Araştırma Makalesi
Nullipar Kadınlarda Doğum Öncesi Eğitimin Doğuma Hazıroluşluk, Ağrı, Korku, Doğum Deneyiminden Memnuniyet ve Doğum Süresi Üzerine Etkisi
Öz
Bu çalışma, doğum öncesi eğitimin nullipar kadınların doğuma hazıroluş, ağrı, korku, süre ve memnuniyete etkisini incelemeyi amaçlamıştır. Yarı deneysel ve ileriye dönük bir tasarım kullanıldı. Çalışma, Aralık 2014 ile Mart 2016 tarihleri arasında gerçekleştirilmiştir. Veriler 24-32 (eğitimin başlangıcında), 28-36 gebelik haftalarında (4 hafta süren eğitimin sonunda) ve doğumdan 48-72 saat sonra toplandı. Araştırma örneklemi, araştırma için 30, kontrol grubu için 30 kişi olmak üzere toplam 60 kişiden oluşmaktadır. Çalışma grubuna 4 haftalık eğitim programı uygulanmıştır. Veriler, tanıtıcı bilgi, doğum süreci değerlendirme formu, görsel analog skala, Lederman'ın doğum öncesi ve doğum sonrası değerlendirme ölçeği kullanılarak toplanmıştır. Çalışma grubunda toplam doğum süreleri ve hastanede yatış süreleri daha düşüktü; hastaneye ilk başvuruda servikal dilatasyon daha fazlaydı; doğum korkusu (latent, aktif, geçiş aşaması), doğum ağrısı (latent, aktif aşama), doğumdan memnuniyet ve doğuma hazır oluş puanları daha düşüktü. Doğum korkusunu ve doğum ağrısını azaltmak, doğum süresini kısaltmak, doğum deneyiminden memnuniyeti artırmak için antenatal dönemde eğitim programının kullanılması önerilmektedir.
Anahtar Kelimeler
Destekleyen Kurum
YOKTUR
Proje Numarası
YOKTUR
Kaynakça
- Akgül, A. (2005). Statistical analysis techniques in medical research SPSS applications. Ankara: Emek Ofset.
- Artieta-Pinedo, I., Paz-Pascual, C., Remiro-Fernandezdegamboa, G. G. G., Odriozola-Hermosilla, I., Bacigalupe, A. & Payo, J. (2010). The benefits of antenatal education for the childbirth process in Spain. Nursing Research, 59(3), 194–202. http://dx.doi.org/10.1097/NNR.0b013e3181dbbb4e
- Ayers, S. (2014). Fear of childbirth, postnatal post-traumatic stress disorder and midwifery care. Midwifery, 30, 145–148. http://dx.doi.org/10.1016/j.midw.2013.12.001
- Beebe, K. R., Lee, K. A., Carrieri-Kohlman, V. & Humphreys, J. (2007). The effects of childbirth self-efficacy and anxiety during pregnancy on prehospitalization labor. JOGNN, 36(5), 410-418. http://dx.doi.org/10.1111/j.1552-6909.2007.00170.x
- Beydağ, K. D. & Mete, S. (2007). Validity and reliability study of postpartum self-evaluation scale. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 10(2), 20-29.
- Beydağ, K. D. & Mete, S. (2008). Validity and reliability study of the prenatal self evaluation questionnaire. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 11, 16-24.
- Brixval, C. S., Axelsen, S. F., Andersen, S. K., Due, P. & Koushede, V. (2014). The effect of antenatal education in small classe on obstetric and psycho-social outcomes: a systematic review. Biomed Central, 3(12), 2-4.
- Buran, G. & Aksu, H. (2022). Effect of hypnobirthing training on fear, pain, satisfaction related to birth, and birth outcomes: A randomized controlled trial. Clinical Nursing Research, 31(5), 918-930.
- Byrne, J., Hauck, Y., Fisher, C., Bayes, S. & Schutze, R. (2014). Effectiveness of a mindfulness based childbirth education pilot study on maternal self-efficacy and fear of childbirth. J Midwifery Womens Health, 59(2), 192-7. http://dx.doi.org/10.1111/jmwh.12075
- Chaillet, N., Belaid, L., Crochetière, C., Roy, L., Gagne, G. P., Moutquin J. M. et al. (2014). Nonpharmacologic approaches for pain management during labor compared with usual care: a meta-analysis. Birth, 41(2), 122–37. http://dx.doi.org/10.1111/birt.12103
- Conesa Ferrer, M. B., Canteras Jordana, M., Ballesteros Meseguer, C., Carrillo Garcia, C. & Martinez Roche, M.E. (2016). Comparative study analysing women’s childbirth satisfaction and obstetric outcomes across two different models of maternity care. BMJ Open, 6(8), e011362. doi:10.1136/bmjopen-2016-011362
- Çankaya, S. & Şimşek, B. (2021). Effects of antenatal education on fear of birth, depression, anxiety, childbirth self-efficacy, and mode of delivery in primiparous pregnant women: A prospective randomized controlled study. Clin Nurs Res, 30(6), 818-829.
