Self-Efficacy in Vaginal Childbirth and Associated Factors in Pregnant Women Monitored in Primary Care

Objective: To assess self-efficacy for vaginal birth (VBAC) and its associated factors in pregnant women monitored in primary care. Theoretical Framework: Concepts and theories that support the study are included, which provide a solid basis for understanding the context of the subject developed. Method: Multicenter study in 312 pregnant users. The dependent variable was low VPA, measured with the self-efficacy scale for vaginal delivery (SEVB), and the independent variables were sociodemographic and obstetric factors. To examine the association between variables, crude and adjusted prevalence ratios were estimated with generalized linear models of the Poisson family. Results and Discussion: The proportion of pregnant users with low VPA was 39.4%. Associated sociodemographic and obstetric factors that require special attention were identified. Therefore, they infer a higher probability of low VPA in pregnant women. Research Implications: It is the intention of the study that knowledge of these factors and their degree of association with low VPA can indirectly help to increase VPA and contribute to the purposes of the health sector. Originality/Value: Self-efficacy in childbirth determines the choice of mode of delivery. Therefore, VPA is an indicator that requires greater attention during routine antenatal care in health facilities.