Psychosocial and educational interventions in latent phase or early labour for improving birth outcomes

Hanada, Nobutsugu; Matsuzaki, Masayo; Ota, Erika; Mori, Rintaro

doi:10.1002/14651858.cd011516

Cited by 3 publications

(4 citation statements)

References 33 publications

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“…The need for the correction of these factors refers to the so-called psychosocial interventions that should be addressed during pregnancy. Psychosocial intervention is "any non-pharmacological intervention conducted in a therapeutic context at the individual, family or group level" (WHO 2009) and is "focused on psychological and / or social factors rather than biological ones", and directly or indirectly changes woman's behaviour, cognition and / or emotional state [3,4].…”

Section: Resultsmentioning

confidence: 99%

Maternal Psychosocial Stress and Labor Dystocia

Zhuk

Shchurevska

2020

Wiad Lek

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The aim: to study the possible role of psychosocial stressors in the emergence of anomalies of childbirth, as well as to examine their nature using the example of pregnant women who have been forcefully displaced from Donetsk and Luhansk regions of Ukraine. Materials and methods: 115 internally displaced pregnant women from Donetsk and Luhansk regions, were surveyed. All women underwent a comprehensive neuropsychological examination of their psycho-emotional status via interviews, questioning, and psychological testing (Spielberg-Haning’s Situational and Personal Anxiety Scale). The following analysis of the childbirth process’ nature was conducted. Results: The prevalence of high level of situational and personal anxiety by the Spielberg-Haning’s test were determined in the internally displaced women. This indicates a high level of social anxiety (stress) in these pregnant women. Labours in women in this group can be characterized by 3 main features: rapid (precipitated) labour with high levels of obstetric traumatism (tear of perineum) and labour medicalization (EDA). The characteristics described above are due to such labour activity anomalies as hypertensive uterine dysfunction – the cases when the speed and strength of uterine contractions significantly exceed the normative parameters. The reasons for the high level of pain in labour in displaced women could be objective and subjective factors: excessive nociceptor irritation due to cervical-uterine dysfunction and impaired individual perception of pain. Conclusions: Chronic psychosocial stress has an impact on labour activity in displaced women. A mandatory standard for managing such pregnancy is psychological counselling and correction of the identified disorders.

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Section: Resultsmentioning

confidence: 99%

Maternal Psychosocial Stress and Labor Dystocia

Zhuk

Shchurevska

2020

Wiad Lek

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“…In our protocol (Hanada 2015), the types of participants were defined as pregnant women. We decided to focus on healthy pregnant women and redefined the types of participants as 'healthy pregnant women'.…”

Section: Additional Referencesmentioning

confidence: 99%

Assessment and support during early labour for improving birth outcomes

Kobayashi

Hanada

Matsuzaki

et al. 2017

Cochrane Database of Systematic Reviews

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Assessment and support in early labour does not have a clear impact on rate of caesarean section or instrumental vaginal birth, or whether the baby was born before arrival at hospital or in an unplanned home birth. However, evidence suggested that interventions may have an impact on reducing the use of epidural anaesthesia, labour augmentation and on increasing maternal satisfaction with giving birth. Evidence about the effectiveness of early labour assessment versus immediate admission was very limited and more research is needed in this area.

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“…1 Early labour is usually a slow process during which women may feel distress and anxiety and lose confidence in their ability to cope. 2 The resulting stress hormones may counter the effects of oxytocin and slow the progress of labour 3 resulting in further anxiety and distress.…”

Section: Introductionmentioning

confidence: 99%

“…10 However, for women, the negative effects of staying at home in pain include confusion, anger, resentment and feeling neglected, unsupported and anxious. 2 It has been estimated that between 30% and 45% of women are admitted to hospital prior to active labour. 11 12 A randomised trial of an intervention providing additional support to women at home during early labour resulted in more admissions in active labour, reduced use of analgesia, reduced neonatal morbidity and increased maternal satisfaction although emotional well-being and distress did not differ between the groups.…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic differences in women’s experience of early labour care: a mixed methods study

Henderson

Redshaw

2017

BMJ Open

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ObjectivesTo explore women’s experiences of early labour care focusing on sociodemographic differences, and to examine the effect of antenatal education, using mixed methods.SettingEngland, 2014.ParticipantsWomen who completed postal questionnaires about their experience of maternity care, including questions about antenatal education, early labour and sociodemographic factors, included space for free-text comments.Outcome measuresWorries about labour, contact with midwives in early labour and subsequent care.MethodsThis study was based on secondary analysis of a national maternity survey carried out in England in 2014. Quantitative data were analysed using descriptive statistics and binary logistic regression; qualitative data were analysed using a thematic content analytic approach.ResultsCompleted questionnaires were received from 4578 women (47% response rate). There were significant differences by sociodemographic factors, particularly ethnicity, in women’s worries about early labour. Compared with white women, women from black or minority ethnic groups had an adjusted OR of 1.93 (95% CI 1.56 to 2.39) of feeling worried about not knowing when labour would start. Among women who contacted a midwife at the start of labour, 84% perceived their advice as appropriate, more in older and multiparous women. Overall, 64% of women were asked to come to the hospital at this time, more in multiparous women (adjusted OR 1.63, 95% CI 1.35 to 1.96). Those who did not have access to antenatal education experienced greater worry about early labour. Five themes emerged from the qualitative analysis: ‘Differentiating between early and active labour’, ‘Staff attitudes’, ‘Not being allowed…’, ‘Previous labours’ and ‘Perceived consequences for women’.ConclusionThese findings reinforce the importance of providing reassurance to women in early labour, taking care that women do not feel neglected or dismissed. In particular, primiparous and ethnic minority women reported greater worry about early labour and require additional reassurance.

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Psychosocial and educational interventions in latent phase or early labour for improving birth outcomes

Cited by 3 publications

References 33 publications

Maternal Psychosocial Stress and Labor Dystocia

Maternal Psychosocial Stress and Labor Dystocia

Assessment and support during early labour for improving birth outcomes

Sociodemographic differences in women’s experience of early labour care: a mixed methods study

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