ArticleWomen's health nursing (Seoul, Korea)2026
Effects of a nurse-led navigation program for first-time pregnant Korean women on maternal anxiety and childbirth confidence: a quasi-experimental study.
Article in Women's health nursing (Seoul, Korea), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aimed to examine the effects of a navigation program for first-time pregnant women on anxiety and childbirth confidence among primigravidas at 35 weeks of gestation.
methodsThis quasi-experimental study used a non-equivalent control group pretest-posttest design. The participants were 56 primigravidas (28 experimental, 28 control) at 35 weeks of gestation or greater, who were receiving antenatal care at the obstetrics outpatient clinic of a general hospital in Changwon, Korea. The control group was recruited first and was given the standard admission education for childbirth provided in the outpatient clinic. The experimental group participated in a 3-week navigation program for pregnant women, delivered by a nurse navigator through individual face-to-face sessions. The navigator role was to assess individual needs and provide continuous, oneto-one, tailored education and emotional support to guide primigravidas throughout the childbirth process. Pretest and posttest data were collected for childbirth confidence and anxiety. The data were analyzed using descriptive statistics, t-tests, chi-square tests, Fisher exact test, and the Mann-Whitney U test.
resultsThe experimental group showed a greater reduction in anxiety (t=-6.15, p<.001) and a greater increase in childbirth confidence (z=-5.70, p<.001) compared to the control group.
conclusionThe 3-week navigation program for first-time pregnant women was effective in reducing anxiety and enhancing childbirth confidence during pregnancy. Findings can be used by nurses to apply individualized, nurse-led navigation as part of comprehensive maternity care for primigravidas across pregnancy, childbirth, and early postpartum periods in clinical settings.
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