- El-Kurdy, R., Hassan, S.I., Hassan, N. F. & El-Nemer, A. (2017). Antenatal education on childbirth self-efficacy for Egyptian primiparous women: a randomized control trial. IOSR J Nurs Health Sci. 6(4), 15–23.
- Ferguson, S., Davis, D. & Browne, J. (2013). Does antenatal education affect labour and birth? A structured review of the literatüre. Women and Birth, 26, e5–e8. http://dx.doi.org/10.1016/j.wombi.2012.09.003
- Firouzbakht, M., Nikpour, M., Khefri, S., Jamali, B., Kazeminavaee, F. & Didehdar. M. (2015). The effectiveness of prenatal ıntervention on pain and anxiety during the process of childbirth-Northern Iran: clinical trial study. Ann Med Health Sci Res, 5(5), 348–352. http://dx.doi.org/10.4103/2141-9248.165260
- Gagnon, A. J. & Sandall, J. (2007). Individual or group antenatal education for childbirth or parenthood, or both. Cochrane Database of Systematic Reviews, 3, CD002869. http://dx.doi.org/ 10.1002/14651858.CD002869.pub2
- Hatamleh, R., Abujilban, S., AbuAbed, A. S. A. & Abuhammad, S. (2019). The effects of a childbirth preparation course on birth outcomes among nulliparous Jordanian women. Midwifery, 72, 23–29.
- Karabulut, Ö., Potur, D. Ç., Merih, Y. D., Mutlu, S. C. & Demirci, N. (2015). Does antenatal education reduce fear of childbirth? International Nursing Review, 63, 60-67. http://dx.doi.org/10.1111/inr.12223
- Kömürcü, N. & Ergin, A. B. (2008). Labor pain and management. İstanbul: Bedray Basın Yayıncılık Ltd Şti.
- Larsson, B., Karlström, A., Rubertsson, C. & Hildingsson, I. (2015). The effects of counseling on fear of childbirth. Acta Obstetricia et Gynecologica Scandinavica, 94, 629–636. http://dx.doi.org/10.1111/aogs.12634
- Lawrence, A., Lewis, L., Hofmeyr, G., Dowswell, T. & Styles, C. (2009). Maternal positions and mobility during first stage labour. Cochrane Database Syst Rev, 2, CD003934. http://dx.doi.org/10.1002/14651858.CD003934.pub2
- Mongan, M. F. (2012). HypnoBirthing, Mongan yöntemi. İstanbul: Gün Yayıncılık.
- Madhavanprabhakaran, G. K., D’Souza, M. & Nairy, S. (2017). Effectiveness of childbirtheducation on nulliparous women’s knowledge of childbirth preparation, pregnancy anxiety and pregnancy outcomes. Nursing and Midwifery Studies, 6(1), e32526. doi:10.5812/nmsjournal.32526
- Mete, S., Ertuğrul, M. & Uludağ, E. (2015). The childbirth education program “awareness in childbirth”. DEUHFED, 8(2), 131-141.
- Okumuş, H., Mete, S., Aytur, T., Yenal, K. & Demir, N. (2002). Effectiveness of childbirth education class on labor outcomes. Klinik Bilimler ve Doktor, 8, 771-781.
- Olza, I., Uvnas-Moberg, K., Ekstro¨m-Bergstro¨m. A., Leahy-Warren, P., Karlsdottir, S. I., Nieuwenhuijze, M., Villarmea, S., …Buckley, S. (2020). Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth. Plos One, 15(7), e0230992. https://doi.org/10.1371/journal.pone.0230992
- Rathfisch, G. (2012). Philosophy of natural birth. İstanbul: Nobel Tıp Kitabevleri.
- Rotaa A., Antolinib, L., Colciagob E., Nespolic A., Borrellid S. E. & Fumagallic S. (2018). Timing of hospital admission in labour: latent versus active phase, mode of birth and intrapartum interventions. A correlational study. Women and Birth, 31, 313–318.
