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The effect of supportive nursing care during labor on maternity blues and birth satisfaction

Year 2025, Volume: 8 Issue: 2, 350 - 355, 21.03.2025
https://doi.org/10.32322/jhsm.1592902

Abstract

Aims: The purpose of this study is to determine the effect of supportive nursing care given to pregnant women in labor on maternity blues and birth satisfaction.
Methods: The type of research was randomised controlled trial. A total of 47 women with healthy fetuses, 23 in the intervention group and 24 in the control group, were included in the study. Pregnant women in the control group received standard hospital care. Pregnant women in the intervention group received supportive nursing care including physical, emotional, informational and advocating elements during labor. Data were collected with The Gratification from Labor and Delivery Questionnaire (Turkish version), Stein’s Maternity Blues Scale (Turkish version) and Pregnant Information Form.
Results: Sociodemographic and pregnancy characteristics of women in both groups were similar. Birth satisfaction in the intervention group was found to be higher than in the control group (p<0.001). In the intervention group, the duration of the second stage of labor and maternity blues scores on days 4 and 15 were lower (p<0.001). A significant correlation was determined between maternity blues and birth satisfaction (r=0.611; p<0.001).
Conclusion: Supportive care given to pregnant women during labor was found to shorten the second stage of labor, increase mothers’ birth satisfaction, and decrease maternity blues. It was found that as birth satisfaction increased, the level of maternity blues decreased.

Ethical Statement

Erciyes University Clinical Research Ethics Committee (Decision No: 2017-70, Date: 03.02.2017).

Thanks

We thank all of the mothers participating in the present study and the midwives and nurses who were our guides in the process. Also, we thank to Dr. George Stein for permit to use Maternity Blues Scale.

