RELATIONSHIP BETWEEN MIDWIFERY ALONG WITH TYPE OF DELIVERY AND THE RATE OF ANXIETY, STRESS, AND DEPRESSION IN PRIMIPAROUS WOMEN WANTING TO GIVE BIRTH NATURALLY IN NIKNAFS HOSPITAL OF RAFSANJAN IN 2021

Parturition is one of the most important events in women's lives, and therefore, factors that lead to a reduction in pain and its consequences during childbirth with minimal intervention are important for researchers. Therefore, the aim of this study was to investigate the relationship between midwifery counseling along with type of delivery and the rate of anxiety, stress, and depression in primiparous women in Niknafs Hospital of Rafsanjan in2021.

This was a cross-sectional and descriptive study. The statistical population included all primiparous pregnant women who volunteered for natural childbirth in Niknafs Hospital of Rafsanjanfrom March to August 2021, numbering 199. In this study, a checklist and a questionnaire were used. The checklist included demographic information and clinical characteristics of the patient and a questionnaire (Stress, anxiety, depression questionnaire DASS) for stress, anxiety and depression were assessed. The confidence level was considered as 0.05. Thestatistical software used was SPSS version 20.

The results showed that there were significant relationships between age (p = 0.03) and economic status (p = 0.00) with the type of delivery. Based on statistical analyses, the mean, Chi-square, and Mann-Whitney tests, there was a significant correlation between midwife support with mean stress score and anxiety (p = 0.03) and also between midwife support and depression (p = 0.01). Nevertheless, there was no significant relationship between the mean stress score and type of delivery (p = 0.30), anxiety (p = 0.27) and depression (p = 0.51).

Supporting a trained midwife on a maternity bed reduces her stress, anxiety, and depression in pregnant women, which has a positive effect on mother-infant relationships in midwifery and medical care. Therefore, it should be used to support childbirth and increase positive childbirth experiences in pregnant mothers.