Please ensure Javascript is enabled for purposes of website accessibility
ORIGINAL PAPER
Sense of coherence among pregnant women participating and not participating in antenatal classes
,
 
,
 
 
 
More details
Hide details
1
Institute of Health Sciences, Collegium Medicum, University of Rzeszow, Rzeszow, Poland
 
 
Submission date: 2022-08-30
 
 
Final revision date: 2023-01-11
 
 
Acceptance date: 2023-04-21
 
 
Publication date: 2023-09-30
 
 
Corresponding author
Anna Kucab
Anna Kucab PhD Institute of Health Sciences, Collegium Medicum University of Rzeszow Kopisto 2a, 35-959 Rzeszow, Polska
 
 
Medical Studies 2023;39(3):260-266
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Pregnancy is undoubtedly one of the most important and stressful events in a woman’s life. Fear of childbirth is common during pregnancy and has a significant impact on the course of the labour, which may also be a sign of postnatal mental health problems. Both participation in antenatal classes and the individual sense of coherence can increase the sense of self-efficacy and satisfaction with childbirth.

Aim of the research:
Assessment of the sense of coherence among pregnant women participating and not participating in antenatal classes.

Material and methods:
The enrolled group of 200 women was divided into two equal subgroups: the study group – participants of antenatal classes (n = 100); and the control group – women not participating in antenatal classes (n = 100). The Sense of Coherence Questionnaire (SOC-29) was applied as a research method. The study was approved by the Bioethics Committee. It was carried out in the period from October 2016 to December 2018.

Results:
Among the sociodemographic factors, education and living conditions had a significant impact on the sense of coherence. The sense of manageability was significantly higher (p = 0.0252) among women with at most secondary education (51.05 ±8.35 points) than in the group of women with higher education (48.53 ±7.14 points). The living conditions of women significantly influenced the sense of coherence (p = 0.0037). The sense of coherence was as high among women who participated in antenatal classes (4.74 ±0.64 points) as among women who did not participate in these classes (4.74 ±0.65 points).

Conclusions:
The sense of coherence is one of the personal resources that can significantly affect coping in difficult life situations. Hence, it is important to assess the sense of coherence not only in pregnant women, but also in women preparing for pregnancy. It would be worthwhile conducting further studies based on a multicentre project analysing a number of other individual and social factors.
REFERENCES (30)
1.
Makara-Studzińska M, Zwierz K, Madej A, Wdowiak A. Coping with stress by women in early postpartum. J Public Health Nurs Med Rescue 2015; 4: 38-43.
 
2.
Bałanda-Bałdyga A, Pilewska-Kozak A, Dobrowolska B. The correlation between social support and attitudes of teenage girls towards their pregnancy and childbirth. Medical Studies 2022; 38: 44-53.
 
3.
Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: a systematic review. J Affect Disord 2016; 191: 62-77.
 
4.
Pawłowska B, Kowal A, Potembska E, Rzeszutko E. Poziom niepokoju u kobiet z komplikacjami w czasie ciąży. Fam Med Primary Care Rev 2011; 13: 480-482.
 
5.
Nilsson C, Hessman E, Sjöblom H, Dencker A, Jangsten E, Mollberg M, Patel H, Sparud-Lundin C, Wigert H, Beg- ley C. Definitions, measurements and prevalence of fear of childbirth: a systematic review. BMC Pregnancy Childbirth 2018; 18: 28.
 
6.
Mohamamdirizi S, Mohamadirizi M, Mohamadirizi S. The comparison of fear of childbirth and sense of coherence among low-risk and high-risk pregnancy women. J Educ Health Promot 2018; 7: 143.
 
7.
Alternatywne metody opieki okołoporodowej. Iwanowicz-Palus G (ed.). Wydawnictwo Lekarskie PZWL, Warszawa 2012; 304.
 
8.
Takegata M, Haruna M, Matsuzaki M, Shiraishi M, Oka- no T, Severinsson E. Antenatal fear of childbirth and sense of coherence among healthy pregnant women in Japan: a cross-sectional study. Arch Womens Ment Health 2014; 17: 403-409.
 
9.
National Guideline Alliance (UK). Antenatal Classes: Antenatal Care: Evidence Review E; National Institute for Health and Care Excellence (NICE): London, UK, 2021.
 
10.
Hildingsson I. Sense of coherence in pregnant and new mothers – a longitudinal study of a national cohort of Swedish speaking women. Sex Reprod Healthc 2017; 11: 91-96.
 
11.
Toolan M, Barnard K, Lynch M, Maharjan N, Thapa M, Rai N, Lavender T, Larkin M, Caldwell DM, Burden C, Manandhar DS, Merriel A. A systematic review and narrative synthesis of antenatal interventions to improve maternal and neonatal health in Nepal. AJOG Glob Rep 2022; 2: 100019.
 
