The Effects of the Number of Pregnant in the Labor Room on Perception of Support, Fear of Childbirth and Satisfaction

Öz

Aim: This descriptive study aimed to determine the effects of the number of pregnant women in the labor room on mothers’ perception of support and control during labor and their postnatal fear and satisfaction levels. Material and method: This study is a descriptive research study. The study was carried out at the postnatal care clinics of two public hospital in Turkey. The sample consisted of a total of 686 women. The data were analyzed using the SPSS 23.0 program. The level of spread was accepted to be 0.05. Results: The postnatal women who had stayed at single labor rooms, had spontaneous delivery, had delivery standing up, did not have intervention during delivery had higher perceptions of support/control at labor and care satisfaction levels and lower fear of childbirth levels. It was found that high perceptions of support and control at labor reduced fear of childbirth, while increasing satisfaction with the care in normal delivery (p<0.05). Conclusion: It was determined that pregnant women staying in single rooms and having their deliveries in the same rooms had high levels of support/control perceptions at labor and care-related satisfaction, as well as low levels of fear of childbirth.

Anahtar Kelimeler

• Fear of childbirth
• labor room
• mother satisfaction
• perception of support and control
• pregnancy

Travay Odasındaki Gebe Sayısının Doğumdaki Destek ve Kontrol Algısına, Doğum Korkusuna ve Anne Memnuniyetine Etkisi

Öz

Amaç: Bu çalışma travay odasındaki gebe sayısının doğumdaki destek ve kontrol algısına, doğum korkusuna ve anne memnuniyetine etkisini belirlemek amacıyla planlanmıştır. Gereç ve Yöntem: Tanımlayıcı araştırma tipinde bir çalışmadır. Çalışma Türkiye’de iki devlet hastanesinin doğum sonu servisinde yapılmıştır. Araştırmaya toplam 686 kadın dahil edilmiştir. Veriler SPSS 23.0 programı kullanılarak analiz edilmiştir. Yanılma düzeyi 0,05 olarak alınmıştır. Bulgular: Tek kişilik travay odasında kalan, doğumu spontan gerçekleşen, ayakta doğum yapan, doğum sırasında müdahalede bulunulmayan lohusaların doğumda destek / kontrol algısının ve bakıma ilişkin memnuniyet düzeylerinin yüksek, doğum korkusunun düşük olduğu belirlenmiştir. Doğumda destek ve kontrol algısının yüksek olmasının doğum korkusunu azalttığı bununla birlikte normal doğumda bakıma ilişkin memnuniyet duyma düzeylerini de arttırdığı belirlenmiştir (p<0,05). Sonuç: Tek kişilik odada kalan ve bu odalarda doğum eylemi gerçekleştirilen gebelerin doğumda destek / kontrol algısının ve bakıma ilişkin memnuniyet düzeylerinin yüksek; doğum korkusunun düşük olduğu belirlenmiştir.

Anahtar Kelimeler

• Doğum korkusu
• travay
• anne memnuniyeti
• destek ve kontrol algısı
• gebelik

Kaynakça

1. Referans1: Byrne J, Hauck Y, Fisher C, Bayes S, Schutz R. Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. Journal of Midwifery Womens Health 2014;59(2):192–7.
2. Referans2: Rouhe H, Salmela‐Aro K, Toivanen R, Tokola M, Halmesmäki E, Saisto T. Obstetric outcome after intervention for severe fear of childbirth in nulliparous women–randomised trial. BJOG: An International Journal of Obstetrics & Gynaecology 2013;120(1):75–84.
3. Referans3: Yanikkerem E, Goker A, Piro N. Women’s opinions about mode of delivery and satisfaction with hospital care after cesarean section. Selcuk Medical Journal 2013;29(2): 75–81.
4. Referans4: TR Health Ministry [homepage on the Internet]. Safe Delivery Process Application Guide [cited 18 November 2020]. Available from: https://dosyamerkez.saglik.gov.tr/Eklenti/31463,dogum-sureci-rehberi-24072019pdf.pdf?0 Referans5: Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev 2012;10:CD003766.
5. Referans6: Inci F, Isbir GG, Tanhan F. The Turkish version of perceived support and control in birth scale. Journal of Psychosomatic Obstetrics & Gynaecology 2015;36(3):103–13.
6. Referans7: Ucar ES, Beji NK. Validity and reliability study of wijma childbirth expectation experience scale (W-DEQ B) B Version. Haliç University Institute of Health Sciences, Department of Obstetrics and Gynecology Nursing: Istanbul; 2013.
7. Referans8: Gungor I, Beji NK. Development of a scale for measuring maternal satisfaction in birth. Istanbul University, Institute of Health Science, Department of Obstetric and Gynecologic Nursing, Doctoral Dissertation: Istanbul; 2009.
8. Referans9: Reisz S, Jacobvitz D, George C. Birth and motherhood: childbirth experience and mothers' perceptions of themselves and their babies. Infant Mental Health Journal 2015;36(2):167–78.

9. Referans10: World Health Organization (WHO). WHO recommendations intrapartum care for a positive childbirth experience. World Health Organization: Geneva; 2018.
10. Referans11: Lundgren I, Berg M, Nilsson C, Olafsdottir OA. Health professionals’ perceptions of a midwifery model of woman-centred care implemented on a hospital labour ward. Women and Birth 2020;33(1):60–9.
11. Referans12: Colley S, Kao CH, Gau M, Cheng SF. Women’s perception of support and control during childbirth in The Gambia, a quantitative study on dignified facility-based intrapartum care. BMC Pregnancy and Childbirth 2018;18(1):413–22.
12. Referans13: Deliktas A, Kukulu K. Pregnant women in Turkey experience severe fear of childbirth: a systematic review and meta-analysis. Journal of Transcultural Nursing 2019;30(5):501–511.
13. Referans14: Srivastava A, Avan BI, Rajbangshi P, Bhattacharyya S. Determinants of women's satisfaction with maternal health care: a review of literature from developing countries. BMC Pregnancy Childbirth 2015;15:97–109.
14. Referans15: Townsend ML, Brassel AK, Baafi M, Grenyer BF. Childbirth satisfaction and perceptions of control: postnatal psychological implications. British Journal of Midwifery 2020;28(4):225–33.
15. Referans16: Bilgin NC, Ak B, Potur DC, Ayhan F. Satisfaction with birth and affecting factors in women who gave birth. Journal of Health Science and Profession 2018;5(3):342–52.
16. Referans17: Isbir GG, Topcu B. Effects of intrapartum oxytocin induction on the labor pain and fear of labor. HEAD 2018;15(2):94–8.
17. Referans18: Thies-Lagergren L, Hildingsson I, Christensson K, Kvist LJ. Who decides the position for birth? A follow-up study of a randomised controlled trial. Women Birth 2013;26(4): e99–e104.
18. Referans19: Tunestveit JW, Baghestan E, Natvig GK, Eide GE, Nilsen ABV. Factors associated with obstetric anal sphincter injuries in midwife-led birth: a cross sectional study. Midwifery 2018; 62:264–72.
19. Referans20: Ruth Z, Kelly A, Lisa KL. Planned home birth: benefits, risks, and opportunities. Int J Womens Health 2015;7:361–77.