جستجوی مقالات مرتبط با کلیدواژه « childbirth experience » در نشریات گروه « پزشکی »

The women’s experience of the delivery process has significant consequences. The quality of these experiences affects the health of the mother and child, their emotional connection, the mother’s sexual activity, and her desire to have another child in the future. The present study investigated the women’s experience of the delivery process, the care provided in the unit, and their satisfaction with the delivery environment.

This cross-sectional study was conducted on 250 women referred to the labor delivery and recovery room (LDR) unit of Amir al-Momenin hospital (AS) in Zabol city, Iran, in 2022. Data collection tools included the personal characteristics questionnaire, the Childbirth Experience Questionnaire (CEQ), the questionnaire on satisfaction with the delivery environment, and the questionnaire on care provided in the unit. Data analysis was done by SPSS software version 23 using descriptive statistics (absolute and relative frequency, mean and standard deviation) and inferential tests (Pearson correlation test, independent t-test, one-way ANOVA).

This study showed that the mean score of childbirth experience was 65.09 ± 4.71. Also, a statistically significant relationship was found between satisfaction with the delivery environment, the care provided in the unit, and the childbirth experience (P value < 0.001). No statistically significant relationship was observed between the demographic characteristics and childbirth experience.

As the satisfaction score increased, the score of birth experience also increased.

The prevalence of anxiety and fear of childbirth (FOC) during pregnancy is high. This study aimed to measure the effect of group counseling with Beck′s cognitive therapy on anxiety and FOC in primiparous women.

This randomized controlled trial was conducted on 68 primiparous women who referred to the health centers of Ardabil, Iran. The participants were randomly assigned to the counseling and control groups. The intervention group participated in six, 60-minute weekly sessions of cognitive group counseling. All women completed the Spielberger State-Trait Anxiety Inventory (STAI) before the intervention and during the active phase of labor. A questionnaire for the measurement of fear of childbirth (W-DEQ version A) was completed before the intervention, at the 36th week, and also two hours after delivery (W-DEQ version B). Mackey Childbirth Satisfaction Rating (MCSR) and childbirth experience questionnaire were completed 12 to 24 hours after delivery. Data were analyzed using Chi-square, independent t-test, ANCOVA, and repeated measures ANOVA.

There was no statistically significant difference between the two groups in terms of mean scores of state (P=0.842) and trait (P=0.859) anxiety during labor, FOC after the intervention (P=0.566), childbirth experience (P=0.400), and childbirth satisfaction (P=0.828). Also, there was no statistically significant difference in the frequency of vaginal delivery between the two groups (P=0.856).

The findings of the present study showed that Beck′s group cognitive therapy was not effective in reduction of anxiety and FOC. Therefore, it is recommended to do more research in this regard in the future.

The care plan of women with perineal injury during labor does not differ with women without perineal trauma in the health system of Iran, while they are encounter more physical problems after childbirth. The present study was designed to explore the experiences of Iranian postpartum women regarding physical recovery of perineal trauma after child birth.

This qualitative content analysis was conducted on 22 postnatal women with perineal trauma during childbirth delivered in Ommol-banin hospital, Mashhad, Iran, between 20th of April to 25th of December 2017.  Participants were selected purposively until data saturation was achieved. To collect data face-to-face semi-structured interviews were conducted between 10 days to one year after childbirth. Data analysis was carried out using conventional content analysis recommended by Elo and Kyngas (2008) with MAXQDA software.

Physical recovery after perineal trauma was conceptualized as a journey toward normalization of body function to reach physical recovery. Two generic categories emerged from the data including (1) experience of illness and (2) physical rehabilitation. In the first phase, participants confronted many complications such as mobile restrictions, sexual disorders and symptoms of illness. Recovery was achieved by alleviating of these disorders and getting better. Improving physical functions helped to restore emotional recovery as well, when participants recaptured pervious sense of self (normalization), and regained their daily activities.

Women, especially women with severe perineal trauma, in addition to the routine six-week post-partum care, need longer time of receiving care until completing the natural physical recovery process.