Pregnancy-Related Anxiety, Perceived Parental Self-Efficacy and the Influence of Parity and Age

Int J Environ Res Public Health. 2020 Sep 15;17(18):6709. doi: 10.3390/ijerph17186709.

Abstract

Pregnancy-related anxiety is contextualised by pregnancy and is a health concern for the mother and child. Perceived parental self-efficacy is associated with this anxiety and age and parity are identified as influential factors. This research, therefore, predicted that negative perceptions of parental self-efficacy would predict greater pregnancy-related anxiety, moderated by parity and age. Participants (N = 771) were recruited online and assessed for perceived parental self-efficacy, pregnancy-related anxiety, and demographics. Moderation models showed that the psychosocial and sociodemographic factors combined predicted up to 49% of the variance. Parental self-efficacy predicted anxiety in the areas of body image, worry about themselves, baby concerns, pregnancy acceptance, attitudes towards medical staff and childbirth, and avoidance. Parity predicted pregnancy-related anxiety both overall and in childbirth concerns, worry about self, baby concerns and attitudes towards childbirth. Age predicted baby concerns. There was a significant moderation effect for pregnancy acceptance indicating that primiparous women with low perceptions of parental self-efficacy are less accepting of their pregnancy. Results suggest that parity and parental self-efficacy may be risk factors for first-time mothers for pregnancy-related anxiety.

Keywords: fear of childbirth; maternal attitudes; parental expectations; parity; pregnancy-related anxiety; prenatal attachment.

MeSH terms

  • Anxiety*
  • Female
  • Humans
  • Parity
  • Parturition
  • Pregnancy
  • Pregnant Women* / psychology
  • Self Efficacy*
  • Surveys and Questionnaires