12.
Kucab, A, Barnaś E, Błajda J. Ocena poporodowego dobrostanu emocjonalnego kobiet uczestniczących i nieuczestniczących w zajęciach rodzenia. J Środowisko Res Zdrowie Publiczne 2022; 19: 4476.
 
13.
Monk C, Spicer J, Champagne FA. Linking prenatal maternal adversity to development al outcomes in infants: the role of epigenetic pathways. Dev Psychopathol 2012; 24: 1361-1376.
 
14.
Antonovsky H, Sagy S. The development of a sense of coherence and its impact on responses to stress situations. J Soc Psychol 1986; 126: 213-225.
 
15.
Pasikowski T. Struktura i funkcje poczucia koherencji: analiza teoretyczna i empiryczna weryfikacja. In: Zdrowie – stres – zasoby. O znaczeniu poczucia koherencji dla zdrowia. Sęk H, Pasikowski T (eds.). Wydawnictwo Fundacji Humaniora, Poznań 2001; 43-55.
 
16.
Kroemeke A, Mateusiak J. Poczucie koherencji a symptomy depresyjne u kobiet w okresie okołoporodowym. Psychologia Jakości Życia 2006; 1: 83-100.
 
17.
Phoosuwan N, Eriksson L, Lundberg PC. Antenatal depressive symptoms during late pregnancy among women in a north-eastern province of Thailand: prevalence and associated factors. Asian J Psychiatr 2018; 36: 102-107.
 
18.
Ferguson S, Browne J, Davis D, Browne J, Taylor J. Sense of coherence and childbearing choices: a cross sectional survey. Midwifery 2015; 31: 1081-1086.
 
19.
Hildingsson I. Sense of Coherence in pregnant and new mothers – a longitudinal study of a national cohort of Swedish speaking women. Sex Reprod Health 2017; 11: 91-96.
 
20.
Przestrzelska MA, Knihinicka-Mercik Z, Gryboś A, Ptaszkowski K, Bartnicki J, Zalewski J. Evaluation of factors affecting the sense of coherence in women during pregnancy: a prospective pilot study. Adv Clin Exp Med 2018; 27: 1425-430.
 
21.
Ngai FW, Ngu SF. Family sense of coherence and family and marital functioning across the perinatal period. Sex Reprod Health 2016; 7: 33-37.
 
22.
Schwartz L, Toohill J, Creedy DK, Baird K, Gamble J, Fenwick J. Factors associated with childbirth self-efficacy in Australian childbearing women. BMC Pregnancy Childbirth 2015; 15: 29.
 
23.
Stoll K, Edmonds JK, Hall WA. Strach przed porodem i preferowanie cesarskiego cięcia wśród młodych amerykańskich kobiet przed porodem: badanie ankietowe. Narodziny 2015; 42: 270-276. .
 
24.
Zinsser LA, Schmidt G, Stoll K, Gross MM. Challenges in applying the short Childbirth Self-Efficacy Inventory (CBSEI-C32) in German. Eur J Midwifery 2021; 5: 18.
 
25.
Schwarzer R, Warner LM. Postrzegana własna skuteczność i jej związek z odpornością. In: Odporność u dzieci, młodzieży i dorosłych: przekładanie badań na praktykę. Seria Springera o ludzkiej wyjątkowości. Prince-Embury S, Saklofske DH (eds.). Skoczek 2013; 139-150. .
 
26.
Voogand M, Alehagen S, Salomonsson B. The relationship between fear of childbirth and sense of coherence in women expecting their first child. Sex Reprod Healthc 2020; 26: 100555.
 
27.
Pasricha M, Kochhar S, Shah A, Bhatia A. Sense of coherence, social support, maternal-fetal attachment, and antenatal mental health: a survey of expecting mothers in urban India. Front Glob Womens Health 2021; 2: 714182.
 
28.
Missler M, Donker T, Beijers R, Ciharova M, Moyse C, de Vries R, Denissen J, van Straten A. Universal prevention of distress aimed at pregnant women: a systematic review and meta-analysis of psychological interventions. BMC Pregnancy Childbirth 2021; 21: 276.
 
29.
Missler M, van Straten A, Denissen J, Donker T, Beijers R. Effectiveness of a psycho-educational intervention for expecting parents to prevent postpartum parenting stress, depression and anxiety: a randomized controlled trial. BMC Pregnancy Childbirth 2020; 20: 658.
 
30.
Mutlu S, Ozkaya E. Evaluation of pregnancy, delivery, and postpartum effectiveness of maternity school trainings organized based on the guideline of ministry of health in Turkey: a comparative study. Int J Prev Med 2021; 12: 173.
 
eISSN:2300-6722
ISSN:1899-1874
Journals System - logo
Scroll to top