Ebe Liderliğindeki Uygulamaların Doğum Beklentisi ve Deneyimi Üzerine Etkisi: Sistematik İnceleme ve Meta-Analiz

Abstract

Amaç: Bu çalışmanın amacı, ebe liderliğindeki uygulamaların doğum beklentileri ve deneyimleri üzerindeki etkilerini sistematik bir şekilde incelemek ve mevcut kanıtları meta-analiz yöntemiyle değerlendirmektir. Yöntem: Literatür taraması, Kasım ve Aralık 2024 tarihlerinde PubMed, Cochrane Library, Web of Science ve ULAKBIM gibi dört elektronik veri tabanında yapılmıştır. Yayınlanan makaleler, MeSH terimleri kullanılarak belirlenmiştir. Aramada yalnızca Randomize Kontrollü Çalışmalar (RCT) dahil edilmiştir. Veriler, Review Manager yazılımı ile analiz edilmiştir. Bulgular: Meta-analize toplamda 936 kadını içeren yedi çalışma dahil edilmiştir. Random etkiler modeline göre, gruplar arasında doğum beklentileri açısından post-test sonuçlarında anlamlı farklar bulunmuştur (MD: -15,58, 95% CI: -30,74 ile -0,42, Z = 2,01, p = 0,04). Ayrıca, post-testte doğum öz-yeterlilik değerlerinde de gruplar arasında anlamlı farklar gözlemlenmiştir (MD: 43,60, 95% CI: 24,53 ile 62,67, Z = 4,48, p < 0,00001). Sonuç: İncelenen çalışmaların bulgularına göre, ebe tarafından yönlendirilen müdahaleler, hamile kadınların doğum korkusu ve stresini azalttığı, lohusalık döneminde de bu etkinin devam ettiği ve kadınların doğumla ilgili öz-yeterlilik algılarını artırdığı görülmüştür. Ancak, bu müdahaleler düşük kaliteli kanıtlara dayanmaktadır.

Keywords

• Ebe liderliğinde doğum
• doğum beklentisi
• deneyim
• doğum öz yeterliliği

The Effect of Midwife-Led Practices on Birth Expectancy and Experience Outcomes: Systematic Review and Meta-Analysis

Abstract

Aim: The objective of this study was to conduct a systematic review of the birth expectations and experiences associated with midwife-led interventions, and to perform a meta-analysis of the existing evidence. Method: The literature review was carried out between November and December 2024 across four electronic databases: PubMed, Cochrane Library, Web of Science, and ULAKBIM. Articles were identified using MeSH-based keywords. Only Randomized Controlled Trials (RCTs) were included in this unrestricted search. The data were analyzed using the Review Manager software. Results: A total of seven studies, involving 936 women, were included in the analysis. According to the results of the random effects model, significant differences in birth expectations were observed between the groups in the post-test (MD: -15.58, 95% CI: -30.74 to -0.42, Z = 2.01, p = 0.04). Additionally, the results showed significant differences in childbirth self-efficacy values between the groups in the post-test (MD: 43.60, 95% CI: 24.53 to 62.67, Z = 4.48, p < 0.00001). Conclusions: Consistent with the findings of the studies included in the review, midwife-led interventions were shown to reduce childbirth-related fear and stress in pregnant women and during the puerperium, while also enhancing their perception of self-efficacy for childbirth. These interventions contribute to low-quality evidence.

Keywords

• Midwife-led
• birth expectancy
• experience
• childbirth self-efficacy

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