Comparing two instructional methods of role playing and lecture on primigravida females, decision about type of delivery

Abstract

INTRODUCTION:Each mother has the legal right to decide about her delivery, but this decision should be made based on scientific knowledge. Instructions during pregnancy help to choose the proper type of delivery. This study conducted aimed to compare two instructional methods of role playing and lecture on primigravida decision about type of delivery.SUBJECTS AND METHODS:In this single-blind clinical trial 67 primigravida, 34–36 week were selected using multi-stage sampling and assigned into two groups randomly. Decision-making (before, 2-week after, and at admission in maternity department) was tested by a questionnaire. In role-playing group, advantages and disadvantages of two type delivery were presented by role-playing in 90-min by three scenarios. In lecture group, it was also presented in a 90-min lecture. Data were analyzed by mean difference test, Fisher test, independent and paired t-test.RESULTS:Two groups showed a significant difference in terms of decision at admission to maternity department (P = 0.000). 75% of lecture group and 100% of role-playing group selected normal delivery. Postintervention knowledge score in lecture group was 18 ± 5.3 and in role-playing group 17.1 ± 4.0. Percent of change in knowledge scores in two groups was significant (P = 0.001). Participants’ attitude, before and after the intervention, in both groups was significant (P < 0.05). Mean difference of pre- and post-test in relation to two groups’ knowledge and attitude scores was not significant (P > 0.05).CONCLUSION:In this research, lecture was more effective in raising knowledge level, and role playing was more effective in raising decision to vaginal delivery and reducing elective caesarean section. It is therefore suggested to use both teaching methods altogether for pregnant women to decrease the rate of unnecessary cesarean.

Midwives’ interventions for reducing fear of childbirth in pregnant women: a scoping review

“…Almost all included studies were published as journal articles (research paper), reporting quantitative (n = 28), 18,20,21,[61][62][63]66,[73][74][75][76][77][78][79][80][82][83][84][85][86][87][88]90,[93][94][95][96][97] qualitative (n = 3), 69,91,92 and mixed methods research studies (n = 2). 81,89 One of the included studies was a protocol.…”

“…Midwives' role in leading and/or implementing the intervention All studies described details about antenatal interventions led and/or implemented by midwives for reducing FOC in pregnant women. Primary authors were contacted to clarify information about midwives' role in the interventions 21,63,75,80,81,83,88 (Table 1).…”

“…78 Approximately two-thirds of the studies were conducted in Scandinavian countries (n = 22). The majority of studies were conducted in Sweden (27%; n = 9), 21,[73][74][75]78,82,91,92,97 followed by Iran (n = 7), 83,85,87,88,90,93,94 Australia (n = 5), [18][19][20]81,89 Finland (n = 4), 76,77,80,86 Norway (n = 3), 66,79,95 and Turkey (n = 2). 63,84 One study was conducted in the United Kingdom, 61 one in Iceland, 96 one in Poland, 62 one in Kenya, 69 and one in Denmark.…”

“…80,93,97 Among the diagnostic tools, the authors used a diagnostic interview 66,79 or question 80,82,92 and/ or a self-reported measurement instrument. [18][19][20]62,63,69,[76][77][78]80,81,[83][84][85][86][87][88][89]93,[94][95][96][97] The following validated instruments were used: Fear of Vaginal Delivery Scale 76,77 ; Wijma Delivery Expectancy/Experience Questionnaire Version A (W-DEQ-A) [18][19][20]63,69,78,80,81,84,85,87,[93][94][95]97 ; Fear of Childbirth Scale 62 ; Childbirth Attitude Questionnaire) ≥ 100 80,97 ). FOC was self-rated through a visual analogue scale 80,91,97 or a 10-point Likert scale.…”

“…The following outcomes other than FOC were also assessed or measured (Appendix IV): anxi-ety levels 76,81,90,93 ; requests for cesarean delivery 61,66,76,79,86 ; preference for mode of birth in present pregnancy 61,66,82,83,94 ; preference for mode of birth in subsequent pregnancy 18,20,66 ; childbirth self-efficacy 19,20,63,81,88,93,94 ; mode of delivery 18,61,73,75,77,79,80,87,95,97 ; obstetric outcomes (not including mode of delivery) 19,66,[73][74][75] ; satisfaction with the childbirth experience 18,74,76,80,82 ; postpartum mental health 18,20,63,76 ; and satisfaction with the intervention. 66,77,82,85,93,…”