Maternal Perspective for Support and Control in Birth

Aynacı, Gülden

doi:10.30621/jbachs.2020.990

Cited by 2 publications

(3 citation statements)

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“…The results indicated that decision support interventions increase the sense of support during pregnancy and childbirth [ 33 ]. Furthermore, the high level of care and support services during childbirth is associated with the enhancement of the feeling of support and control in birth among parturient women, increasing childbirth satisfaction [ 34 , 35 ]. Colley et al in their study entitled “women’s perception of support and control in labor and birth”, demonstrated that supporting women during childbirth through non-pharmacological pain management education and participating in decision-making during childbirth to choose the method of labor analgesia to improve the score of support and control during childbirth [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women

2023

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Background Childbearing women reported moderate and sometimes low levels of autonomy in decision-making with their health care providers especially about their pain relief type and which may affect their childbirth experience. There is limited evidence about the effect of shared decision-making about childbirth pain relief on childbirth experience and satisfaction. Objective The present study aimed to assess the effect of shared decision-making in choosing the method of labor analgesia on childbirth experience and satisfaction among primiparous women. Methods This interventional study was conducted on 66 primiparous women with 38–42 weeks gestational age and with symptoms of labor and childbirth onset. Women were assigned into the intervention and control groups in a ratio of 1: 1 using blocked randomization. The intervention group received shared decision making about the advantages and disadvantages of labor analgesia methods, and the control group received routine care. Questionnaires, including obstetrics and demographic characteristics, Labor Agentry Scale (LAS), McKay Childbirth Satisfaction Rating Scale (MCSRS), Support and Control In Birth (SCIB) were completed. Data were analyzed by SPSS24 software and independent t-test and ANCOVA were used. Result After the intervention, the mean score of childbirth experience in the intervention group was significantly higher than that in the control group [Mean Difference (MD): 6.77, 95% CI: 2.72 to 10.82, (P <0.001)]. Further, the mean score of childbirth satisfaction in the intervention group was significantly higher than that in the control group [MD: 19.06, 95% CI: 9.63 to 28.49, (P<0.001)]. The mean score of control and support during childbirth and its subscales in the intervention group was significantly higher than that in the control group after the intervention [MD: 17.21, 95% CI: 9.40 to 25.03, (P <0.001)]. Conclusion It is recommended that mothers should be involved in treatment decisions during childbirth since they are considered an important part of providing care during labor and childbirth.

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Section: Discussionmentioning

confidence: 99%

The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women

2023

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“…Psychological comfort during and after childbirth is influenced by age, education, order of childbirth and experience of previous childbirth, and the woman's material security [9].…”

Section: Introductionmentioning

confidence: 99%

“…Thus, the following three components can be named as factors for successful nontraumatic childbirth in a medical institution: minimal medical intervention (only if necessary) [4]; competent accompaniment and support before and during childbirth [9]; ensuring a comfortable sociocultural situation (support from society and public institutions, education, sufficient income, etc.) [10; 5; 9].…”

Section: Introductionmentioning

confidence: 99%

Innovative analysis methods of the Perinatal pedagogy

2021

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The scientific discourse does not consider the possibilities of preparing pregnant women for interaction with medical personnel during childbirth by means of perinatal pedagogy. Purpose of the study: To determine the key problems of interaction between women in labor and the staff of medical institutions (maternity hospitals) and their causes, the elimination of which could be facilitated by perinatal pedagogy. The study was conducted by the method of content-analysis of interviews of 24 women. The main topics were identified that describe the negative experience of women in childbirth: neglect of medical personnel, ignoring requests for information on the state of the mother and child, psychological pressure and manipulation, compulsion to medical intervention, corruption, extortion. Also, 4 types of women’s emotional reaction to the situation were identified: positive, unemotional, negative (low and high intensity). Analysis gives reason to believe that the main cause of psychological trauma is not the experienced events, but the attitude towards them. Perinatal pedagogy can reduce the trauma of birth experience by increasing medical literacy and legal awareness of pregnant women, through training and practical training, irradiating the methods of communication with medical personnel. Psychological birth trauma in women is largely determined by negative experience of interaction with the staff of medical institutions. More detailed statistical studies of the factors that enhance the negative emotional reaction to this experience and the development of methods for preparing pregnant women for it are needed.

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Maternal Perspective for Support and Control in Birth

Cited by 2 publications

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The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women

The effect of shared decision-making in choosing the method of labor analgesia on childbirth experience among primiparous women

Innovative analysis methods of the Perinatal pedagogy

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