Comparison of the Effects of Using Physiological Methods and Accompanying a Doula in Deliveries on Nulliparous Women's Anxiety and Pain

Ravangard, Ramin; Basiri, Aliye; Sajjadnia, Zahra; Shokrpour, Nasrin

doi:10.1097/hcm.0000000000000188

Cited by 13 publications

(10 citation statements)

References 12 publications

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“…In line with the previous studies, our findings indicated that the women in labor were excessively concerned about their infants and maternal complications during the normal childbirth [9,[25][26][27][28]. Ravangard et al (2017) stated that normal birth is inevitably influenced by emotional, social, and psychological stresses that inhibit pleasant feeling during NVD process [29]. McLeish & Redshaw (2019) also concluded that psychosocial stress of normal childbirth can cause poor emotional wellbeing and hinder successful adaptability to the maternal role [30].…”

Section: Discussionsupporting

confidence: 86%

Primiparous women’s experiences of normal vaginal delivery in Iran: a qualitative study

Khamehchian

Adib-Hajbaghery

Heydarikhayat

et al. 2020

BMC Pregnancy Childbirth

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Background: Childbirth is considered as the most challenging psychological event in a woman's life. It has a major effect on women's lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women's perception about normal vaginal delivery (NVD) experience. Therefore, it is necessary to explore the primiparous women's perception about it. Methods: This qualitative study, with a descriptive content analysis approach, was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 h after normal vaginal birth among primiparous women. The sampling started from June to October in 2016. Interviews continued until data saturation which was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Furthermore, seven subthemes were obtained including 'loss threat', 'stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.

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Section: Discussionsupporting

confidence: 86%

Primiparous women’s experiences of normal vaginal delivery in Iran: a qualitative study

Khamehchian

Adib-Hajbaghery

Heydarikhayat

et al. 2020

BMC Pregnancy Childbirth

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“…The summed points for each selected word give a total, resulting in a minimum pain score of zero and a maximum score of 78. Three studies 16,45,76 used the assessment tool in its entirety, whereas 2 studies 30,63 chose to use only 1 section, such as only questions relating to the motivationalaffective dimension of pain.…”

Section: Multidimensional Pain Assessmentsmentioning

confidence: 99%

Tools for assessing labour pain: a comprehensive review of research literature

Jones

Whitburn

2023

Pain

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The experience of pain associated with labour is complex and challenging to assess. A range of pain measurement tools are reported in the literature. This review aimed to identify current tools used in research to assess labour pain across the past decade and to evaluate their implementation and adequacy when used in the context of labour pain. A literature search was conducted in databases MEDLINE and Cumulative Index of Nursing and Allied Health Literature, using search terms relating to labour, pain, and measurement. A total of 363 articles were selected for inclusion. Most studies (89.9%) assessed pain as a unidimensional experience, with the most common tool being the Visual Analogue Scale, followed by the Numerical Rating Scale. Where studies assessed pain as a multidimensional experience, the most common measurement tool was the McGill Pain Questionnaire. Only 4 studies that used multidimensional tools selected a tool that was capable of capturing positive affective states. Numerous variations in the implementation of scales were noted. This included 35 variations found in the wording of the upper and lower anchors of the Visual Analogue Scale, some assessment tools not allowing an option for “no pain,” and instances where only sections of validated tools were used. It is clear that development of a standardised pain assessment strategy, which evaluates the multidimensions of labour pain efficiently and effectively and allows for both positive and negative experiences of pain to be reported, is needed.

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“…It is pointed out, by the doula's presence, also, for the reduction of the pain of the childbirth and the anxiety during the moment of the birth. 16 It is known that, in the postpartum period, the perception of parturients is that the doula stimulates the mother and child relationship, leads to successful breastfeeding and contributes to prevent postpartum depression. 12 It was revealed that the support to the puerperas by the doulas provided a greater number of women breastfeeding, with more self-esteem, less depression and more interaction with their children.…”

Section: Doula's Postpartum Work: Looking At Breastfeeding and Fetal Lossesmentioning

confidence: 99%

Vivências na assistência à mulher: percepção das doulas

Lins¹,

Paiva²,

Souza³

et al. 2019

Rev enferm UFPE on line.

