Comparative Survey of Impact 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
Mohammad Alipour Monir, Nuran Gençurk, Ejderapay Serap
1559
Abstract
Background: Widespread pain of parturition and its undesired effects on the mother
and fetus requires to identify methods effective on reducing pain. Mother’s
satisfaction of parturition is considered an important index of mother care
quality not only affects the mental health of family and society but also
affects the mother’s spirit in the final result the process of delivery.
Midwife’s support reduces anxiety and stress, leads to a parturition with good
outcomes and satisfaction of mother and her familyand finally contributes the
final result of the delivery. Leaving the midwife in delivery environment leads
to anxiety and its consequences on the process of delivery.
Aim: To compare the effects of continuous support of private midwife and
informed company of the mother during labour and parturition on reducing stress
and anxiety resulted from parturition and also reducing the parturition period
in the nulliparous women.
Methodology: In this semi-interventional experiment, a number of 100 of nulliparous
women aging 18 to 45 which were qualified to enter the study, were selected
using random sampling in parturition section of Sabalan Hospital in Ardabil in
2018 and were randomly put into two groups of control and test. In this study,
people in the test group were under continuous support of A private midwife who
has been with the mother since pregnancy and childbirth will also come through
her (under instructions of support for natural childbirth) including emotional,
information and physical support. 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 dula). 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. Then again, their state-trait anxiety was
measured upon dilation of 9 centimeter of cervix. In the test group, until one
hour after the parturition, a private midwife was present, while in the control group, one of the
mother’s family ordula or friends, chosen by mother herself since the admission
until one hour after the delivery was present by the mother. Midwifery cares
for both groups were the same. Parturition observation and survey from the
midwife and other information were completed by the questioner and the
statistical test of independent T-test, paired sample T-test and chi-square
were taken by SPSS.
Results: According to the results, we could conclude that continuous support of
mother during labour and parturition significantly reduces the mother’s stress,
labour period and improves the mother’s satisfaction. Social and emotional
support by the female company during parturition charges less compared to
private midwife, however, has no significant effect on reducing the mother’s
stress and progression of delivery. Presence of private midwife due to perfect
acquaintance with the parturition process in terms of physiology and anatomy
and proper encourage and emotional and logical support could have an
outstanding effect in reducing the anxiety, stress and progression of the
parturition.
Keywords: Labour period, mother’s stress, private midwife,
dula, nulliparity.