The Role of Motivational Interviewing in Enhancing Birth Self-Efficacy and Birth Satisfaction: A Randomized Controlled Study

Abstract

Childbirth is a critical and transformative experience in a woman's life; however, it is often accompanied by fear and perceived as a highly stressful event. Fear of childbirth may adversely affect a woman's confidence in her ability to give birth and her perceived competence regarding the birthing process. This study aimed to investigate the effect of motivational interviewing on childbirth self-efficacy and birth satisfaction among pregnant women. The study sample consisted of 85 pregnant women who were randomly assigned to either an intervention or a control group. Participants in the intervention group attended motivational interviewing sessions conducted over a 4-week period. Mode of birth and birth satisfaction were evaluated during the postpartum period. Among women in the intervention group, nearly 70% had a vaginal birth, and approximately 63% reported being satisfied with their childbirth experience. A statistically significant difference was observed between the groups in total childbirth self-efficacy scores following the intervention. The findings indicate that motivational interviewing can enhance childbirth self-efficacy and decrease the preference for cesarean birth.Trial registration: Registered in the ClinicalTrials.gov (NCT06082895).