The impact of effective communication-based care on the childbirth experience and satisfaction among primiparous women: an experimental study

Abstract

Background There is insufficient scientific evidence on the effect of communication skills of childbirth care providers on maternal childbirth experience and satisfaction. The present study aimed to determine the effect of communication-based care on the childbirth experience and satisfaction among primiparous women. Methods A total of 80 primiparous women participated in this experimental study who were randomly assigned into the intervention and control groups. According to the World Health Organization (WHO) care model, the intervention group received effective communication-based care, and the control group received the routine care. Data were collected using demographic and obstetric questionnaires, Labor Agentry Scale (LAS) and Birth Satisfaction Scale-Revised (BSS-R), and Support and Control in Birth (SCIB) scale applied 12 to 24 h after the intervention. Results After controlling the effect of confounding variables, the mean scores of childbirth experience (51.23(1.54) and satisfaction (26.03(0.81) in the intervention group were significantly higher than that in the control group (45.33 (1.54) and 22.66 (0.81) respectively; [adjusted mean difference (AMD) = 5.90, CI = 95%: 1.17 to 10.62, P = 0.01] versus AMD =3.37, CI: 95%: 0.87 to 5.87, P = 0.001]. Conclusion Eeffective communication-based care improved childbirth experience and satisfaction of primiparous women. Therefore, it is recommended that health-care providers should be trained on the communication skills in the delivery room especially during a vital threatened crises such as the Covid pandemic.

An investigation of perinatal mental health needs: A qualitative content analysis

“…Supportive communication was another important theme identi ed in this research. The research ndings of Shamoradifar et al (2022) showed that different communications during pregnancy facilitate this period, and providing care based on effective communication improves the sense of control and support during childbirth. It leads to a positive experience of and satisfaction with delivery.…”

“…It leads to a positive experience of and satisfaction with delivery. Effective communication between caregivers and pregnant women during delivery leads to a positive experience of childbirth through creating the ability of self-control (30) . Eddy et al ( 2021) also emphasized the important role of husband in supportive relationships during the perinatal period.…”

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

“…In general, these concluded that, a woman’s control and participation in decision-making during childbirth is an important part of maternal care. The key to global health care reform is the shift towards more patient-centered care, including their involvement in decision-making [ 24 , 38 – 41 ], and an important aspect of care during childbirth is respect for women’s autonomy, that is, respect for their needs [ 10 , 41 ].…”

“…One of the most important issues raised in SDM during labor and childbirth is the mother's participation in choosing the type of labor analgesia. Most women are looking for a way to relieve labor pain, which seems to be very effective in their satisfactory experience of childbirth [10][11][12]. However, the knowledge of most women is very low about the various methods of labor pain relief and their benefits and harms in developing countries.…”

Implementation and evaluation of the WHO maternity care model: a convergent parallel mixed-methods study protocol

“…Studies in Iran show that there is no effective and acceptable communication between staff and pregnant women in the maternity wards ( 16 , 17 ). Also, most Iranian mothers (75%) report one or more instances of non-respectful maternal care ( 18 ).…”