References

  • Tosto V, Ceccobelli M, Lucarini E, et al. Maternity blues: a narrative review. J Pers Med. 2023;13(1):154. doi:10.3390/jpm13010154
  • Al-Abri K, Edge D, Armitage CJ. Prevalence and correlates of perinatal depression. Soc Psychiatry Psychiatr Epidemiol. 2023;58(11):1581-1590. doi:10.1007/s00127-022-02386-9
  • Luciano M, Sampogna G, Del Vecchio V, et al. The transition from maternity blues to full-blown perinatal depression: results from a longitudinal study. Front Psychiatry. 2021;12:703180. doi:10.3389/fpsyt. 2021.703180
  • Durgun SK, Ulaş SC. Knowledge and practices of primary health care professionals on maternal blues. Int J Mental Health Addict. 2023;21(1): 650-665.
  • Gerli S, Fraternale F, Lucarini E, et al. Obstetric and psychosocial risk factors associated with maternity blues. J Matern Fetal Neonatal Med. 2021;34(8):1227-1232. doi:10.1080/14767058.2019.1630818
  • Adeyemo EO, Oluwole EO, Kanma-Okafor OJ, Izuka OM, Odeyemi KA. Prevalence and predictors of postpartum depression among postnatal women in Lagos, Nigeria. Afr Health Sci. 2020;20(4):1943-1954. doi:10. 4314/ahs.v20i4.53
  • Okunola TO, Awoleke JO, Olofinbiyi B, Rosiji B, Omoya S, Olubiyi AO. Postnatal blues: a mirage or reality. J Affect Disord Rep. 2021; 6:100237. doi:10.1016/j.jadr.2021.100237
  • Shishido E, Shuo T, Shinohara K, Horiuchi S. Effects of epidural anesthesia on postpartum maternity blues and fatigue and its relation to changes in oxytocin. Jpn J Nurs Sci. 2021: 18(3); e12406. doi:10.1111/jjns.12406
  • Mariño-Narvaez C, Puertas-Gonzalez JA, Romero-Gonzalez B, Peralta-Ramirez MI. Giving birth during the COVID-19 pandemic: the impact on birth satisfaction and postpartum depression. Int J Gynaecol Obstet. 2021;153(1):83-88. doi:10.1002/ijgo.13565
  • Finneran MR. The ınfluence of parity on a woman’s perception of nursing support during labor and birth satisfaction. undergraduate thesis, Walsh University. Electronic theses and dissertations center. 2019. http://rave.ohiolink.edu/etdc/view?acc_num=walshhonors1555685126717134
  • İsbir GG, Serçekuş P. The effects of intrapartum supportive care on fear of delivery and labor outcomes: a single-blind randomized controlled trial. J Nurs Res. 2017;25(2):112-119. doi:10.1097/JNR.0000000000000129
  • Araújo AE, Delgado A, Maia JN, Lima Campos S, Wanderley Souto Ferreira C, Lemos A. Efficacy of spontaneous pushing with pursed lips breathing compared with directed pushing in maternal and neonatal outcomes. J Obstet Gynaecol. 2022;42(5):854-860. doi:10.1080/01443615. 2021.1945016
  • Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği. Akademisyen Kitabevi. 2019: ss. 314-315.
  • Cicek S, Basar F. The effects of breathing techniques training on the duration of labor and anxiety levels of pregnant women. Complement Ther Clin Pract. 2017;29:213-219. doi:10.1016/j.ctcp.2017.10.006
  • Patyal N, Kumari S, Verma D, Yadav H, Kaur J, Kaur H. Effectiveness of sacral massage on labor pain and satisfaction among antenatal mothers in active phase of labor. Nation J Commun Med. 2024;15(4):299-306. doi: 10.55489/njcm.150420243670
  • Cadman T, Strandberg-Larsen K, Calas L, et al. Urban environment in pregnancy and postpartum depression: an individual participant data meta-analysis of 12 European birth cohorts. Environ Int. 2024;185: 108453. doi:10.1016/j.envint.2024.108453
  • Ntaouti E, Gonidakis F, Nikaina E, et al. Maternity blues: risk factors in Greek population and validity of the Greek version of Kennerley and Gath’s blues questionnaire. J Matern Fetal Neonatal Med. 2020;33(13): 2253-2262. doi:10.1080/14767058.2018.1548594
  • Gerli S, Fraternale F, Lucarini E, et al. Obstetric and psychosocial risk factors associated with maternity blues. J Matern Fetal Neonatal Med. 2021;34(8):1227-1232. doi:10.1080/14767058.2019.1630818
  • Stein GS. The pattern of mental change and body weight change in the first post-partum week. J Psychosom Res. 1980;24(3-4):165-171. doi:10. 1016/0022-3999(80)90038-0
  • Tascı KD, Mete S.Validity and reliability study of postpartum self-assessment scale. Atatürk Uni School Nurs J. 2007;10(2):20-29.
  • Alvarado G, Schultz D, Malika N, Reed N. United States doula programs and their outcomes: a scoping review to inform state-level policies. Womens Health Issues. 2024;34(4):350-360. doi:10.1016/j.whi.2024.03.001
  • Nazik E. Doğum, kadın sağlığı ve hastalıkları hemşireliği. Akademisyen Kitabevi. 2022. ss.206-207.
  • Bayraktar E, Başer M. Effect of perineum massage with olive oil on perineum integrity and duration of second period of delivery. J Human Sci. 2021;18(2):131-142. doi:10.14687/jhs.v18i2.6029
  • Smith CA, Levett KM, Collins CT, Dahlen HG, Ee CC, Suganuma M. Massage, reflexology and other manual methods for pain management in labour. Cochrane Database Syst Rev. 2018;3(3):CD009290. doi:10.1002/ 14651858.CD009290.pub3
  • Cankaya S, Can R. The effect of continuous supportive care on birth pain, birth fear, midwifery care perception, oxytocin use, and delivery time during the intrapartum period: An experimental study. Niger J Clin Pract. 2021;24(11):1624-1632. doi:10.4103/njcp.njcp_147_20
  • Kashanian M, Javadi F, Haghighi MM. Effect of continuous support during labor on duration of labor and rate of cesarean delivery. Int J Gynaecol Obstet. 2010;109(3):198-200. doi:10.1016/j.ijgo.2009.11.028
  • Bolbol-Haghighi N, Masoumi SZ, Kazemi F. Effect of massage therapy on duration of labour: a randomized controlled trial. J Clin Diagn Res. 2016;10(4):QC12-QC15. doi:10.7860/JCDR/2016/17447.7688
  • Zuarez-Easton S, Erez O, Zafran N, Carmeli J, Garmi G, Salim R. Pharmacologic and nonpharmacologic options for pain relief during labor: an expert review. Am J Obstet Gynecol. 2023;228(5S):S1246-S1259. doi:10.1016/j.ajog.2023.03.003
  • Ängeby K, Sandin-Bojö AK, Persenius M, Wilde-Larsson B. Women’s labour experiences and quality of care in relation to a prolonged latent phase of labour. Midwifery. 2019;77:155-164. doi:10.1016/j.midw.2019.07. 006
  • Cohen WR, Friedman EA. The latent phase of labor. Am J Obstet Gynecol. 2023;228(5S):S1017-S1024. doi:10.1016/j.ajog.2022.04.029
  • Rezaie-Keikhaie K, Hastings-Tolsma M, Bouya S, et al. Effect of aromatherapy on post-partum complications: a systematic review. Complement Ther Clin Pract. 2019;35:290-295. doi:10.1016/j.ctcp.2019. 03.010
  • Míguez MC, Vázquez MB. Risk factors for antenatal depression: a review. World J Psychiatry. 2021;11(7):325-336. doi:10.5498/wjp.v11.i7.325
  • Waldenström U, Hildingsson I, Rubertsson C, Rådestad I. A negative birth experience: prevalence and risk factors in a national sample. Birth. 2004;31(1):17-27. doi:10.1111/j.0730-7659.2004.0270.x

