Evidence map›Paper›PMID 40640815›Full record

ArticleBMC nursing2025

The effectiveness of nurse-led antenatal education on maternal self-efficacy: an evidence-based approach.

Huda Hamdy Mohammed, Azza Ali Abd El Hamed, Nagwa Abd El-Fadil Afefy, Nadine Alaa Sherif, Sahar Mansour Ibrahim

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Huda Hamdy MohammedDepartment of of Maternal & Newborn Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt. 11222021540383@pg.cu.edu.eg.
Azza Ali Abd El HamedMaternal & Newborn Health Nursing Faculty of Nursing, Cairo University, Cairo, Egypt.
Nagwa Abd El-Fadil AfefyMaternal & Newborn Health Nursing Faculty of Nursing, Cairo University, Cairo, Egypt.
Nadine Alaa SherifObstetrics & Gynaecology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Sahar Mansour IbrahimMaternal & Newborn Health Nursing Faculty of Nursing, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving maternal self-efficacy during childbirth is a key objective of antenatal care, with evidence suggesting that nurse-led education can play a critical role in this process. However, the overall effectiveness and consistency of these interventions across delivery formats remain unclear.

objectiveTo provide an evidence-based analysis of the effectiveness of nurse-led antenatal education programs on maternal childbirth self-efficacy using quantitative synthesis and subgroup comparisons.

methodsA comprehensive search was conducted across six databases (PubMed, CINAHL, Scopus, Web of Science, PsycINFO, and Embase) to identify relevant studies published from January 2000 to April 2025. Twenty studies (randomized controlled trials and quasi-experimental designs) were included. A meta-analysis was conducted to estimate the pooled effect size, assess heterogeneity, and evaluate subgroup differences by delivery format (face-to-face, digital, hybrid). Risk of bias was assessed using the ROB 2 tool, and publication bias was evaluated using funnel plot symmetry, Egger's test, and Rosenthal's fail-safe N. The protocol was registered with PROSPERO (CRD420251058392).

resultsThe pooled standardized mean difference (SMD) indicated a significant moderate-to-large effect of nurse-led antenatal education on maternal self-efficacy (SMD = 0.73; 95% CI: 0.69-0.77). Subgroup analysis showed the strongest and most consistent effects for face-to-face programs, while digital interventions demonstrated comparable efficacy with greater variability. Hybrid models yielded moderate but reliable outcomes. Publication bias was not detected, and heterogeneity was moderate (I² < 60%). All included studies reported positive effects.

conclusionThis evidence-based analysis confirms that nurse-led antenatal education substantially improves maternal self-efficacy across various delivery models. These findings support the integration of nurse-led programs into routine prenatal care, with the potential for digital and hybrid formats to enhance scalability and access. Future research should focus on standardizing outcome measures and evaluating long-term impacts.

Indexed as

Childbirth preparationDigital healthMaternal self-efficacyMeta-analysisNurse-led educationPrenatal carePROSPERO

Identifiers

PMID40640815
PMCPMC12243129

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.