The effect of presence of midwife (Doula) on anxiety and fear of natural childbirth in pregnant women: Randomized Clinical Trial
Introduction: Anxiety and fear of childbirth is one of the biggest concerns of pregnant women that may lead to the pain and prolonged delivery. Regarding to the midwives' treatment and supportive roles, this study was performed aimed to evaluate the effect of the presence of doula on the fear a...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Mashhad University of Medical Sciences
2022-06-01
|
| Series: | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
| Subjects: | |
| Online Access: | https://ijogi.mums.ac.ir/article_20715_ec4b9ea90887bd8d611b2f588b3d7ca8.pdf |
| _version_ | 1828094934124593152 |
|---|---|
| author | Sedigheh Khalili Shomia Farzaneh Khodabandeh Fatemeh Borzoee Ellahe Bahrami Vazir Elham Navipour Bita Koushki |
| author_facet | Sedigheh Khalili Shomia Farzaneh Khodabandeh Fatemeh Borzoee Ellahe Bahrami Vazir Elham Navipour Bita Koushki |
| author_sort | Sedigheh Khalili Shomia |
| collection | DOAJ |
| description | Introduction: Anxiety and fear of childbirth is one of the biggest concerns of pregnant women that may lead to the pain and prolonged delivery. Regarding to the midwives' treatment and supportive roles, this study was performed aimed to evaluate the effect of the presence of doula on the fear and anxiety of natural childbirth in pregnant women.
Methods: This randomized clinical trial study was conducted in 2018 on 80 pregnant women in the Hakim Hospital, Neishabour. In the intervention group, doula was with the women from the beginning of labor until one hour after the placenta was removed, doula performed supportive measures for them. But the control group received only routine care. In both groups, the Hamilton Anxiety Rating Scale and the Hartmann Childbirth Attitude Questionnaire were completed in three stages. Data were analyzed by SPSS software (version 20) and Independent t-test, chi-square, analysis of variance with repeated measures. p>0.05 was considered statistically significant.
Results: There were no significant differences between the two group regarding individual socio-demographic, midwifery, the mean score of anxiety and fear of childbirth at the time of entering the delivery ward (P>0.05). The presence of a doula significantly reduced the mean score of anxiety and fear of childbirth in the active phase of labor and one hour after placental remove in the intervention group compared with the control group (P<0.001).
Conclusion: The presence of doula in the delivery wards as a simple and non-invasive intervention can reduces anxiety and fear of natural childbirth in pregnant women. |
| first_indexed | 2024-04-11T07:04:43Z |
| format | Article |
| id | doaj.art-ac895c6dc1f44ae0ae4f68cd0c152bdf |
| institution | Directory Open Access Journal |
| issn | 1680-2993 2008-2363 |
| language | fas |
| last_indexed | 2024-04-11T07:04:43Z |
| publishDate | 2022-06-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
| spelling | doaj.art-ac895c6dc1f44ae0ae4f68cd0c152bdf2022-12-22T04:38:25ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632022-06-01254606910.22038/ijogi.2022.2071520715The effect of presence of midwife (Doula) on anxiety and fear of natural childbirth in pregnant women: Randomized Clinical TrialSedigheh Khalili Shomia0Farzaneh Khodabandeh1Fatemeh Borzoee2Ellahe Bahrami Vazir3Elham Navipour4Bita Koushki5Instructor, Department of Medical Emergency, Amol school of Paramedics, Mazandaran University of Medical Sciences, Sari, Iran.Instructor, Department of Midwifery, School of Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran.Instructor, Department of Operating Room, Non Communicable Disease Center, School of Paramedics, Sabzevar University of Medical Sciences, Sabzevar, Iran.Instructor, Department of Midwifery, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.Instructor, Department of Community Medicine, Faculty of Medicine, Sabzevar University of Medical Sciences, Khorasan Razavi, Iran.Instructor, Department of Anesthesia, Non Communicable Disease Center, School of Paramedics, Sabzevar University of Medical Sciences, Sabzevar, Iran.Introduction: Anxiety and fear of childbirth is one of the biggest concerns of pregnant women that may lead to the pain and prolonged delivery. Regarding to the midwives' treatment and supportive roles, this study was performed aimed to evaluate the effect of the presence of doula on the fear and anxiety of natural childbirth in pregnant women. Methods: This randomized clinical trial study was conducted in 2018 on 80 pregnant women in the Hakim Hospital, Neishabour. In the intervention group, doula was with the women from the beginning of labor until one hour after the placenta was removed, doula performed supportive measures for them. But the control group received only routine care. In both groups, the Hamilton Anxiety Rating Scale and the Hartmann Childbirth Attitude Questionnaire were completed in three stages. Data were analyzed by SPSS software (version 20) and Independent t-test, chi-square, analysis of variance with repeated measures. p>0.05 was considered statistically significant. Results: There were no significant differences between the two group regarding individual socio-demographic, midwifery, the mean score of anxiety and fear of childbirth at the time of entering the delivery ward (P>0.05). The presence of a doula significantly reduced the mean score of anxiety and fear of childbirth in the active phase of labor and one hour after placental remove in the intervention group compared with the control group (P<0.001). Conclusion: The presence of doula in the delivery wards as a simple and non-invasive intervention can reduces anxiety and fear of natural childbirth in pregnant women.https://ijogi.mums.ac.ir/article_20715_ec4b9ea90887bd8d611b2f588b3d7ca8.pdfanxietydoulafearnatural childbirth |
| spellingShingle | Sedigheh Khalili Shomia Farzaneh Khodabandeh Fatemeh Borzoee Ellahe Bahrami Vazir Elham Navipour Bita Koushki The effect of presence of midwife (Doula) on anxiety and fear of natural childbirth in pregnant women: Randomized Clinical Trial Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān anxiety doula fear natural childbirth |
| title | The effect of presence of midwife (Doula) on anxiety and fear of natural childbirth in pregnant women: Randomized Clinical Trial |
| title_full | The effect of presence of midwife (Doula) on anxiety and fear of natural childbirth in pregnant women: Randomized Clinical Trial |
| title_fullStr | The effect of presence of midwife (Doula) on anxiety and fear of natural childbirth in pregnant women: Randomized Clinical Trial |
| title_full_unstemmed | The effect of presence of midwife (Doula) on anxiety and fear of natural childbirth in pregnant women: Randomized Clinical Trial |
| title_short | The effect of presence of midwife (Doula) on anxiety and fear of natural childbirth in pregnant women: Randomized Clinical Trial |
| title_sort | effect of presence of midwife doula on anxiety and fear of natural childbirth in pregnant women randomized clinical trial |
| topic | anxiety doula fear natural childbirth |
| url | https://ijogi.mums.ac.ir/article_20715_ec4b9ea90887bd8d611b2f588b3d7ca8.pdf |
| work_keys_str_mv | AT sedighehkhalilishomia theeffectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT farzanehkhodabandeh theeffectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT fatemehborzoee theeffectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT ellahebahramivazir theeffectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT elhamnavipour theeffectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT bitakoushki theeffectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT sedighehkhalilishomia effectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT farzanehkhodabandeh effectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT fatemehborzoee effectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT ellahebahramivazir effectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT elhamnavipour effectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial AT bitakoushki effectofpresenceofmidwifedoulaonanxietyandfearofnaturalchildbirthinpregnantwomenrandomizedclinicaltrial |