Doğum sırasında verilen destekleyici hemşirelik bakımının annelik hüzünleri ve doğum memnuniyeti üzerindeki etkisi

Year 2025, Volume: 8 Issue: 2, 350 - 355, 21.03.2025
https://doi.org/10.32322/jhsm.1592902

Abstract

Amaç: Bu çalışmanın amacı, doğum yapan gebe kadınlara verilen destekleyici hemşirelik bakımının annelik hüznü ve doğum memnuniyeti üzerindeki etkisini belirlemektir.
Gereç ve Yöntemler: Araştırma türü deneysel olarak tasarlanmıştır. Çalışmaya müdahale grubunda 23 ve kontrol grubunda 24 olmak üzere sağlıklı fetüslere sahip toplam 47 kadın dahil edilmiştir. Kontrol grubundaki gebe kadınlar standart hastane bakımı almıştır. Müdahale grubundaki gebe kadınlar doğum sırasında Fiziksel, Duygusal, Bilgilendirici ve Savunucu unsurları içeren destekleyici hemşirelik bakımı almıştır. Veriler Doğum ve Doğumdan Memnuniyet Anketi (Türkçe versiyonu), Stein'ın Annelik Hüzün Ölçeği (Türkçe versiyonu) ve Gebe Bilgi Formu ile toplanmıştır.
Bulgular: Her iki gruptaki kadınların sosyodemografik ve gebelik özellikleri benzerdi. Müdahale grubunda doğum memnuniyetinin kontrol grubuna göre daha yüksek olduğu bulunmuştur (p<0,001). Müdahale grubunda, doğumun ikinci evresinin süresi ve 4. ve 15. günlerdeki annelik hüznü skorları daha düşüktü (p<0,001). Annelik hüznü ile doğum memnuniyeti arasında anlamlı bir korelasyon belirlendi (r=0,611; p<0,001).
Sonuç: Doğum sırasında gebe kadınlara verilen destekleyici bakımın doğumun ikinci evresini kısalttığı, annelerin doğum memnuniyetini artırdığı ve annelik hüznünü azalttığı bulundu. Doğum memnuniyeti arttıkça annelik hüznü düzeyinin azaldığı bulundu.

