The impact of motivational interviewing on participation in childbirth preparation classes and having a natural delivery: a randomised trial

Rasouli, Masoumeh; Atashsokhan, Giti; Keramat, Afsaneh; Khosravi, Ahmad; Fooladi, Ensieh; Mousavi, Seyed Abbas

doi:10.1111/1471-0528.14397

Cited by 17 publications

(9 citation statements)

References 27 publications

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“…Ultimately, validation should enable our research group to design a randomized controlled trial of revealed versus concealed risk-prediction, with maternal morbidity as the proposed primary outcome. Furthermore, the knowledge of a high likelihood of a successful vaginal delivery has been shown to be as significant motivating factor for women entering labour [ 8 ]. This knowledge would be welcomed by the women we are caring for as they prepare for their upcoming labour.…”

Section: Discussionmentioning

confidence: 99%

The RECIPE study: reducing emergency Caesareans and improving the Primiparous experience: a blinded, prospective, observational study

Murphy

Burke

Cody

et al. 2020

BMC Pregnancy Childbirth

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Background The RECIPE study aims to validate a risk prediction model for intrapartum caesarean delivery which has been developed by our group. The Genesis study was a prospective observational study carried out by the Perinatal Ireland Research Consortium across 7 clinical centres in Ireland between October 2012 and June 2015. Genesis investigated a range of maternal and fetal parameters in a prospective blinded study of 2336 singleton pregnancies between 39 + 0–41 + 0 weeks’ gestational age. This resulted in the development of a risk prediction model for Caesarean Delivery in nulliparous women at term. The RECIPE study now proposes to provide external validation of this risk prediction tool. Methods In order to externally validate the model, we aim to include a centre which was not involved in the original study. We propose a trial of risk-assignment for intrapartum caesarean amongst nulliparous women with a singleton pregnancy between 38 + 0 and 40 + 6 weeks’ gestational age who are planning a vaginal birth. Results of the risk prediction tool will be concealed from participants and from midwives and doctors providing labour care.. Participants will be invited for an ultrasound scan and delivery details will be collated postnatally. The principal aim of this study is to externally validate the risk prediction model. This prediction model holds the potential to accurately identify nulliparous women who are likely to achieve an uncomplicated vaginal birth and those at high prospect of requiring an unplanned caesarean delivery. Discussion Validation of the Genesis prediction model would enable more accurate counselling for women in the antenatal setting regarding their own likelihood of requiring an intrapartum Caesarean section. It would also provide valuable personalised information to women about the anticipated course of their own labour. We believe that this is an issue of national relevance that will impact positively on obstetric practice, and will positively empower women to make considered, personalised choices surrounding labour and delivery.

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Section: Discussionmentioning

confidence: 99%

The RECIPE study: reducing emergency Caesareans and improving the Primiparous experience: a blinded, prospective, observational study

Murphy

Burke

Cody

et al. 2020

BMC Pregnancy Childbirth

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“…Finally, the stabilized IP weight of censoring as the weight of censorship in the study multiplied by the stabilized IP weight of exposure was entered into the model as the stabilizing IP weight, and the weighted average of diabetes incidence for the entire population and for the pre-hypertension group was estimated in a counterfactual model. Based on this, the average treatment effect (ATE) was calculated [ 26 , 29 ]. To estimate the risk ratio (RR), a generalized linear model with binomial family and log link was used.…”

Section: Methodsmentioning

confidence: 99%

Pre-hypertension and the risk of diabetes mellitus incidence using a marginal structural model in an Iranian prospective cohort study

et al. 2018

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OBJECTIVESThe aim of this study was to evaluate the effect of pre-hypertension and its sub-classification on the development of diabetes.METHODSIn this cohort study, 2,941 people 40 to 64 years old without hypertension or diabetes were followed from 2009 through 2014. According to the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC)-7 criteria, we classified participants into normal and pre-hypertension groups. The effect of pre-hypertension on the 5-year incidence rate of diabetes was studied using inverse probability of treatment weighting. We modeled the exposure and censored cases given confounding factors such as age, sex, body mass index, smoking, economic status, and education.RESULTSThe 5-year incidence rate of diabetes among people with pre-hypertension and those with normal blood pressure (BP) was 12.7 and 9.7%, respectively. The risk ratio (RR) for people with pre-hypertension was estimated to be 1.13 (95% confidence interval [CI], 0.90 to 1.41). The RRs among people with normal BP and high-normal BP, according to the JNC-6 criteria, compared to those with optimal BP were 0.96 (95% CI, 0.73 to 1.25) and 1.31 (95% CI, 1.01 to 1.72), respectively.CONCLUSIONSOur results showed that participants who had higher levels of BP (high-normal compared to optimal BP) had a higher risk of diabetes development. With regard to the quantitative nature of BP, using the specifically distinguishing of stage 1 hypertension or high-normal BP may be a more meaningful categorization for diabetes risk assessment than the JNC-7 classification.

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“…Also, women whose period of gestation was 39-40 weeks at the time of birth had 1.368 odds [95% CI (1.905-2.069), p = 0.013] of SVB than controls 36 . In Iran, motivational interviewing, coupled with childbirth education, has also proved helpful in challenging constructs around normal birth, with up to 20% improvement in SVB for women receiving the antenatal intervention 37 .…”

Section: Maternal Preparationmentioning

confidence: 99%

Factors associated with spontaneous vaginal birth in nulliparous women at term: a systematic review

Kearney

2022

Women and Birth

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The impact of motivational interviewing on participation in childbirth preparation classes and having a natural delivery: a randomised trial

Abstract: Motivational interviewing with nulliparous women is strongly associated with their attendance in childbirth preparation classes.

Cited by 17 publications

References 27 publications

The RECIPE study: reducing emergency Caesareans and improving the Primiparous experience: a blinded, prospective, observational study

The RECIPE study: reducing emergency Caesareans and improving the Primiparous experience: a blinded, prospective, observational study

Pre-hypertension and the risk of diabetes mellitus incidence using a marginal structural model in an Iranian prospective cohort study

Factors associated with spontaneous vaginal birth in nulliparous women at term: a systematic review

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