Effect of Supportive Midwifery Care in Primiparous on Post-Traumatic Stress Disorder and Fear of Childbirth in Labour

Yıl 2024, Sayı: 8, 1 - 8, 29.04.2024

Zeynep Bal , Tuba Uçar

https://doi.org/10.58252/artukluhealth.1475115

Öz

Introduction: This study was conducted to determine the effect of supportive midwifery care in primiparous on posttraumatic stress disorder and fear of childbirth in labour.
Methods: The study was conducted in the delivery room of a maternity hospital in eastern Turkey. The data were collected between January and November 2018. This study is a quasi-experimental study, in which pregnant women were sampled from the relevant population using the non-probability random sampling method. The sample consisted of 164 women, including 82 in the experimental group and 82 in the control group. The women in both groups were asked to complete a personal information form and the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) Version A. Those in the experimental group received midwifery support during labour. The women in both groups were then given the Wijma Delivery Expectancy/Experience Questionnaire Version B and the Impact of Event Scale-Revised 6–8 hours after childbirth.
Results: The mean prenatal W-DEQ version A score was 47.15±19.68 in the experimental group and 63.23±23.10 in the control group. There was a significant difference in mean scores between the groups (p<0.001). The experimental group had a mean postpartum W-DEQ B version score of 37.20±23.50, whereas and the control group had 62.38±27.04 indicating a statistically significant difference between the groups (p<0.001). The experimental group had a mean score of 12.09±12.67 on the postpartum event scale, while the control group had a mean score of 18.30±11.96 the difference was statistically significant (p=0.001).
Conclusion: Supportive midwifery care during delivery found to lower anxiety of childbirth and the symptoms of posttraumatic stress disorder.

Anahtar Kelimeler

Fear of childbirth, Post-traumatic stress disorder, Midwifery, Midwifery support

Travayda Primiparlara Verilen Ebelik Desteğinin Doğum Sonu Posttravmatik Stres Bozukluğu ve Doğum Korkusuna Etkisi

Öz

Giriş: Bu çalışma, travayda primiparlara verilen ebelik desteğinin doğum sonu posttravmatik stres bozukluğu ve doğum korkusuna etkisini belirlemek amacıyla yapıldı.
Yöntem: Bu çalışma Türkiye'nin doğusunda bir doğum hastanesinin doğumhanesinde gerçekleştirildi. Veriler, Ocak-Kasım 2018 tarihleri arasında toplandı. Bu çalışma yarı deneysel bir çalışma olup gebeler ilgili evrenden olasılıksız rastlantısal örnekleme yöntemi ile örnekleme alındı. Örneklemi, deney grubunda 82, kontrol grubunda 82 olmak üzere 164 gebe oluşturdu. Her iki gruptaki gebelere, kişisel bilgi formu ve Wijma Doğum Beklentisi/Deneyimi Ölçeği A Versiyonu uygulandı. Deney grubuna travay boyunca ebelik desteği verildi. Her iki grupta yer alan gebelere doğumdan 6-8 saat sonra Wijma Doğum Beklentisi/Deneyimi Ölçeği B Versiyonu ve Olayların Etkisi Ölçeği uygulandı.
Bulgular: Doğum öncesi W-DEQ A versiyonu puan ortalaması deney grubunda 47.15±19.68, kontrol grubunda 63.23±23.10 olup, gruplar arasında puan ortalamaları yönünden fark bulundu (p<0.001). Doğum sonu W-DEQ B versiyonu puan ortalaması deney grubunda 37.20±23.50, kontrol grubunda 62.38±27.04 olup gruplar arasında puan ortalamaları yönünden istatistiksel olarak önemli fark olduğu belirlendi (p<0.001). Doğum sonu olayların etkisi ölçeği puan ortalaması deney grubunda 12.09±12.67, kontrol grubunda 18.30±11.96 olup puan ortalamaları yönünden istatistiksel olarak önemli fark olduğu belirlendi (p=0.001).
Sonuç: Travayda verilen ebelik desteğinin, doğum korkusunu ve posttravmatik stres bozukluğunu azalttığı belirlendi.

Anahtar Kelimeler

Doğum korkusu, Travma sonrası stres bozukluğu, Ebelik, Ebelik desteği

Kaynakça

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