References

  • Tosto V, Ceccobelli M, Lucarini E, et al. Maternity blues: a narrative review. J Pers Med. 2023;13(1):154. doi:10.3390/jpm13010154
  • Al-Abri K, Edge D, Armitage CJ. Prevalence and correlates of perinatal depression. Soc Psychiatry Psychiatr Epidemiol. 2023;58(11):1581-1590. doi:10.1007/s00127-022-02386-9
  • Luciano M, Sampogna G, Del Vecchio V, et al. The transition from maternity blues to full-blown perinatal depression: results from a longitudinal study. Front Psychiatry. 2021;12:703180. doi:10.3389/fpsyt. 2021.703180
  • Durgun SK, Ulaş SC. Knowledge and practices of primary health care professionals on maternal blues. Int J Mental Health Addict. 2023;21(1): 650-665.
  • Gerli S, Fraternale F, Lucarini E, et al. Obstetric and psychosocial risk factors associated with maternity blues. J Matern Fetal Neonatal Med. 2021;34(8):1227-1232. doi:10.1080/14767058.2019.1630818
  • Adeyemo EO, Oluwole EO, Kanma-Okafor OJ, Izuka OM, Odeyemi KA. Prevalence and predictors of postpartum depression among postnatal women in Lagos, Nigeria. Afr Health Sci. 2020;20(4):1943-1954. doi:10. 4314/ahs.v20i4.53
  • Okunola TO, Awoleke JO, Olofinbiyi B, Rosiji B, Omoya S, Olubiyi AO. Postnatal blues: a mirage or reality. J Affect Disord Rep. 2021; 6:100237. doi:10.1016/j.jadr.2021.100237
  • Shishido E, Shuo T, Shinohara K, Horiuchi S. Effects of epidural anesthesia on postpartum maternity blues and fatigue and its relation to changes in oxytocin. Jpn J Nurs Sci. 2021: 18(3); e12406. doi:10.1111/jjns.12406
  • Mariño-Narvaez C, Puertas-Gonzalez JA, Romero-Gonzalez B, Peralta-Ramirez MI. Giving birth during the COVID-19 pandemic: the impact on birth satisfaction and postpartum depression. Int J Gynaecol Obstet. 2021;153(1):83-88. doi:10.1002/ijgo.13565
  • Finneran MR. The ınfluence of parity on a woman’s perception of nursing support during labor and birth satisfaction. undergraduate thesis, Walsh University. Electronic theses and dissertations center. 2019. http://rave.ohiolink.edu/etdc/view?acc_num=walshhonors1555685126717134
  • İsbir GG, Serçekuş P. The effects of intrapartum supportive care on fear of delivery and labor outcomes: a single-blind randomized controlled trial. J Nurs Res. 2017;25(2):112-119. doi:10.1097/JNR.0000000000000129
  • Araújo AE, Delgado A, Maia JN, Lima Campos S, Wanderley Souto Ferreira C, Lemos A. Efficacy of spontaneous pushing with pursed lips breathing compared with directed pushing in maternal and neonatal outcomes. J Obstet Gynaecol. 2022;42(5):854-860. doi:10.1080/01443615. 2021.1945016
  • Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği. Akademisyen Kitabevi. 2019: ss. 314-315.
  • Cicek S, Basar F. The effects of breathing techniques training on the duration of labor and anxiety levels of pregnant women. Complement Ther Clin Pract. 2017;29:213-219. doi:10.1016/j.ctcp.2017.10.006
  • Patyal N, Kumari S, Verma D, Yadav H, Kaur J, Kaur H. Effectiveness of sacral massage on labor pain and satisfaction among antenatal mothers in active phase of labor. Nation J Commun Med. 2024;15(4):299-306. doi: 10.55489/njcm.150420243670
  • Cadman T, Strandberg-Larsen K, Calas L, et al. Urban environment in pregnancy and postpartum depression: an individual participant data meta-analysis of 12 European birth cohorts. Environ Int. 2024;185: 108453. doi:10.1016/j.envint.2024.108453
  • Ntaouti E, Gonidakis F, Nikaina E, et al. Maternity blues: risk factors in Greek population and validity of the Greek version of Kennerley and Gath’s blues questionnaire. J Matern Fetal Neonatal Med. 2020;33(13): 2253-2262. doi:10.1080/14767058.2018.1548594
