Expectant mothers' experiences with lay doulas in maternity units of hospitals in impoverished areas of Iran: A qualitative study

Safarzadeh, Ameneh; Shafipour, Vida; Salar, Ali Reza

doi:10.4103/ijnmr.ijnmr_109_17

Cited by 7 publications

(9 citation statements)

References 30 publications

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“…Pregnant women were also allowed to have their own midwife or a lay companion as a doula to accompany them during labor and birth [ 15 , 16 ]. This was well received by pregnant women who planned to have a normal vaginal birth [ 17 ]. Studies have shown that since the implementation of the HTP, the rate of cesarean decreased significantly in public hospitals.…”

Section: Introductionmentioning

confidence: 99%

Predictors of fear of childbirth and normal vaginal birth among Iranian postpartum women: a cross-sectional study

Mortazavi

Mehrabadi

2021

BMC Pregnancy Childbirth

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Background Fear of childbirth (FOC) may contribute to postpartum depression, impaired maternal-infant relation, and preference for cesarean in future pregnancies. We aimed to investigate predictors of FOC and normal vaginal birth among postpartum women who had planned for a normal vaginal birth. Methods This cross-sectional study was conducted in 2019 with postpartum women during the first 24 h after the birth. A sample of 662 women, selected using a convenient sampling method, filled out the questionnaire composed of socio-demographic and obstetric questions and the Wijma Delivery-Expectancy Questionnaire (W-DEQ). We used multiple logistic regression analyses to determine predictors of FOC and normal vaginal birth. Results The percentage of women with mild (score ≤ 37), moderate (38–65), high (66–84), severe (85–99), and intense FOC (score ≥ 100) were 7.9, 19.5, 40.9, 21.1, and 10.6% respectively. Predictors of intense FOC were age < 30, primiparity, low maternal satisfaction with pregnancy, and a low level of perceived marital satisfaction. Overall, 21.8% of women gave birth by cesarean. Predictors of normal vaginal birth were birth weight < 4 kg, spontaneous onset of labor pain, mother’s age < 30, term pregnancy, having a doula, multiparity, satisfaction with husband’s support, and overall satisfaction with pregnancy. A high level of perceived marital/sexual satisfaction was a risk factor for cesarean. Mode of birth was not a predictor of postpartum FOC. Conclusions The rate of severe and intense FOC among this group of postpartum women is high. Our findings highlight modifiable factors for reducing FOC and increasing normal vaginal birth. In designing programs to increase the rate of normal vaginal birth, the following factors should be considered: limiting induced labor, encouraging women to recruit a doula to help them at labor, facilitate husband’s attendance throughout antenatal/intrapartum, and postnatal care to support his wife, and pay attention to women’s common misunderstandings about the effect of vaginal birth on marital/sexual relationship. Our findings indicate that seeking novel ways to promote marital/sexual satisfaction and helping women to have a smooth, hassle-free pregnancy may contribute to a reduction in the rate of the FOC.

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Section: Introductionmentioning

confidence: 99%

Predictors of fear of childbirth and normal vaginal birth among Iranian postpartum women: a cross-sectional study

Mortazavi

Mehrabadi

2021

BMC Pregnancy Childbirth

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“…Pregnant women were also allowed to have their own midwife or a lay companion as a doula to accompany them during labor and delivery [15,16]. This was well received by pregnant women who planned to have a normal vaginal delivery (NVD) [17]. These ndings from earlier studies suggest that it would be informative to investigate FOC among women who had planned for NVD and who delivered via cesarean or NVD after going into labor.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Fear of Childbirth and Normal Delivery Among Iranian Postpartum Women: A Cross-Sectional Study

Mortazavi

Mehrabadi

2021

Preprint

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Background: Fear of childbirth (FOC) may contribute to postpartum depression, impaired maternal-infant relation, and preference for cesarean in future pregnancies. The mode of delivery may have a role in postpartum FOC. We aimed to investigate predictors of FOC and normal vaginal delivery (NVD) among postpartum women who had planned for NVD. Methods: This cross-sectional study was conducted in 2019 on postpartum women during the first 24 hours after the delivery. A sample of 662 women, selected using convenient sampling method, filled out the questionnaire composed of socio-demographic and obstetric questions and the Wijma Delivery-Expectancy Questionnaire (W-DEQ). We used univariate and multivariate logistic regression analyses to determine predictors of FOC and NVD.Results: The percentage of women with mild (scores ≤ 37), moderate (38-65), high (66-84), severe (scores 85-99) and intense (scores ≥ 100) FOC were 7.9%, 19.5%, 40.9%, 21.1%, and 10.6% respectively. Predictors of severe FOC were a low level of satisfaction with husband’s support and a low level of satisfaction with pregnancy. Predictors of intense FOC were age < 30, primiparity, low maternal satisfaction with pregnancy, and a low level of perceived marital satisfaction. Overall, 21.8% of women gave birth by cesarean. Predictors of NVD were birth weight < 4kg, spontaneous labor pain, mother’s age < 30, term pregnancy, having a doula, multiparity, satisfaction with husband's support, and satisfaction with pregnancy. FOC was not a predictor of NVD. Conclusions: The rate of severe and intense FOC among this group of postpartum women is high. Our findings highlight modifiable factors for reducing FOC and increasing NVD. In designing programs to increase the rate of NVD, the following factors should be considered: limiting induced labor, encouraging women to recruit a doula to help them at labor, facilitate husband’s attendance throughout antenatal/intrapartum and postnatal care to support his wife, consultation with couples to increase husband’s support, and other steps to make pregnancy pleasant and memorable. According to our findings, factors that can contribute to the reduction of the rate of FOC were consultation with couples to increase husband support and marital satisfaction and also finding ways to make pregnancy a pleasant experience.

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“…Em estudo no Irã, apresentou conflito entre os prestadores de serviços e as evidências sobre como as doulas ajudam as mães a se adaptarem às mudanças nas circunstâncias do trabalho de parto e nascimento do plano de parto idealizado pelas mães (SAFARZADEH, et. al., 2018).…”

Section: )unclassified

“…Dar apoio sem julgamentos, auxiliar na tomada de decisões informada e atuar como um facilitador são pedras angulares do cuidado doula e expressam fortemente os valores compartilhados das doulas. Muitas mães descreveram como elas valorizavam a contribuição de suas doulas na comunicação com outros funcionários dentro do ambiente hospitalar (SAFARZADEH, et. al., 2018).…”

Section: )unclassified

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Atenção individual e coletiva à saúde materna e infantil no cenário brasileiro

Souza¹,

Araújo²,

Batista³

et al. 2020

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Todos os direitos garantidos. Este é um livro publicado em acesso aberto, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que sem fins comerciais e que o trabalho original dos autores e autoras seja corretamente citado. Lia Maristela da Silva Jacob (Organizadora).Atenção individual e coletiva à saúde materna e infantil no cenário brasileiro. Campo Grande: Editora Inovar, 2020. 587p.

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Expectant mothers' experiences with lay doulas in maternity units of hospitals in impoverished areas of Iran: A qualitative study

Cited by 7 publications

References 30 publications

Predictors of fear of childbirth and normal vaginal birth among Iranian postpartum women: a cross-sectional study

Predictors of fear of childbirth and normal vaginal birth among Iranian postpartum women: a cross-sectional study

Predictors of Fear of Childbirth and Normal Delivery Among Iranian Postpartum Women: A Cross-Sectional Study

Atenção individual e coletiva à saúde materna e infantil no cenário brasileiro

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