Open Access Open Access  Restricted Access Subscription or Fee Access

Effect of nursıng support gıven to pregnant women on labor paın and bırth expectancy

Nergis Karaman, Yeşim Ceylantekin

Abstract

Nurses support pregnant women in coping with their labor pain. The aim of the quasi-experimental correlational design study was to identify the effect of the nursing support provided on labor pain and birth expectations to primiparous pregnant women. This study was carried out with an intervention (n=51) and control group (n=51) of primiparous women who were in their 37-41 weeks of pregnancy. In the first stage of labor (latent phase-active phase) (3-7 cm dilatation), the following procedures were applied respectively. Focusing, imagery, massage, sacral pressure, and breathing-relaxation-pushing exercises were explained to the pregnant women in the intervention group by the researcher and the exercises were practised one-on-one with them. The control group only received standard care in the ward without any intervention. The population of the study consisted of 102 pregnant women aged 18 years and above who had a vaginal delivery between February 15- August 15, 2018.The data of the study were collected using the Pregnancy Diagnosis Form, the Visual Analog Scale (VAS) (labor VAS1, post-natal VAS2) to determine the pain level of the participants, and WIJMA Labor Expectancy/Experience Questionnaire Version B to determine their expectations. SPSS 22.0 for Windows was used for the data analysis while frequency and percentage distribution, arithmetic means were calculated. Mann-Whitney U test, Kruskal- Wallis test, Spearman correlation analysis were performed. . The statistical significance level was accepted as p<0.05. The socio-demographic and obstetric characteristics of the pregnant women in the study were similar. VAS1 was 6.0±1.3 in the intervention group and 6.4±.1 in the control group. VAS2 was 0.9±0,8 in the intervention group and 1.31±1,029 in the control group. Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) Version B was found to be7.3±14.9 in the intervention group and 117.1±23.9 in the control group. The study results showed that the pregnant women in the intervention group described their labor more positively, that the postpartum perceived pain, fear levels of pregnant women who received nursing support were lowerthanthosewhoreceivedstandardcare. (Afr J Reprod Health 2021; 25[6]: 110-120).

Full Text:

PDF

References

Daş Z. Psychosocial and cultural dimension of pregnancy. In: Taşkın L (Ed.). Obstetrics and Women's Health Nursing. Chapter 12. Extended 13th Edition. Reaction Printing. Ankara,2016, 217.

Karahan N and Göncü Serhatlıoğlu S. Pregnancy physiology. In: Arslan Özkan H (Ed.). Women's Health and Diseases for Nursing and Midwifery. Chapter 6. 1st Edition. Academician Bookstore. Ankara, 2019, 137, 153-159.

Güler S, Avcı S and Yiğit F. Antenatal care and evaluation of fetal health. In: Arslan Özkan, H (Ed.). Women's Health and Diseases for Nursing and Midwifery. Chapter 7. 1st Edition. Academician Bookstore. Ankara, 2019, 173-204.

Rathfisch G. Natural Birth Philosophy / Adventure for Millions of Years. 2nd Edition. Nobel Medical Bookstores. Istanbul, 2018.

Kömürcü N, Berkiten Ergin A, Çalışkan EJ, Buckley S, Yeşilçiçek Çalık K, Çoker H and Karabekir N. Non-pharmacological methods in the control of labor pain. In: Kömürcü, N (Ed.). Labor Pain and Management. Chapter 6. 2nd Edition. Nobel Medical Bookstore. Istanbul, 2014.

Doğan Pekince G and Ertem G. Prenatal care. In: Sevil Ü and Ertem G (Ed.). Perinatology and Care. Chapter 4. Nobel Medical Bookstores. Ankara, 2016, 159-163.

Yılar Erkek Z and Pasinlioğlu T. Complementary treatment methods used in labor pain. Anatolian Journal of Nursing and Health Sciences 2016;19 (1): 71-77. https://doi.org/10.17049/ahsbd.09559.

Tektaş E, Akay N, Mak A and Ay F. Non-pharmacological methods for reducing pain in vaginal delivery and the effect of massage: thesis results for the years 2000-2015. Journal of Health Sciences and Professions. 2017; 4(1): 64-70.

Arslan Özkan H. Introduction to women's health. In: Arslan Özkan, H (Ed.). Women's Health and Diseases for Nursing andMidwifery. Chapter 1. 1st Edition. Academician Bookstore. Ankara,2019,14.