- Sayiner, F. D., Öztürk, D. M., Ulupinarc, E., Velipasaoglu, M., & Corumlu, E. P. (2021). Stress caused by environmental effects on the birth process and some of the labor hormones at rats: ideal birth environment and hormones. The journal of maternal-fetal & neonatal medicine, 34(16): 2600-2608.
- Serçekuş, P. & Başkale, H. (2016). Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery, 34, 166–172. http://dx.doi.org/10.1016/j.midw.2015.11.016
- Serçekuş, P. & Mete, S. (2010). Effects of antenatal education on maternal prenatal and postpartum adaptation. Journal of Advanced Nursing, 66(5), 999-1010. http://dx.doi.org/10.1111/j.1365-2648.2009.05253.x
- Simkin, P. & Bolding, A. (2004). Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. Journal of Midwifery and Women’s Health, 49(6), 489–504. http://dx.doi.org/10.1016/j.jmwh.2004.07.007
- Smyth, S., Spence, D. & Murray, K. (2015). Does antenatal education prepare fathers for their role as birth partners and for parenthood? British Journal of Midwifery, 23(5), 336- 342. http://dx.doi.org/10.12968/bjom.2015.23.5.336
- Subaşı, B., Özcan, H., Pekçetin, S., Göker, B. Tunç, S. & Budak, B. (2013). Doğum eğitiminin doğum kaygısı ve korkusu üzerine etkisi. Selçuk Tıp Derg, 29(4), 165-167.
- Tabaghdehi, M. H., Kolahdozan, S., Keramat, A., Shahhossein, Z., Moosazadeh, M. & Motaghi, Z. (2020). Prevalence and factors affecting the negative childbirth experiences: A systematic review. The Journal of Maternal-Fetal & Neonatal Medicine, 33(22), 3849-3856.
- Taghavi1, S., Hoseininasab, D. & Ahmadian heris, S. (2009). The effect of antenatal education on pain intensity and labor progression. International Journal of Gynecology Obstetrics, 107, 493. http://www.ijgo.org/article/S0020-7292(09)61773-2/pdf
- Türkiye Nüfus ve Sağlık Araştırması (2018). Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara. http://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf
- Uçar, T. & Gölbasi, Z. (2019). Effect of an educational program based on cognitive behavioral techniques on fear of childbirth and the birth process. Journal of Psychosomatic Obstetrics & Gynecology, 40(2), 146-155. doi: 10.1080/0167482X.2018.1453800.
THE EFFECT OF ANTENATAL EDUCATION ON READINESS, FEAR, PAIN, DURATION AND SATISFACTION OF LABOR IN NULLIPAR WOMEN
Öz
This study aimed to examine the effects of antenatal education, on readiness, pain, fear, duration and satisfaction levels of nullipar women for delivery. A semi-experimental and prospective design was used. The study was made between December 2014 and March 2016. The data were collected in the 24-32nd (beginning of training), 28-36th (end of 4 weeks training) gestational weeks and 48-72 hours after deliveries. The study sample consisted of 30 participants for the study and 30 participants for the control group, 60 participants in total. The 4-week education program was applied to the study group. Data were collected using an introductory information, the birth process evaluation form, visual analogue scale, Lederman’s prenatal and postpartum self-evaluation scale. In the study group the total delivery durations and the hospitalization durations were lower; their cervical dilatation levels at arrival were more; and their birth fear (latent, active, transition phase), birth pain (latent, active phase), satisfaction with the delivery and being ready for the delivery points were lower. The use of antenatal education program in the antenatal period is recommended to decrease the birth fear and the delivery pain, shorten the delivery duration, increase the satisfaction with the delivery point.
Anahtar Kelimeler
Proje Numarası
YOKTUR
Kaynakça
- Akgül, A. (2005). Statistical analysis techniques in medical research SPSS applications. Ankara: Emek Ofset.
- Artieta-Pinedo, I., Paz-Pascual, C., Remiro-Fernandezdegamboa, G. G. G., Odriozola-Hermosilla, I., Bacigalupe, A. & Payo, J. (2010). The benefits of antenatal education for the childbirth process in Spain. Nursing Research, 59(3), 194–202. http://dx.doi.org/10.1097/NNR.0b013e3181dbbb4e
- Ayers, S. (2014). Fear of childbirth, postnatal post-traumatic stress disorder and midwifery care. Midwifery, 30, 145–148. http://dx.doi.org/10.1016/j.midw.2013.12.001
- Beebe, K. R., Lee, K. A., Carrieri-Kohlman, V. & Humphreys, J. (2007). The effects of childbirth self-efficacy and anxiety during pregnancy on prehospitalization labor. JOGNN, 36(5), 410-418. http://dx.doi.org/10.1111/j.1552-6909.2007.00170.x
- Beydağ, K. D. & Mete, S. (2007). Validity and reliability study of postpartum self-evaluation scale. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 10(2), 20-29.
