The effectiveness of prenatal intervention on pain and anxiety during the process of Childbirth-Northern Iran: Clinical trial study

Firouzbakht, Mojgan; Nikpour, Maryam; Khefri, S; Jamali, Bita; Kazeminavaee, F; Didehdar, Mojtaba

doi:10.4103/2141-9248.165260

Cited by 27 publications

(19 citation statements)

References 22 publications

(25 reference statements)

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“…The birthing process accounts for more than 90% of a woman’s stress and anxiety during prenatal care, mainly related to lack of knowledge and fear of childbirth 23 . The presence of anxiety symptoms was characteristic in the PG (>88%), CG (>88%) and IG (100%) groups, which may be related to the low prenatal education observed in all three study groups (>85%).…”

Section: Discussionmentioning

confidence: 99%

“…Anxiety is a common symptom faced by women during labor which is often related to a lack of information about gestation and delivery during prenatal care, or may arise from a new and unknown situation such as birth to first-time mothers 1 . Anxiety disorders and distress experienced by women during gestation may also be related to postpartum depression, premature birth, cesarean delivery and difficulties in raising the children 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Anxiety disorders and distress experienced by women during gestation may also be related to postpartum depression, premature birth, cesarean delivery and difficulties in raising the children 2 . However, there is evidence that prenatal education and guidance on physiological changes during gestation and the labor and delivery process may result in less stress, female anxiety and reduce interventions during childbirth 1 , 3 - 4 .…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial

Mafetoni

Rodrigues

Jacob

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to evaluate the effectiveness of auriculotherapy on the anxiety of women during labor. Method:this is a randomized, parallel, triple-blind clinical trial. 102 parturients with gestational age ≥ 37 weeks, cervical dilatation ≥ 4 cm and two or more contractions in 10 min were selected and randomly assigned into three groups to receive auriculotherapy, placebo or control (routine care). Auriculotherapy was applied with crystal microspheres to the shenmen, uterus, neurasthenia area and endocrine points, and anxiety was assessed by the Hamilton Anxiety Rating Scale (HAM-A). Analyzes were performed using the Kruskal-Wallis, Generalized estimating equations, Chi-square and Fisher’s exact tests. Results:the groups showed no significant difference at baseline according to the HAM-A. After the intervention there was a significant increase in HAM-A scores at 120 min in the placebo versus auriculotherapy group (mean difference (MD) 3.62, confidence interval (CI) 0.42-6.81, p=0.0265) and control versus auriculotherapy group (MD 4.88, CI 1.87-7.88, p=0.0015). Conclusion:the parturients with auriculotherapy presented lower levels of anxiety according to the HAM-A score after the treatment when compared to the women from the other groups; this can represent alternative care in obstetric practice. Registration: n. .

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial

Mafetoni

Rodrigues

Jacob

et al. 2018

Rev. Latino-Am. Enfermagem

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“…Beneficial effects identified include shorter delivery time, better detection of labour, fewer interventions, a reduced need for anaesthesia, lower levels of anxiety and greater satisfaction. [4][5][6] Previous studies on pregnancy anxiety from different parts of the world have reported a high and wide-ranging prevalence rate of 14-54%. However, it is likely there is a higher prevalence of childbirth anxiety, even as high as 90-94%, due to poor perceived knowledge and inadequate childbirth preparation for nulliparous pregnant women of our state.…”

Section: Introductionmentioning

confidence: 99%

Anxiety prior to delivery and birth satisfaction, in primigravidas given an individualised introduction to labour after 37 weeks of gestation: A randomised control trial

Mathew¹,

John²,

Hiba³

et al. 2022

IJOGR

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: A randomised Controlled trial to assess the role of an individualised introduction to labour given after 37 weeks of gestation in allaying anxiety prior to delivery and birth satisfaction, in primi-gravidas: After obtaining approval from ethics committee, antenatal mothers, booked for delivery in this hospital, who gave written informed consent, were randomized to Group A (Interventional group) and Group B (comparator group). The Anxiety Assessment Scale for Pregnant Woman in Labour (AASPWL) was administered to all participants at first contact in the antenatal clinic, after 37 weeks of gestation by the investigator. The post-intervention AASPWL questionnaire was administered to all participants in the first stage of labour by a blinded assessor. The birth satisfaction of all participants was assessed after delivery using the Birth Satisfaction Scale (BSS) by a blinded assessor in the ward. The difference in mean anxiety score measured in the first stage of labour and during antenatal visit (>37 weeks of gestation) in Group A and Group B was analysed. It was found that the two groups were homogenous, but the increase in anxiety during labour was less in group A compared to group B, however the difference was not statistically significant. The Birth Satisfaction Scale score in the intervention group was significantly higher compared to the comparator group (p<0.001). An individualised structured introduction to labour reduced the AASPWL scores in first-time parturient mothers who received the intervention, compared to mothers who did not receive the intervention. This reduction, however, was not statistically significant. We also found that the individualised structured introduction to labour enhanced the birth satisfaction of first-time parturient mothers, measured by the Birth Satisfaction Scale (BSS) significantly and resulted in higher scores in the subdomains of the BSS.

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“…In a study of 132 participants, women who attended childbirth classes regularly had more knowledge on childbirth, were confident in their ability to give birth and were involved in the shared decision-making process (Pinar et al, 2018). In another study, women with childbirth education managed labour pain better, used less medications during labour and had less instrumental birth incidences (Firouzbakht et al, 2015;Gluck et al, 2020). Attending childbirth classes was also associated with a positive relationship with the medical staff and more success in breastfeeding (Gao et al, 2019;Lin et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Primiparous women's knowledge and satisfaction based on their attendance at childbirth preparation classes

et al. 2021

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The effectiveness of prenatal intervention on pain and anxiety during the process of Childbirth-Northern Iran: Clinical trial study

Cited by 27 publications

References 22 publications

Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial

Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial

Anxiety prior to delivery and birth satisfaction, in primigravidas given an individualised introduction to labour after 37 weeks of gestation: A randomised control trial

Primiparous women's knowledge and satisfaction based on their attendance at childbirth preparation classes

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