The effect of supportive intrapartum care during birth in Jordan: a quasi-experimental study
Childbirth is an important and unique event for mothers and families, but can cause fear and anxiety. All mothers have the right to adequate support for labour and a respectful birth. This study aimed to investigate the impact of supportive intrapartum care on women's perceptions of fear, pain and control during childbirth, as compared to routine care.
A quasi-experimental study was conducted at the Jordan University Hospital with 134 pregnant women between August 2019 and January 2020. Participants were assigned to either the intervention (n=65) or control group (n=69). Data were collected using a sociodemographic form, a visual analogue scale for pain, the Wijma delivery expectancy questionnaire (B) for fear during birth, and the perceived support and control in birth scale.
Women receiving supportive care reported lower pain scores during the latent (t=4.15, P<0.001), active (t=4.64, P<0.001) and transition (t=2.34, P<0.05) phases of labour, less fear (t=8.66, P<0.001), and higher perceived control (t=12.46, P<0.001) and support (t=10.54, P<0.001), and had a shorter labour (t=10.367, P<0.001) compared to women receiving routine care. Low control (β=-0.35), high levels of pain (β=0.20) and low support (β=-0.19) contributed to fear during childbirth.
Supportive intrapartum care decreased women's perceptions of pain and fear and improved perceptions of control and support. Training and support for midwives could be translated to similar settings in middle-income countries. Policies directed at routine implementation of supportive intrapartum care are essential to decrease pain and fear of childbirth.
Childbirth is an important and unique event for mothers and families. During labour, women may experience fear and anxiety as a result of a range of factors, including previous caesarean section or instrumental birth, lack of support or knowledge about childbirth, decisional conflict, fear of the unknown and low childbirth self-efficacy (Yehia et al, 2013; Isbir and Serçeku§, 2017; Moghaddam Hosseini et al, 2018; Saeedi Aval Nooghabi et al, 2019; Cankaya and Can, 2021). Maternal fear is associated with increased perceptions of pain, longer duration and increased use of synthetic oxytocin in labour, as well as higher rates of operative vaginal birth and negative birth experiences (Rondung et al, 2019; Ilska et al, 2021; O'Connell et al, 2021).
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