Effect of Intermittent Maternal Supportive Care on Pain Intensity and Childbirth Outcomes

Document Type : Original Article

Authors

1 Lecturer of Woman's Health and Midwifery Nursing, Faculty of Nursing - Mansoura University

2 Lecturer of Women Health and Obstetric Nursing, Faculty of Nursing - Minia University

3 Lecturer of Pediatric Nursing, Faculty of Nursing - Mansoura University

Abstract

Background: Childbirth is an anxiety-producing situation for many women. Intra-partum professional midwifery support can help women cope better with their labor pain and fears as well as raise their childbirth satisfaction. Aim: Investigate the effect of intermittent maternal supportive care on pain intensity and childbirth outcomes. Method: A quasi-experimental research design was used. A purposive sample of 88 laboring women was enrolled. The current study was carried out at the Labor Unit of Mansoura University Hospital (MUH). Five tools were used for data collection: A Structured Interviewing Schedule, the Visual Analogue Scale (VAS), the Childbirth Attitudes Questionnaire (CAQ), the Neonatal Assessment Sheet, and the Mackey Childbirth Satisfaction Rating Scale. Results: Among the intervention group, the severe labor pain and the high childbirth fear levels were significantly reduced post intervention in comparison of the control group. Among the intervention group, three-quarters and the majority of the newborns had normal Apgar scores at the first minute and initiated breastfeeding within the first hour after birth respectively compared to the control group. The childbirth satisfaction level among the intervention group was statistically significantly higher compared to the control group. Conclusion: Intermittent maternal supportive care during labor effectively improves outcomes for laboring women and their newborn infants. Recommendations: Intermittent maternal supportive care should be implemented routinely in all maternity hospitals to improve childbirth outcomes.

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