  • Gerli S, Fraternale F, Lucarini E, et al. Obstetric and psychosocial risk factors associated with maternity blues. J Matern Fetal Neonatal Med. 2021;34(8):1227-1232. doi:10.1080/14767058.2019.1630818
  • Stein GS. The pattern of mental change and body weight change in the first post-partum week. J Psychosom Res. 1980;24(3-4):165-171. doi:10. 1016/0022-3999(80)90038-0
  • Tascı KD, Mete S.Validity and reliability study of postpartum self-assessment scale. Atatürk Uni School Nurs J. 2007;10(2):20-29.
  • Alvarado G, Schultz D, Malika N, Reed N. United States doula programs and their outcomes: a scoping review to inform state-level policies. Womens Health Issues. 2024;34(4):350-360. doi:10.1016/j.whi.2024.03.001
  • Nazik E. Doğum, kadın sağlığı ve hastalıkları hemşireliği. Akademisyen Kitabevi. 2022. ss.206-207.
  • Bayraktar E, Başer M. Effect of perineum massage with olive oil on perineum integrity and duration of second period of delivery. J Human Sci. 2021;18(2):131-142. doi:10.14687/jhs.v18i2.6029
  • Smith CA, Levett KM, Collins CT, Dahlen HG, Ee CC, Suganuma M. Massage, reflexology and other manual methods for pain management in labour. Cochrane Database Syst Rev. 2018;3(3):CD009290. doi:10.1002/ 14651858.CD009290.pub3
  • Cankaya S, Can R. The effect of continuous supportive care on birth pain, birth fear, midwifery care perception, oxytocin use, and delivery time during the intrapartum period: An experimental study. Niger J Clin Pract. 2021;24(11):1624-1632. doi:10.4103/njcp.njcp_147_20
  • Kashanian M, Javadi F, Haghighi MM. Effect of continuous support during labor on duration of labor and rate of cesarean delivery. Int J Gynaecol Obstet. 2010;109(3):198-200. doi:10.1016/j.ijgo.2009.11.028
  • Bolbol-Haghighi N, Masoumi SZ, Kazemi F. Effect of massage therapy on duration of labour: a randomized controlled trial. J Clin Diagn Res. 2016;10(4):QC12-QC15. doi:10.7860/JCDR/2016/17447.7688
  • Zuarez-Easton S, Erez O, Zafran N, Carmeli J, Garmi G, Salim R. Pharmacologic and nonpharmacologic options for pain relief during labor: an expert review. Am J Obstet Gynecol. 2023;228(5S):S1246-S1259. doi:10.1016/j.ajog.2023.03.003
  • Ängeby K, Sandin-Bojö AK, Persenius M, Wilde-Larsson B. Women’s labour experiences and quality of care in relation to a prolonged latent phase of labour. Midwifery. 2019;77:155-164. doi:10.1016/j.midw.2019.07. 006
  • Cohen WR, Friedman EA. The latent phase of labor. Am J Obstet Gynecol. 2023;228(5S):S1017-S1024. doi:10.1016/j.ajog.2022.04.029
  • Rezaie-Keikhaie K, Hastings-Tolsma M, Bouya S, et al. Effect of aromatherapy on post-partum complications: a systematic review. Complement Ther Clin Pract. 2019;35:290-295. doi:10.1016/j.ctcp.2019. 03.010
  • Míguez MC, Vázquez MB. Risk factors for antenatal depression: a review. World J Psychiatry. 2021;11(7):325-336. doi:10.5498/wjp.v11.i7.325
  • Waldenström U, Hildingsson I, Rubertsson C, Rådestad I. A negative birth experience: prevalence and risk factors in a national sample. Birth. 2004;31(1):17-27. doi:10.1111/j.0730-7659.2004.0270.x
There are 33 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynocology Nursing
Journal Section Original Article
Authors

Nurdan Aymelek Çakıl 0000-0002-5765-7359

Evrim Bayraktar 0000-0002-2914-197X

Publication Date March 21, 2025
Submission Date January 9, 2025
Acceptance Date March 16, 2025
Published in Issue Year 2025 Volume: 8 Issue: 2

Cite

AMA Aymelek Çakıl N, Bayraktar E. The effect of supportive nursing care during labor on maternity blues and birth satisfaction. J Health Sci Med / JHSM. March 2025;8(2):350-355. doi:10.32322/jhsm.1592902

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