Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial
Abstract Background The birth plan is an approach for pregnant women to offering their expectations of labor and birth. The purpose of this study was to investigate the effect of birth plan on maternal and neonatal outcomes. Methods This study was a randomized controlled clinical trial performed on...
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| Format: | Article |
| Language: | English |
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BMC
2022-11-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-022-05199-5 |
| _version_ | 1811187017529163776 |
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| author | Parivash Ahmadpour Sanaz Moosavi Sakineh Mohammad-Alizadeh-Charandabi Shayesteh Jahanfar Mojgan Mirghafourvand |
| author_facet | Parivash Ahmadpour Sanaz Moosavi Sakineh Mohammad-Alizadeh-Charandabi Shayesteh Jahanfar Mojgan Mirghafourvand |
| author_sort | Parivash Ahmadpour |
| collection | DOAJ |
| description | Abstract Background The birth plan is an approach for pregnant women to offering their expectations of labor and birth. The purpose of this study was to investigate the effect of birth plan on maternal and neonatal outcomes. Methods This study was a randomized controlled clinical trial performed on 106 pregnant women, 32–36 weeks of pregnancy, referring to Taleghani educational hospital in Tabriz city-Iran. Participants were randomly assigned to the two groups of birth plan and control using a randomized block method. Participants in the birth plan group received the interventions based on the mother's requested birth plan. The birth plan included items of the mother's preferences in labor, mobility, eating and drinking, monitoring, pain relief, drug options, labor augmentation, pushing, amniotomy, episiotomy, infant care, and caesarean section. The control group received routine hospital care. The primary outcomes were childbirth experience and duration of the active phase of labor and the secondary outcomes were support and control in labor, fear of labor, post-traumatic stress disorder (PTSD), postpartum depression, duration of the second and third phases of labor, frequency of vaginal delivery, frequency of admission of newborn in NICU (Neonatal Intensive Care Unit), the mean first and fifth minute Apgar scores. The socio-demographic and obstetrics characteristics questionnaire, Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ-versions A), and Edinburgh Postnatal Depression Scale (EPDS) were completed at the beginning of the study (at the gestational age of 32–36 weeks). The questionnaire of delivery information, neonatal information, and Delivery Fear Scale (DFS) was completed during and after the delivery. Also, a partogram was completed for all participants by the researcher. The participants in both groups followed up until 4–6 weeks post-delivery, whereby the instruments of Childbirth Experience Questionnaire 2.0 (CEQ2.0), Support and Control In Birth (SCIB) scale, EPDS, and PTSD Symptom Scale 1 (PSS-I) were completed by the researcher through an interview. The independent t-test, the chi-square test, and ANCOVA was used to analyze. Results The mean (SD) of CEQ score was singificnalty higher in in the birth plan group (3.2 ± 0.2) compared to the control (2.1 ± 0.2) (MD = 1.0; 95% CI: 1.1 to 0.9; P˂0.001). Also, the mean (SD) SCIB score in the birth plan group was significantly higher than that of those in the control group (P˂0.001). The mean scores of DFS (P = 0.015), EPDS (P˂0.001), and PTSD (P˂0.001) as well as the frequency of emergency caesarean section (P = 0.007) in the birth plan group were significantly lower than those in the control group. Conclusion This was the first study to assess the implementation of a birth plan in Iran. Based on the findings, a birth plan improves childbirth experiences; increases perceived support and control in labor; reduces fear of delivery; suppresses psychological symptoms of depression and PTSD, and increases the frequency of vaginal delivery. Trial registration. Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N58. Date of registration: 07/07/2020; URL: https://en.irct.ir/trial/47007 ; Date of first registration: 19/07/2020. |
| first_indexed | 2024-04-11T13:55:08Z |
| format | Article |
