{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T18:57:15Z","timestamp":1779217035936,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Low childbirth self\u2010efficacy is a significant indicator of vaginal birth and is closely related to adverse perinatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to evaluate factors associated with low childbirth self\u2010efficacy for vaginal birth in high\u2010risk pregnant women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This descriptive study was conducted between July and December 2022 in Van, Turkey, with a total of 200 participants. Data collection instruments included a Socio\u2010demographic Questionnaire and the Self\u2010Efficacy Regarding Vaginal Birth (SEVB) scale. Independent <jats:italic>t<\/jats:italic>\u2010test, chi\u2010square test and multivariable binary logistic regression were employed for data analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the participants was 27.74\u2009\u00b1\u20095.12\u2009years, and the mean gestational age was 33.22\u2009\u00b1\u20094.28\u2009weeks. Unplanned pregnancy status (<jats:italic>p<\/jats:italic>\u2009=\u20090.002), a history of caesarean section (<jats:italic>p<\/jats:italic>\u2009=\u20090.013), multiparity (<jats:italic>p<\/jats:italic>\u2009=\u20090.001), age (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and gestational age (<jats:italic>p<\/jats:italic>\u2009=\u20090.001) were associated with low childbirth self\u2010efficacy for vaginal birth. In multivariate analysis, only age (B: 1111; 95% CI: 1038\u20131189; <jats:italic>p<\/jats:italic>\u2009=\u20090.002) and gestational age (B: 1120; 95% CI: 1034\u20131214; <jats:italic>p<\/jats:italic>\u2009=\u20090.004; and <jats:italic>p<\/jats:italic>\u2009=\u20090.005) were independently associated with low childbirth self\u2010efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Low childbirth self\u2010efficacy for vaginal birth was associated with higher maternal age and gestational ages. Identifying high\u2010risk pregnant women with low childbirth self\u2010efficacy will improve the care process for women and their newborns.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijn.13323","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T01:48:57Z","timestamp":1737510537000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors Associated With Low Childbirth Self\u2010Efficacy for Vaginal Birth in High\u2010Risk Pregnant Women"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6348-2797","authenticated-orcid":false,"given":"Y\u0131lmaz","family":"Sar\u0131bo\u011fa","sequence":"first","affiliation":[{"name":"Department of Nursing, Graduate School of Health Sciences Atat\u00fcrk University  Erzurum Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4256-343X","authenticated-orcid":false,"given":"Zeynep","family":"G\u00fcrkan","sequence":"additional","affiliation":[{"name":"Department of Nursing, Graduate School of Health Sciences Atat\u00fcrk University  Erzurum Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4774-3103","authenticated-orcid":false,"given":"Remzi","family":"Sar\u0131kaya","sequence":"additional","affiliation":[{"name":"Department of Cardiology Training and Research Hospital  Van Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2014.12.002"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"64","article-title":"High\u2010Risk Pregnanc\u0131es in Turkey: The Findings of 2018 TDHS","volume":"42","author":"Arslan H.","year":"2020","journal-title":"Turkish Journal of Populat\u0131on Studies"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u2010295X.84.2.191"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2022.2102601"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2016.08.010"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010019\u20102415\u20103"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144\u2010021\u201002418\u20108"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnur.2018.01.010"},{"issue":"3","key":"e_1_2_10_10_1","first-page":"238","article-title":"A Cross\u2010Cultural Scale Adaptation Study; 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