The effect of high-fidelity simulation based education on self-efficacy and childbirth fear in pregnant women.
Şahika Şimşek Çetinkaya, Büşra Şahin, Nursat Solmaz et al.
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In 30 seconds
This parallel-group randomized controlled trial assessed high-fidelity simulation-based birth education in 60 primiparous women, comparing it with standard prenatal education. Birth fear and childbirth self-efficacy were measured before and after the intervention using the W-DEQ-A and SELS. Baseline scores did not differ significantly between groups. After the intervention, the simulation group had significantly lower childbirth fear and higher self-efficacy than the control group. The abstract reports statistical significance but provides no effect sizes or exact score changes, so the magnitude of benefit cannot be determined from the available information.
Key findings
- After the intervention, childbirth fear was significantly lower in the simulation-education group than in the standard-education control group.
- Childbirth self-efficacy was significantly higher after simulation-based education than after standard prenatal education.
- The trial included 60 primiparous women; baseline birth expectations and self-efficacy did not differ significantly between groups.
Why it matters
Fear of childbirth and confidence in managing labour are relevant to women’s birth expectations. This trial suggests that experiential prenatal education may improve both outcomes compared with standard education. However, the abstract does not quantify the size of the changes or report whether they translated into differences in birth choices or clinical outcomes.
What to keep in mind
The abstract reports no effect sizes or exact score changes, limiting assessment of the magnitude of benefit. It also provides no follow-up or birth-outcome results.