Effectiveness of Compact Disc Multimedia Health Education Program on Primipara's Experience of Childbirth

Wednesday, 1 August 2012

Mei-Yueh Chang, PhD, MSc, RN
Nursing, Min-Hwei College of Health Care Management, Tainan, Taiwan
Chung-Hey Chen, PhD
Institute of Allied Health Sciences & Department of Nursing, Cheng Kung University, Tainan, Taiwan

Learning Objective 1: The learner will be able to know CD multi-media health education program is a effective methods to help women's satisfaction with the experience of childbirth.

Learning Objective 2: The learner will be able to understand that labour and delivery experience are different psychological experience of childbirth women.

Objective: To evaluate whether Compact Disc (CD) multimedia self-learning is an effective strategy to improve primipara’s experience of childbirth when compared with instruction by traditional prenatal care.

Study Design: We conducted a quasi-experimental, prospective study through prenatal clinical department and postpartum ward in a teaching hospital in South Taiwan. Participants were primigravida women in their 32-36 weeks of pregnancy with no prenatal complication and no anticipated cesarean section. To avoid the contamination of two groups, the control group (n=69) were selected and received general prenatal care first and the experimental group (n=71) received CD instruction after. Instruments are demographic data, Visual Analogue Scale for Anxiety , Childbirth expectation Questionnaire , Childbirth Self-Efficacy Inventory . The dependent variable of experience of childbirth was the Attitudes about Labour and Delivery Experience questionnaire (ADLE). Statistics: Descriptive statistics were presented by percentage distribution, mean, and standard deviations. Inferential statistics were presented by Independent sample t testApaired t testAChi-squareAPearson’s correlation coefficient, and ANCOVA.

RESULTS

1.No statistically significant difference in demographic data and characteristic data  by women who had received CD multi-media health education program and who had not; 2. No statistically significant difference in labor experience by women who had received CD multi-media health education program and who had not (F= .24, p=.63); 3. There was significant difference in delivery experience by women who had received CD multi-media health education program and who had not (F= 6.91, p=.01).

CONCLUSIONS

CD multi-media health education program is one of the effective methods to help women's satisfaction with the experience of childbirth. The results of this study provide the evidence based data to understand the effects of CD multi-media instruction on psychological heath of childbirth women and implement a cost-effective prenatal intervention on clinical practice.