| id | doaj.art-907babfe17c8409ab6c4d9597dd6ca67 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T13:55:08Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-907babfe17c8409ab6c4d9597dd6ca672022-12-22T04:20:22ZengBMCBMC Pregnancy and Childbirth1471-23932022-11-0122111410.1186/s12884-022-05199-5Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trialParivash Ahmadpour0Sanaz Moosavi1Sakineh Mohammad-Alizadeh-Charandabi2Shayesteh Jahanfar3Mojgan Mirghafourvand4Students’ Research Committee, Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical SciencesWomen Reproductive Health Research Center, Tabriz University of Medical SciencesMidwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical SciencesPublic Health Department, Central Michigan UniversitySocial Determinants of Health Research Center, Tabriz University of Medical SciencesAbstract Background The birth plan is an approach for pregnant women to offering their expectations of labor and birth. The purpose of this study was to investigate the effect of birth plan on maternal and neonatal outcomes. Methods This study was a randomized controlled clinical trial performed on 106 pregnant women, 32–36 weeks of pregnancy, referring to Taleghani educational hospital in Tabriz city-Iran. Participants were randomly assigned to the two groups of birth plan and control using a randomized block method. Participants in the birth plan group received the interventions based on the mother's requested birth plan. The birth plan included items of the mother's preferences in labor, mobility, eating and drinking, monitoring, pain relief, drug options, labor augmentation, pushing, amniotomy, episiotomy, infant care, and caesarean section. The control group received routine hospital care. The primary outcomes were childbirth experience and duration of the active phase of labor and the secondary outcomes were support and control in labor, fear of labor, post-traumatic stress disorder (PTSD), postpartum depression, duration of the second and third phases of labor, frequency of vaginal delivery, frequency of admission of newborn in NICU (Neonatal Intensive Care Unit), the mean first and fifth minute Apgar scores. The socio-demographic and obstetrics characteristics questionnaire, Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ-versions A), and Edinburgh Postnatal Depression Scale (EPDS) were completed at the beginning of the study (at the gestational age of 32–36 weeks). The questionnaire of delivery information, neonatal information, and Delivery Fear Scale (DFS) was completed during and after the delivery. Also, a partogram was completed for all participants by the researcher. The participants in both groups followed up until 4–6 weeks post-delivery, whereby the instruments of Childbirth Experience Questionnaire 2.0 (CEQ2.0), Support and Control In Birth (SCIB) scale, EPDS, and PTSD Symptom Scale 1 (PSS-I) were completed by the researcher through an interview. The independent t-test, the chi-square test, and ANCOVA was used to analyze. Results The mean (SD) of CEQ score was singificnalty higher in in the birth plan group (3.2 ± 0.2) compared to the control (2.1 ± 0.2) (MD = 1.0; 95% CI: 1.1 to 0.9; P˂0.001). Also, the mean (SD) SCIB score in the birth plan group was significantly higher than that of those in the control group (P˂0.001). The mean scores of DFS (P = 0.015), EPDS (P˂0.001), and PTSD (P˂0.001) as well as the frequency of emergency caesarean section (P = 0.007) in the birth plan group were significantly lower than those in the control group. Conclusion This was the first study to assess the implementation of a birth plan in Iran. Based on the findings, a birth plan improves childbirth experiences; increases perceived support and control in labor; reduces fear of delivery; suppresses psychological symptoms of depression and PTSD, and increases the frequency of vaginal delivery. Trial registration. Iranian Registry of Clinical Trials (IRCT): IRCT20120718010324N58. Date of registration: 07/07/2020; URL: https://en.irct.ir/trial/47007 ; Date of first registration: 19/07/2020.https://doi.org/10.1186/s12884-022-05199-5Birth PlanChildbirth ExperiencesRandomized Controlled TrialLabor |
| spellingShingle | Parivash Ahmadpour Sanaz Moosavi Sakineh Mohammad-Alizadeh-Charandabi Shayesteh Jahanfar Mojgan Mirghafourvand Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial BMC Pregnancy and Childbirth Birth Plan Childbirth Experiences Randomized Controlled Trial Labor |
| title | Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial |
| title_full | Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial |
| title_fullStr | Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial |
| title_full_unstemmed | Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial |
| title_short | Effect of implementing a birth plan on maternal and neonatal outcomes: a randomized controlled trial |
| title_sort | effect of implementing a birth plan on maternal and neonatal outcomes a randomized controlled trial |
| topic | Birth Plan Childbirth Experiences Randomized Controlled Trial Labor |
| url | https://doi.org/10.1186/s12884-022-05199-5 |
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