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The Effect of Antenatal Class Plus Coping Skill Training on the Level of Stress and Childbirth Self-Efficacy

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Background: Pregnancy puts mothers in vulnerable conditions that lead to stress. Consequently, a negative impact over the stress influences mother’s and baby’s health. Antenatal class (AC) was aimed to increase knowledge and prepare for childbirth. However, AC focuses on delivering knowledge, whereas the content is lack of psychological preparation such as developing self-efficacy and coping skill in facing childbirth. This study aimed to find the effect of antenatal class plus coping skills training towards a level of stress, and a childbirth self-efficacy. Method: This study was a randomized pre-test post-test control group design over primigravida women in their 24–34 weeks of pregnancy. Data collection was conducted in 4 weeks. Data were analyzed using paired T-test and independent T-test, and also repeated ANOVA with Benferroni post hoc test. Results: The mean age of participants was 24 years. The intervention of antenatal class plus coping skills training had significant influence to decrease the stress level (p = 0.014) between groups. In one hand, it was also enhancing the childbirth self-efficacy but in the other hand it was statistically insignificant with the mean and standard deviation of 2.484 and 12.727 respectively, with a p value of 0.579 between the groups. Conclusion: It is essential for pregnant women to have antenatal classes plus coping skills training. It is also important to screen the pregnant women for stress and the screen protocol could be included in the maternal handbook.
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Keywords: Antenatal Class; Childbirth Self-Efficacy; Coping Skill Training; Stress Levels

Document Type: Research Article

Affiliations: 1: Poltekkes Kemenkes Semarang, Jl Tirto Agung Pedalangan Banyumanik, Semarang, Indonesia 2: Medical Faculty, Diponegoro University, Jl. Prof. Soedarto, SH, Tembalang, Semarang, Indonesia 3: Faculty of Psychology, Diponegoro University, Jl. Prof. Soedarto, SH, Tembalang, Semarang, Indonesia 4: Rumah Sakit dr Kariadi Semarang, Jl. Dr Soetomo Semarang, Indonesia

Publication date: April 1, 2017

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