Factors Influencing Anticipatory Self-efficacy of Pregnant Women in Coping with Labour Pain in First Stage of Labour in a Secondary Health Facility in Ogun State

This study investigated the factors influencing the anticipatory self-efficacy of pregnant women in coping with labour pain during the first stage of labour at State Hospital, Ijaiye, Abeokuta, Ogun State. The research specifically assessed the influence of socio-demographic and obstetric variables such as age, educational status, parity, and previous labour experience on women’s anticipatory self-efficacy. A non-experimental descriptive design was adopted, and 136 pregnant women were selected using a convenience sampling method, with 125 valid responses analysed. Inclusion criteria included multigravida women with previous vaginal delivery and no complications. Data were collected through a structured, self-developed questionnaire incorporating two subscales of the Childbirth Self-Efficacy Inventory (CBSEI), adapted and translated into Yoruba. The instrument showed good reliability (Cronbach’s alpha = 0.75). Statistical analyses including chi-square, ANOVA, and t-tests were conducted using SPSS version 20. Findings revealed a significant relationship between socio-demographic factors and anticipatory self-efficacy (χ² = 16.909, p = 0.007). Obstetric factors such as parity and previous labour experience were also significantly associated with anticipatory self-efficacy (χ² = 28.899, p = 0.012). Women with higher parity and positive prior experiences reported higher self-efficacy. Although the majority of respondents exhibited average levels of anticipatory self-efficacy (mean = 42.565), a need for improvement was identified. The study concludes that targeted nursing interventions during antenatal care can enhance women’s confidence and coping abilities. Recommendations include incorporating self-efficacy training into antenatal classes and providing personalised support based on demographic and obstetric history to foster positive birth outcomes and maternal well-being.