- Beydağ, K. D. & Mete, S. (2008). Validity and reliability study of the prenatal self evaluation questionnaire. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 11, 16-24.
- Brixval, C. S., Axelsen, S. F., Andersen, S. K., Due, P. & Koushede, V. (2014). The effect of antenatal education in small classe on obstetric and psycho-social outcomes: a systematic review. Biomed Central, 3(12), 2-4.
- Buran, G. & Aksu, H. (2022). Effect of hypnobirthing training on fear, pain, satisfaction related to birth, and birth outcomes: A randomized controlled trial. Clinical Nursing Research, 31(5), 918-930.
- Byrne, J., Hauck, Y., Fisher, C., Bayes, S. & Schutze, R. (2014). Effectiveness of a mindfulness based childbirth education pilot study on maternal self-efficacy and fear of childbirth. J Midwifery Womens Health, 59(2), 192-7. http://dx.doi.org/10.1111/jmwh.12075
- Chaillet, N., Belaid, L., Crochetière, C., Roy, L., Gagne, G. P., Moutquin J. M. et al. (2014). Nonpharmacologic approaches for pain management during labor compared with usual care: a meta-analysis. Birth, 41(2), 122–37. http://dx.doi.org/10.1111/birt.12103
- Conesa Ferrer, M. B., Canteras Jordana, M., Ballesteros Meseguer, C., Carrillo Garcia, C. & Martinez Roche, M.E. (2016). Comparative study analysing women’s childbirth satisfaction and obstetric outcomes across two different models of maternity care. BMJ Open, 6(8), e011362. doi:10.1136/bmjopen-2016-011362
- Çankaya, S. & Şimşek, B. (2021). Effects of antenatal education on fear of birth, depression, anxiety, childbirth self-efficacy, and mode of delivery in primiparous pregnant women: A prospective randomized controlled study. Clin Nurs Res, 30(6), 818-829.
- El-Kurdy, R., Hassan, S.I., Hassan, N. F. & El-Nemer, A. (2017). Antenatal education on childbirth self-efficacy for Egyptian primiparous women: a randomized control trial. IOSR J Nurs Health Sci. 6(4), 15–23.
- Ferguson, S., Davis, D. & Browne, J. (2013). Does antenatal education affect labour and birth? A structured review of the literatüre. Women and Birth, 26, e5–e8. http://dx.doi.org/10.1016/j.wombi.2012.09.003
- Firouzbakht, M., Nikpour, M., Khefri, S., Jamali, B., Kazeminavaee, F. & Didehdar. M. (2015). The effectiveness of prenatal ıntervention on pain and anxiety during the process of childbirth-Northern Iran: clinical trial study. Ann Med Health Sci Res, 5(5), 348–352. http://dx.doi.org/10.4103/2141-9248.165260
- Gagnon, A. J. & Sandall, J. (2007). Individual or group antenatal education for childbirth or parenthood, or both. Cochrane Database of Systematic Reviews, 3, CD002869. http://dx.doi.org/ 10.1002/14651858.CD002869.pub2
- Hatamleh, R., Abujilban, S., AbuAbed, A. S. A. & Abuhammad, S. (2019). The effects of a childbirth preparation course on birth outcomes among nulliparous Jordanian women. Midwifery, 72, 23–29.
- Karabulut, Ö., Potur, D. Ç., Merih, Y. D., Mutlu, S. C. & Demirci, N. (2015). Does antenatal education reduce fear of childbirth? International Nursing Review, 63, 60-67. http://dx.doi.org/10.1111/inr.12223
- Kömürcü, N. & Ergin, A. B. (2008). Labor pain and management. İstanbul: Bedray Basın Yayıncılık Ltd Şti.
- Larsson, B., Karlström, A., Rubertsson, C. & Hildingsson, I. (2015). The effects of counseling on fear of childbirth. Acta Obstetricia et Gynecologica Scandinavica, 94, 629–636. http://dx.doi.org/10.1111/aogs.12634
- Lawrence, A., Lewis, L., Hofmeyr, G., Dowswell, T. & Styles, C. (2009). Maternal positions and mobility during first stage labour. Cochrane Database Syst Rev, 2, CD003934. http://dx.doi.org/10.1002/14651858.CD003934.pub2
- Mongan, M. F. (2012). HypnoBirthing, Mongan yöntemi. İstanbul: Gün Yayıncılık.
