Student of Midwifery, Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND: Childbirth self‑efficacy is one of the most important factors causing a shift in
mothers do vaginal delivery. If the mother feels that she can cope well with stress, will be protected
from the harmful effects of stress on your health. Self‑efficacy contained individual’s assessment of
her ability to deal with stressful situations. Strengthen the spiritual beliefs of the patient causes her
to be a good result every situation even incurable condition. This study aimed to determine the effect
of religious‑spiritual support on childbirth self‑efficacy in primiparous women.
METHODS: This is a quasi‑experimental study carried on seventy primiparous women; participants
were randomly divided into two intervention and control groups. The intervention group received the
e‑learning package based on religious‑spiritual content. Self‑efficacy questionnaire by both groups
before and 4 weeks after it was completed. Collected data were entered into SPSS version 11
descriptive statistics, independent t‑test, and paired t‑test which were used for analysis of data. The
significant level was considered <0.05.
RESULTS: The results showed that the mean self‑efficacy score before and after intervention in
case group was 105.2 (27.01) and 110.12 (21.2), respectively, and in control group; 111.2 (23.12)
and 116.9 (24.43).   Paired t‑test in two groups was significant (P = 0.042, P = 0.045) but independent
t‑test showed no significant difference in scores of childbirth self‑efficacy before and after intervention
in two groups (P = 0.061).
CONCLUSION: In prenatal periods, religious‑spiritual support through electronic package method can
increase childbirth self‑efficacy, so the planning and establishment of this training are recommended
as an effective training.


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