| Abstract |
[Abstract] Objective Compare the fear, anxiety, and self-efficacy of childbirth between primiparous and multiparous women. Methods From January 2022 to December 2022, 181 parturients were selected, including 68 primiparous and 113 multiparous women, to compare the fear, anxiety, and self-efficacy of childbirth between primiparous and multiparous women. The tools used were the Childbirth Fear Scale (CAQ), Self Rating Anxiety Scale (SAS), and Childbirth Self Efficacy Scale (CSEI). Pearson analysis was used to examine the correlation between fear, anxiety, and self-efficacy of childbirth in primiparous and multiparous women. Results Compared with multiparous women, primiparous women have higher scores in fear of hospital intervention and environment (FE), fear of pain and injury (FLP), fear of losing control during delivery (FLC), fear of child health (FBS), CAQ total score, and SAS score (P<0.05). Compared with multiparous women, primiparous women had lower self-efficacy expectations, outcome expectation scores, and CSEI total scores (P<0.05). Using CAQ total score as the dependent variable and SAS score and CSEI total score as independent variables, a linear regression was conducted. SAS score positively affected the fear of childbirth in primiparous and multiparous women (P<0.05), while CSEI total score negatively affected the fear of childbirth in primiparous and multiparous women (P<0.05). Bootstrap test showed that among primiparous women, the mediating effect of self-efficacy was significant (indirect effect 0.517, accounting for 24.96% of the total effect); Among multiparous women, the mediating effect was not significant (indirect effect 0.086, accounting for 9.98% of the total effect).Conclusion Compared with multiparous women, primiparous women have higher childbirth fear and anxiety, lower self-efficacy, and childbirth anxiety. Self efficacy affects the childbirth fear of primiparous and multiparous women, and plays a mediating role in the impact of primiparous anxiety on childbirth fear.
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