- Madhavanprabhakaran, G. K., D’Souza, M. & Nairy, S. (2017). Effectiveness of childbirtheducation on nulliparous women’s knowledge of childbirth preparation, pregnancy anxiety and pregnancy outcomes. Nursing and Midwifery Studies, 6(1), e32526. doi:10.5812/nmsjournal.32526
- Mete, S., Ertuğrul, M. & Uludağ, E. (2015). The childbirth education program “awareness in childbirth”. DEUHFED, 8(2), 131-141.
- Okumuş, H., Mete, S., Aytur, T., Yenal, K. & Demir, N. (2002). Effectiveness of childbirth education class on labor outcomes. Klinik Bilimler ve Doktor, 8, 771-781.
- Olza, I., Uvnas-Moberg, K., Ekstro¨m-Bergstro¨m. A., Leahy-Warren, P., Karlsdottir, S. I., Nieuwenhuijze, M., Villarmea, S., …Buckley, S. (2020). Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth. Plos One, 15(7), e0230992. https://doi.org/10.1371/journal.pone.0230992
- Rathfisch, G. (2012). Philosophy of natural birth. İstanbul: Nobel Tıp Kitabevleri.
- Rotaa A., Antolinib, L., Colciagob E., Nespolic A., Borrellid S. E. & Fumagallic S. (2018). Timing of hospital admission in labour: latent versus active phase, mode of birth and intrapartum interventions. A correlational study. Women and Birth, 31, 313–318.
- Sayiner, F. D., Öztürk, D. M., Ulupinarc, E., Velipasaoglu, M., & Corumlu, E. P. (2021). Stress caused by environmental effects on the birth process and some of the labor hormones at rats: ideal birth environment and hormones. The journal of maternal-fetal & neonatal medicine, 34(16): 2600-2608.
- Serçekuş, P. & Başkale, H. (2016). Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery, 34, 166–172. http://dx.doi.org/10.1016/j.midw.2015.11.016
- Serçekuş, P. & Mete, S. (2010). Effects of antenatal education on maternal prenatal and postpartum adaptation. Journal of Advanced Nursing, 66(5), 999-1010. http://dx.doi.org/10.1111/j.1365-2648.2009.05253.x
- Simkin, P. & Bolding, A. (2004). Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. Journal of Midwifery and Women’s Health, 49(6), 489–504. http://dx.doi.org/10.1016/j.jmwh.2004.07.007
- Smyth, S., Spence, D. & Murray, K. (2015). Does antenatal education prepare fathers for their role as birth partners and for parenthood? British Journal of Midwifery, 23(5), 336- 342. http://dx.doi.org/10.12968/bjom.2015.23.5.336
- Subaşı, B., Özcan, H., Pekçetin, S., Göker, B. Tunç, S. & Budak, B. (2013). Doğum eğitiminin doğum kaygısı ve korkusu üzerine etkisi. Selçuk Tıp Derg, 29(4), 165-167.
- Tabaghdehi, M. H., Kolahdozan, S., Keramat, A., Shahhossein, Z., Moosazadeh, M. & Motaghi, Z. (2020). Prevalence and factors affecting the negative childbirth experiences: A systematic review. The Journal of Maternal-Fetal & Neonatal Medicine, 33(22), 3849-3856.
- Taghavi1, S., Hoseininasab, D. & Ahmadian heris, S. (2009). The effect of antenatal education on pain intensity and labor progression. International Journal of Gynecology Obstetrics, 107, 493. http://www.ijgo.org/article/S0020-7292(09)61773-2/pdf
- Türkiye Nüfus ve Sağlık Araştırması (2018). Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara. http://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf
- Uçar, T. & Gölbasi, Z. (2019). Effect of an educational program based on cognitive behavioral techniques on fear of childbirth and the birth process. Journal of Psychosomatic Obstetrics & Gynecology, 40(2), 146-155. doi: 10.1080/0167482X.2018.1453800.
Toplam 38 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | YOKTUR |
| Yayımlanma Tarihi | 17 Mart 2023 |
| Gönderilme Tarihi | 17 Ağustos 2022 |
| Kabul Tarihi | 8 Kasım 2022 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 11 Sayı: 1 |
