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NCT Number: NCT07123623

The Effect of Couples' Participation in Childbirth Preparation Education on Pregnant Women's Perceived Spousal Support, Fear of Childbirth, and Self-Efficacy

Fear of childbirth can be defined as approaching the process of giving birth with fear and anxiety. The aim of prenatal education is to help expectant mothers develop positive feelings towards childbirth and to foster a sense of security.

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Key information

Age range

18 year–50 year

Sex eligibility

Female

Study type

Observational

Primary location

Atlas Universty

Istanbul, 34408, Turkey (Türkiye)

Location status: Recruiting

Location contact

Melek Koçer, Master Student

CONTACT

[email protected]

+90 505 3756951

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Having applied to the specified institution within the study period
  • Willingness to participate in the study
  • Having at least a primary school education
  • Pregnant women over the age of 18
  • Being over the 20th week of pregnancy
  • Having given birth vaginally at least once (for the multiparous group)
  • Having a singleton pregnancy

Exclusion criteria

  • Those who do not consent to participate in the study
  • Pregnant women with a gestational age of less than 20 weeks
  • Individuals with communication impairments
  • Individuals with sensory-perceptual disorders
  • Individuals with any psychiatric illness
  • Pregnant women under the age of 18
  • Pregnant women who have not completed at least primary school education.

Treatment and study plan

Primary outcomes

  1. Spousal Support Scale(SSS),

    Time frame: A training program consisting of 4 weeks

    The aim of this study is to determine the effect of couples' participation in childbirth preparation education on pregnant women's perceived spousal support, fear of childbirth, and self-efficacy. Based on the scales used, it is expected that as pregnant women's fear of childbirth decreases, their perceived spousal support will increase.

    H2: Couples' participation in childbirth preparation education has an effect on perceived spousal support.

    The Spousal Support Scale (SSS), developed to assess the level of support between partners, consists of a total of 27 items. The scale is a 3-point Likert-type measurement tool, with items scored as "true for me" = 3, "partly true" = 2, and "not true for me" = 1. Items 10, 20, and 24 are reverse scored. The total score that can be obtained from the scale ranges between 27 and 81, with higher scores indicating higher levels of spousal support.

  2. Wijma Delivery Expectancy/Experience Questionnaire Version A

    Time frame: A training program consisting of 4 weeks

    The aim of this study is to determine the effect of couples' participation in childbirth preparation classes on pregnant women's fear of childbirth, perceived spousal support, and childbirth self-efficacy. According to the scales used, it is expected that as pregnant women's fear of childbirth decreases, their perceived spousal support and childbirth self-efficacy will increase.

    H1: Couples' participation in childbirth preparation classes together with pregnant women has an effect on the pregnant women's fear of childbirth.

    The Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) is a 33-item scale. Responses are rated on a 6-point Likert scale ranging from 0 to 5, where 0 means "completely" and 5 means "not at all." The minimum possible score on the scale is 0 and the maximum is 165, with higher total scores indicating higher levels of fear. The W-DEQ is used to obtain a fear score related to childbirth.

  3. Birth Self-Efficacy Scale Short Form (BSES-SF32)

    Time frame: A training program consisting of 4 weeks

    The aim of this study is to determine the effect of couples' participation in childbirth preparation education on pregnant women's perceived spousal support, fear of childbirth, and self-efficacy. Based on the scales used, it is expected that as pregnant women's fear of childbirth decreases, their childbirth self-efficacy will increase.

    H3: Couples' participation in childbirth preparation classes has an effect on pregnant women's childbirth self-efficacy.

    The scale was developed to measure women's self-efficacy regarding the childbirth process. It consists of 32 items and two sub-dimensions: efficacy expectancy and outcome expectancy. Scores from the subscales range between 16 and 160. Higher scores on the subscales indicate higher efficacy and outcome expectancy related to childbirth. The Cronbach's alpha coefficient of the scale is 0.90.

  4. Spousal Support Scale(SSS), The Wijma Delivery Expectancy/Experience Questionnaire Version A (W-DEQ), Birth Self-Efficacy Scale Short Form (BSES-SF32)

    Time frame: A training program consisting of 4 weeks

    ChatGPT:

    The aim of this study is to determine the effect of couples' participation in childbirth preparation education on pregnant women's perceived spousal support, fear of childbirth, and childbirth self-efficacy. Based on the scales used, it is expected that as pregnant women's fear of childbirth decreases, their perceived spousal support and childbirth self-efficacy will increase.

Study contacts

Contact information is provided by the study sponsor or research team.

Melek Koçer, Masters student

CONTACT

[email protected]

+90 505 375 69 51

Sponsors and collaborators

Lead sponsor

Atlas University

Other

Registry information

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 14, 2025
Registry last updated
Aug 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.