The effect of prenatal classes on pregnant women when deciding the delivery type and coping with labor pain

Year 2020, Volume: 6 Issue: 5, 464 - 469, 04.09.2020

Berrin Göktuğ Kadıoğlu , Esra Çınar Tanrıverdi , Elif Burcu Göktürk

https://doi.org/10.18621/eurj.510935

Cited By: 2

https://izlik.org/JA44RZ99CU

Abstract

Objectives: The purpose of the study is to determine the impacts of the prenatal classes on pregnant women while determining the type of delivery and coping with pain during delivery. 

Methods: This study is descriptive. It involves analysis of 247 participants that were selected as samples from a known population of 653 pregnant women who participated in prenatal classes of our hospital. The prenatal classes took place for 3 weeks and 16 hours in total. They filled the forms regarding the class activities before and after the class. The data were evaluated by using SPSS 16.0 packaged software. 

Results: The mean age of the pregnant women was 27.50 ± 4.60 years. The women, who had their first pregnancy, were 73.3%. Before the class, 62.8% declared that they were planning to have a vaginal delivery. The ones, who stated that they were afraid of pain, were 78.9%. In interviews after the classes, 89.5% of the participants stated that the classes affected their choice of delivery type. The rate of participants that found classes relieving for their anxiety and concerns was 94.70%. The rate of participants that had a vaginal delivery was 81.80%. The influence of the prenatal classes while determining the type of delivery was statistically significant. (p < 0.001 by Mc Nemar test). 

Conclusions: Participation with the prenatal class removes the anxiety of the pregnant women, encourages them to have vaginal delivery and contributes to decreasing the rate of cesarean sections. 

Keywords

Prenatal class , pain during delivery , cesarean section

References

• 1. Petersen JJ, Paulitsch MA, Guethlin C, Gensichen J, Jahn A. A survey on worries of pregnant women- testing the German version of the Cambridge worry scale. BMC Public Health 2009;9:490.
• 2. WAPM. Declaration of Mother Rights in Barcelona 2001. Carrera JM, Cabero L, Baraibar R (eds). The Perinatal Medicine of then New Millenium: Proceedings of the 5th World Congress of Perinatal Medicine: Barcelona, Spain, September 23-27, 2001.
• 3. Karabel MP, Demirbaş M, İnci MB. [Changing rates of cesarean section in Turkey and in the world and probable causes]. Sakarya Med J 2017;7:158-63. [Article in Turkish]
• 4. Çakmak B, Arslan S, Nacar MC. [Opinions of women about cesarean delivery on maternal request]. Fırat Med J 2014;19:122-5. [Article in Turkish]
• 5. Forstholm MM, Langhoff-Roos J, Lidegaard O. [Sectio at maternal request among nulliparous women]. Ugeskr Laeger 2010;172:2075-9. [Article in Danish]
• 6. Masoumi SZ, KazemiF, Oshvandi K, Jalali M, Esmaeili-Vadanjani A, Rafiei H. Effect of training preparation for childbirth on fear of normal vaginal delivery and choosing the type of delivery among pregnant women in Hamadan, Iran: a randomized controlled trial. J Family Reprod Health 2016;10:115-21.
• 7. Letter of the General Directorate of Public Health dated 08.08.2018 and numbered 57536863-231.01.99-1109.
• 8. Hildingsson I, Haines H, Karlström A, Nystedt A. Presence and process of fear of birth during pregnancy-findings from a longitudinal cohort study. Women Birth 2017;30:e242-7.
• 9. Circular on the principles and procedures of prenatal classes and centers for counseling and preparation for delivery in health services. Republic of Turkey, Ministry of Health. October 2018.
• 10. Sayakhot P, Carolan-Olah M. Internet use by pregnant women seeking pregnancy-related information: a systematic review. BMC Pregnancy Childbirth 2016;16:65.
• 11. Şeker S, Sevil Ü. [Effect of childbirth education classes to postpartum maternal functional status and newborn perception]. Turkiye Klinikleri J Obstet Womens Health Dis Nurs-Special Topics 2015;1:1-9. [Article in Turkish]
• 12. Turgut N, Güldür A, Çakmakçı H, Şerbetçi G, Yıldırım F, Ender Yumru A, et al. [A study about knowledge level of pregnants that educated in pregnancy school]. JAREN 2017;3:1-8. [Article in Turkish]
• 13. Bijelke M, Martinsson AK, Lendahls L, Oscarsson M. Using the internet as a source of information during pregnancy - A descriptive cross-sectional study in Sweden. Midwifery 2016;40:187-91.
• 14. Okumuş H, Yenal K, Durgun Ozan Y, Öztürk E. [Scientific studies on childbirth education classes in Turkey: literature review]. Turkiye Klinikleri J Obstet Womens Health Dis Nurs-Special Topics 2015;1:16-24. [Article in Turkish]
• 15. Mamuk R, Davas NI. [Use of nonpharmacologic relaxation and tactile stimulation methods in labor pain]. Şişli Etfal Hastanesi Tıp Bülteni 2010;44:137-44. [Article in Turkish]
• 16. Gökçe İsbir G, İnci F, Önal H, Yıldız PD. The effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder (PTSD) symptoms following childbirth: an experimental study. Appl Nurs Res 2016;32:227-32.