Samenvatting
Objective: To determine the association of childbirth
audiovisuals on anxiety and obstetric outcome among
first time mothers.
Method: A randomized controlled trial was conducted
at the University College Hospital Ibadan, Nigeria
a mong f i r s t t i me mot he r s ( pr i mi gr avi d) . The
experimental group watched a documentary video
of childbirth process during the antenatal period, while
the controls did not. The primary outcome was mean
anxiety level while secondary outcomes were some
selected obstetric parameters. Descriptive analysis,
and the student t test was used to compare means
for continuous outcomes; while the chi-square test
was used to compare trends of categorical outcomes.
The level of statistical significance was set at 5%.
Resul ts: A t ot al of 120 pr egnant women were
recruited, with 115 participants followed up till birth
and included in the analysis based on the intention to
treat (ITT) analysis. Randomization was balanced
with no significant differences in the background
characteristics between experimental and control
groups. Women in the control group had slightly higher
anxiety levels during pregnancy (33.2 vs 30.3 at
recruitment, 33.7 vs 30.4 at 34 weeks and 33.9 vs
30.8 at 37 weeks) while those in the experimental
group had higher anxiety levels at birth (32.3 vs 31.1)
but these differences were not statistically significant.
Conclusion: Exposure to childbirth audiovisuals did
not result in a significant reduction in anxiety levels
and it may possibly have some negative effect on
first time mothers. Use of audiovisual materials as a
tool to reassure first time mothers may require further
evaluations before it is adopted locally into routine
obstetric service.
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