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.



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