Efficacy of Cognitive Behavioral Therapy-Based Self-Management Intervention on Labor Outcome in Nulliparous Women
Background and purpose: Pregnancy creates permanent changes in life of women and brings new responsibilities which could lead to a great level of stress in women. Stress could result in some complications to mother and her neonate during delivery. This study aimed at determining the effect of cognit...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2018-05-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
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| Online Access: | http://jmums.mazums.ac.ir/article-1-9873-en.html |
| _version_ | 1797943817574285312 |
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| author | Sakineh Ghalehkhani Safat Mina Iravani Mahdi Sayah Bargard Mahmood Latify |
| author_facet | Sakineh Ghalehkhani Safat Mina Iravani Mahdi Sayah Bargard Mahmood Latify |
| author_sort | Sakineh Ghalehkhani Safat |
| collection | DOAJ |
| description | Background and purpose: Pregnancy creates permanent changes in life of women and brings new responsibilities which could lead to a great level of stress in women. Stress could result in some complications to mother and her neonate during delivery. This study aimed at determining the effect of cognitive behavioral therapy (CBT)-based self-management intervention on labor outcome in nulliparous women.
Materials and methods: This randomized clinical trial was performed in 64 nulliparous women in Ahvaz, Iran 2016. The subjects were selected using purposive sampling and were assigned into two groups of case (n=32) and control (n=32). The intervention group attended eight sessions of CBT-based self-management programme in 28-32 weeks gestational age, while the control group received routine prenatal care. Demographic characteristics were recorded at the beginning of the study and variables of labor outcome (length of delivery, labor pain, infant’s Apgar score, the use of oxytocin for augmentation of labor pain, and satisfaction from delivery process) were recorded using a researcher-made questionnaire.
Results: The mean values for pain intensity in the active phase of labor, length of active phase and second stage of labor, the use of oxytocin for augmentation of labor pain, neonatal Apgar score in 1 and 5 min were significantly different in case group compared with those in the control group (P<0.05). The mean of pain intensity in second stage of labor and length of third stage of labor decreased in the intervention group, but showed no significant differences between the two groups (P>0.05).
Conclusion: According to current study, CBT-based self-management programme could improve labor outcome. |
| first_indexed | 2024-04-10T20:30:08Z |
| format | Article |
| id | doaj.art-da9fb97df1ef42bd9e9bc9ffd9574cc8 |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-04-10T20:30:08Z |
| publishDate | 2018-05-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-da9fb97df1ef42bd9e9bc9ffd9574cc82023-01-25T07:35:17ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792018-05-0128160123132Efficacy of Cognitive Behavioral Therapy-Based Self-Management Intervention on Labor Outcome in Nulliparous WomenSakineh Ghalehkhani Safat0Mina Iravani1Mahdi Sayah Bargard2Mahmood Latify3 Student in Midwifery counseling, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Assistant Professor, Reproductive Health Promotion Research Center, Department of Midwifery, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Associate Professor, Educational Development Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Instructor, Department Biostatistics, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Background and purpose: Pregnancy creates permanent changes in life of women and brings new responsibilities which could lead to a great level of stress in women. Stress could result in some complications to mother and her neonate during delivery. This study aimed at determining the effect of cognitive behavioral therapy (CBT)-based self-management intervention on labor outcome in nulliparous women. Materials and methods: This randomized clinical trial was performed in 64 nulliparous women in Ahvaz, Iran 2016. The subjects were selected using purposive sampling and were assigned into two groups of case (n=32) and control (n=32). The intervention group attended eight sessions of CBT-based self-management programme in 28-32 weeks gestational age, while the control group received routine prenatal care. Demographic characteristics were recorded at the beginning of the study and variables of labor outcome (length of delivery, labor pain, infant’s Apgar score, the use of oxytocin for augmentation of labor pain, and satisfaction from delivery process) were recorded using a researcher-made questionnaire. Results: The mean values for pain intensity in the active phase of labor, length of active phase and second stage of labor, the use of oxytocin for augmentation of labor pain, neonatal Apgar score in 1 and 5 min were significantly different in case group compared with those in the control group (P<0.05). The mean of pain intensity in second stage of labor and length of third stage of labor decreased in the intervention group, but showed no significant differences between the two groups (P>0.05). Conclusion: According to current study, CBT-based self-management programme could improve labor outcome.http://jmums.mazums.ac.ir/article-1-9873-en.htmlcognitive behavioral therapyself-managementlabor outcome |
| spellingShingle | Sakineh Ghalehkhani Safat Mina Iravani Mahdi Sayah Bargard Mahmood Latify Efficacy of Cognitive Behavioral Therapy-Based Self-Management Intervention on Labor Outcome in Nulliparous Women Journal of Mazandaran University of Medical Sciences cognitive behavioral therapy self-management labor outcome |
| title | Efficacy of Cognitive Behavioral Therapy-Based Self-Management Intervention on Labor Outcome in
Nulliparous Women |
| title_full | Efficacy of Cognitive Behavioral Therapy-Based Self-Management Intervention on Labor Outcome in
Nulliparous Women |
| title_fullStr | Efficacy of Cognitive Behavioral Therapy-Based Self-Management Intervention on Labor Outcome in
Nulliparous Women |
| title_full_unstemmed | Efficacy of Cognitive Behavioral Therapy-Based Self-Management Intervention on Labor Outcome in
Nulliparous Women |
| title_short | Efficacy of Cognitive Behavioral Therapy-Based Self-Management Intervention on Labor Outcome in
Nulliparous Women |
| title_sort | efficacy of cognitive behavioral therapy based self management intervention on labor outcome in nulliparous women |
| topic | cognitive behavioral therapy self-management labor outcome |
| url | http://jmums.mazums.ac.ir/article-1-9873-en.html |
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