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RESUMOObjetivo: conhecer a percepção das doulas quanto às suas vivências na assistência à mulher no pré-parto, parto e pós-parto. Método: trata-se de pesquisa qualitativa, do tipo descritiva, com sete doulas de uma casa de apoio à gestante. Coletaram-se os dados por meio de entrevistas semiestruturadas, sendo submetidos à técnica de Análise de Conteúdo na modalidade Análise categorial. Resultados: emergiram-se quatro categorias: “Um trabalho que é serviço”; “Trabalho da doula no pré-parto: momento para a informação e o preparo da mulher”; “Trabalho da doula no parto: apoio contínuo e alívio da dor”; “Trabalho da doula no pós-parto: olhar voltado para a amamentação e perdas fetais”. Conclusão: conclui-se que os relatos demonstram o reconhecimento da importância da assistência por estas mulheres no período gestacional, parto e puerpério e sinalizam a necessidade de aprofundamento e reconhecimento de alguns eixos formativos para os cursos de formação das doulas. Descritores: Doulas; Pesquisa Qualitativa; Parto Humanizado; Capacitação Profissional; Saúde da Mulher; Parto Normal. ABSTRACT Objective: to know the perception of the doulas regarding their experiences in assisting women in prepartum, delivery and postpartum. Method: it is a qualitative research, of the descriptive type, with seven doulas of a house to support the pregnant woman. The data were collected through semi-structured interviews, being submitted to the Content Analysis technique in the category Analysis category. Results: four categories emerged: "A work that is service"; "Doula work in the prepartum: moment for the information and the preparation of the woman"; "Doula labor at childbirth: continuous support and pain relief"; "Doula's postpartum work: looking at breastfeeding and fetal losses". Conclusion: it is concluded that the reports show the recognition of the importance of the care provided by these women during the gestational, puerperal and puerperal periods and indicate the need for deepening and recognition of some formative axes for the doulas training courses. Descriptors: Doulas; Qualitative Research; Humanized Birth; Professional Training; Women's Health; Normal Birth. RESUMEN Objetivo: conocer la percepción de las doulas en cuanto a sus vivencias en la asistencia a la mujer en el preparto, parto y postparto. Método: se trata de una investigación cualitativa, del tipo descriptivo, con siete doulas de una casa de apoyo a la gestante. Se recolectaron los datos por medio de entrevistas semiestructuradas, siendo sometidos a la técnica de Análisis de Contenido en la modalidad Análisis categorial. Resultados: surgieron cuatro categorías: "Un trabajo que es servicio"; "Trabajo de la doula en el preparto: momento para la información y la preparación de la mujer"; "Trabajo de la doula en el parto: apoyo continuado y alivio del dolor"; "Trabajo de la doula en el postparto: mirar hacia la lactancia y pérdidas fetales". Conclusión: se concluye que los relatos demuestran el reconocimiento de la importancia de la asistencia por estas mujeres en el período gestacional, parto y puerperio y señalan la necesidad de profundización y reconocimiento de algunos ejes formativos para los cursos de formación de las doulasDescritores: Doulas; Investigación Cualitativa; Parto Humanizado; Capacitación Profesional; Salud de la Mujer; Parto Normal.

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Comparison of the Effects of Using Physiological Methods and Accompanying a Doula in Deliveries on Nulliparous Women's Anxiety and Pain

Cited by 13 publications

References 12 publications

Primiparous women’s experiences of normal vaginal delivery in Iran: a qualitative study

Primiparous women’s experiences of normal vaginal delivery in Iran: a qualitative study

Tools for assessing labour pain: a comprehensive review of research literature

Vivências na assistência à mulher: percepção das doulas

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