Kömürcü N and Berkiten Ergin A. Evaluation of labor pain. In: Kömürcü N (Ed.). Labor Pain and Management. Chapter 3. 2nd Edition. Nobel Medical Bookstore. Istanbul,2014,40.

Eti Aslan F and Kan Öntürk Z. Pain measurement and evaluation. In: Eti Aslan, F (Ed.). Pain Nature and Control. Extended 2nd Edition. Academician Medical Bookstore. Ankara, 2014, 82.

Uçar E. Validity and reliability study of wıjma birth expectation / experience b version. Master Thesis. Haliç University Faculty of Health Sciences. İstanbul, 2013.

Wıjma K, Wıjma B and Zar M. Psychometric aspects of the w-deq; a newquestionnaire for the measurement of fear of childbirth. Journal of Psychosomatic Obstetrics & Gynecology 1998; 19(2): 84-97.

Akadri AA andOdelola OI. Labor pain perception: experiences of nigerian mothers. Pan African Medical Journal 2018; 30(1): 1-7.doi:10.11604/pamj.2018.30.288.16672.

Aksoy H, Yücel B, Aksoy Ü, Acmaz G, Aydın T and Babayiğit MA. The relationship between expectation, experience and perception of labor pain: an observational study. Springerplus 2016; 5(1): 1766-1770.https://doi.org/10.1186/s40064-016-3366-z.

Körükçü Ö, Deliktaş A, Aydın R and Kabukçuoğlu K. İnvestigationof the relationship between the psychosocial health status and fear of childbirth in healthy pregnancies. Clin Exp Health Sci 2017; 7(4): 152-158. http://dx.doi.org/10.5152/clinexphealthsci.2017.359

Erkaya R, Karabulutlu Ö and Yeşilçiçek Çalık K. Defining childbirth fear and anxiety levels in pregnant women. Procedia-Social and Behavioral Sciences 2017; 237: 1045-1052. https://doi.org/10.1016/j.sbspro.2017.02.151.

Serçekuş P. Response to fear of birth: hypnobirthing. TAF Preventive Medicine Bulletin 2011; 10(2): 239-242. https://doi.org/10.5455/pmb.20101123011947.

Hodnett ED, Gates S, Hofmeyr GJ and Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev 2013;(7): 1-84. https://doi.org/10.1002/14651858.CD003766.pub5.

Sydsjö G, Blomberg M, Palmquist S, Angerbjörn L, Bladh M and Josefsson A. Effects of continuous midwifery labor support for women with severe fear of childbirth. BMC Pregnancy Childbirth 2015; (15): 115-119. https://doi.org/10.1186/s12884-015-0548-6.

Taheri M, Takian A, Taghizadeh Z, Jafari N and Sarafraz N. Creating a positive perception of childbirth experience: systematic review and metaanalysis of prenatal and intrapartum interventions. Reproductive Health 2018; 15: 1-13. https://doi.org/10.1186/s12978-018-0511-x.

Paudel YR, Mehata S, Paudel D, Darıang M, Aryal KK, Poudel P, Kıng S and Barnett S. Women’s satisfaction of maternity care in nepal and ıts correlation with ıntended future utilization. International Journal of Reproductive Medicine 2015, 1-9. https://doi.org/10.1155/2015/783050.

Firouzan L, Kharaghani R, Zenoozian S, Moloodi R and Jafari E. The effect of midwifery led counseling based on gamble’s approach on childbirth fear and self-efficacy in nulligravida women. BMC Pregnancy and Childbirth 2020;20: 1-7. doi: 10.1186 / s12884-020-03230-1.

Bolbol Haghıghı N, Masoumı SZ and Kazemı F. Effect of

massage therapy on duration of labor: a randomized controlled trial. Journal of Clinical and Diagnostic Research 2016; 10(4): 12-15. doi: 10.7860/JCDR/2016/17447.7688.

Habeeb JS andChhughanı MA. Study to assess the effectiveness of back massage on pain among primigravida mothers during first stage of labor.International Journal of Current Research 2018; 10(9): 73358-73360.https://doi.org/10.24941/ijcr.32287.09.2018.

Karaduman S. and Akköz Çevik S.The effect of sacral massage on labor pain and anxiety: a randomized controlled trial.Japan Journal of Nursing Science 2019;17: 1-9.https://doi.org/10.1111/jjns.12272.

Refbacks

  • There are currently no refbacks.