Comparative survey ofimpact of private midwife with trained accompany on the bedside of mother on labour and child birth in nulliparous women visited at Sabalan Hospital, Ardabil, Iran


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Mohammad Ali Pour M., Gençtürk N. , Ejder Apay S.

Pakistan Journal of Medical & Health Sciences, cilt.14, sa.4, ss.1559-1563, 2020 (Diğer Kurumların Hakemli Dergileri)

  • Cilt numarası: 14 Konu: 4
  • Basım Tarihi: 2020
  • Dergi Adı: Pakistan Journal of Medical & Health Sciences
  • Sayfa Sayıları: ss.1559-1563

Özet

Background: Widespread pain of parturition and its undesired effects on the mother and fetus requires to identify methods effective on reducing pain. Aim: To investigate the effects of continuous support of private midwife and informed company of the mother during labour and parturition on reducing stress and anxiety. Methods and materials: In this semi-interventional experiment, 100 of nulliparous women enter to the study groups via random sampling. In test group pregnant women were under continuous support of private midwife who has been with the mother since pregnancy and the control group only received the ordinary routine midwifery care procedure of the hospital and care of accompany (Pregnant mother or her sister or her friend or dual). The two groups were admitted since dilation of 1-3 centimeters of cervix in the first stage of parturition and at the beginning of the admission, Spielberger’s questionnaire were completed by them to measure their state-trait anxiety. State-trait anxiety was measured upon dilation of 9 centimeter of cervix. Results: Two groups had no statistically meaningful difference in terms of demographic properties, gestational age, fetus weight, anxiety state upon admission. The anxiety state-trait in the group with private midwife was significantly less than the group with company. In terms of labour active phase length and also parturition period, there was a significant reduction. But between early nutrition with the mother’s milk and Apgar of first minutes no difference was observed. Conclusion: The continuous support of mother during labour and parturition significantly reduces the mother’s stress, labour period and improves the mother’s satisfaction. Keywords: Labour period, Mother’s stress, Private midwife, Dula, Nulliparity