Volume 22, Issue 4 (July 2024)
Nursing and Midwifery Journal 2024, 22(4): 300-308 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Khademi S, Movahedi S, Khosravi A, Ebrahimi E. THE EFFECT OF REMOTE MIDWIFERY-CENTERED CARE THROUGH A SMARTPHONE APPLICATION ON THE MANAGEMENT OF CHILDBIRTH FEAR IN PRIMIPAROUS WOMEN: A CLINICAL TRIAL STUDY. Nursing and Midwifery Journal 2024; 22 (4) :300-308
URL: http://unmf.umsu.ac.ir/article-1-4769-en.html
URL: http://unmf.umsu.ac.ir/article-1-4769-en.html
1- MSc of Midwifery, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran , sahar1@yahoo.com
2- Assistant Professor, Department of Gynecology, Baharlu Hospital, Tehran University of Medical Sciences, Tehran, Iran
3- Assistant Professor, Faculty of Health, Shahrood University of Medical Sciences, Shahrood, Iran
4- Associate Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran (Corresponding Author)
2- Assistant Professor, Department of Gynecology, Baharlu Hospital, Tehran University of Medical Sciences, Tehran, Iran
3- Assistant Professor, Faculty of Health, Shahrood University of Medical Sciences, Shahrood, Iran
4- Associate Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran (Corresponding Author)
Abstract: (768 Views)
Background & Aim: Fear of the pain associated with natural childbirth has long been considered a significant factor influencing the preference for cesarean section. This study aimed to determine the effect of remote midwifery-centered care through a smartphone application on the management of fear of childbirth (FOC) in primiparous women.
Materials & Methods: This randomized clinical trial was conducted on 70 pregnant women referred to Baharloo Hospital in Tehran in 2019. The intervention group received tele-smartphone-based care, while the control group received routine prenatal care. The fear of childbirth was explored using the Wijma Delivery Expectancy Questionnaire, which had two versions (A and B) and assessed fear before and after childbirth, respectively. The data was analyzed using SPSS software version 25, which involved descriptive and inferential statistics, including a repeated measures analysis of variance test.
Results: There was no significant difference between the two groups regarding demographic characteristics (P >0.05). The mean score of fear of childbirth in the intervention group was significantly different from the control group in all periods after the intervention. (P = 0.001).
Conclusion: Remote care can have a positive effect on the fear of childbirth. Therefore, it can be considered as an alternative care during pregnancy.
Materials & Methods: This randomized clinical trial was conducted on 70 pregnant women referred to Baharloo Hospital in Tehran in 2019. The intervention group received tele-smartphone-based care, while the control group received routine prenatal care. The fear of childbirth was explored using the Wijma Delivery Expectancy Questionnaire, which had two versions (A and B) and assessed fear before and after childbirth, respectively. The data was analyzed using SPSS software version 25, which involved descriptive and inferential statistics, including a repeated measures analysis of variance test.
Results: There was no significant difference between the two groups regarding demographic characteristics (P >0.05). The mean score of fear of childbirth in the intervention group was significantly different from the control group in all periods after the intervention. (P = 0.001).
Conclusion: Remote care can have a positive effect on the fear of childbirth. Therefore, it can be considered as an alternative care during pregnancy.
References
1. O'Connell MA, Leahy-Warren P, Khashan AS, Kenny LC, O'Neill SM. Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis. Acta Obstetricia Gynecologica Scandinavica 2017; 96(8):907-20. [PMID: 28369672] [DOI:10.1111/aogs.13138 PMID: 28369672]
2. Shakarami A, Mirghafourvand M, Abdolalipour S, Jafarabadi MA, Iravani M. Comparison of fear, anxiety and self-efficacy of childbirth among primiparous and multiparous women. BMC Pregn Childbirth 2021; 21(1):642. [PMID: 34548055] [DOI:10.1186/s12884-021-04114-8 PMID: 34548055] [PMCID: PMC8456545]
3. Dencker A, Nilsson C, Begley C, Jangsten E, Mollberg M, Patel H, et al. Causes and outcomes in studfies of fear of childbirth: A systematic review. [PMID: 30115515] [DOI:10.1016/j.wombi.2018.07.004 PMID: 30115515]
4. Laursen M, Johansen C, Hedegaard M. Fear of childbirth and risk for birth complications in nulliparous women in the Danish National Birth Cohort. BJOG Int J Obstet Gynaecol 2009;116(10):1350-5. [PMID: 19538412] [DOI:10.1111/j.1471-0528.2009.02250.x PMID: 19538412]
5. Serçekuş P, Okumuş H. Fears associated with childbirth among nulliparous women in Turkey. [PMID: 17600599] [DOI:10.1016/j.midw.2007.02.005 PMID: 17600599]
6. Salomonsson B, Gullberg MT, Alehagen S, Wijma K. Self-efficacy beliefs and fear of childbirth in nulliparous women. J Psychosom Obstet Gynecol 2013;34(3):116-21. [PMID: 23952169] [DOI:10.3109/0167482X.2013.824418 PMID: 23952169]
7. Ip W-Y, Tang CS, Goggins WB. An educational intervention to improve women's ability to cope with childbirth. J Clin Nurs 2009;18(15):2125-35. [PMID: 19583645] [DOI:10.1111/j.1365-2702.2008. 02720.x PMID: 19583645]
8. Sandall J, Tribe RM, Avery L, Mola G, Visser GH, Homer CS, et al. Short-term and long-term effects of caesarean section on the health of women and children. Lancet 2018;392(10155):1349-57. [PMID: 30322585] [DOI:10.1016/S0140-6736(18)31930-5]
9. O'Connell MA, Khashan AS, Leahy-Warren P, Stewart F, O'Neill SM. Interventions for fear of childbirth including tocophobia. Cochrane Database Syst Rev 2021;7(7):Cd013321. [PMID: 34231203] [DOI:10.1002/ 14651858.CD013321.pub2. PMID: 34231203]
10. Striebich S, Mattern E, Ayerle GM. Support for pregnant women identified with fear of childbirth (FOC)/ tokophobia-A systematic review of approaches and interventions. Midwifery 2018; 61:97-115. [PMID: 29579696] [DOI:10.1016/j.midw.2018.02.013. PMID: 29579696]
11. Bayrampour H, Trieu J, Tharmaratnam T. Effectiveness of eHealth Interventions to Reduce Perinatal Anxiety: A Systematic Review and Meta-Analysis. J Clin Psychiatry 2019; 80(1). [PMID: 30688418] [DOI:10. 4088/JCP.18r12386. PMID: 30688418]
12. Mupinga DM. Distance education in high schools: Benefits, challenges, and suggestions. Issues Ideas 2005;78(3):105-9. [DOI:10.3200/TCHS.78.3.105-109]
13. Patoz M-C, Hidalgo-Mazzei D, Blanc O, Verdolini N, Pacchiarotti I, Murru A, et al. Patient and physician perspectives of a smartphone application for depression: A qualitative study. BMC Psychiatr 2021;21:1-12. [PMID: 33514333] [DOI:10.1186/s12888-021-03064-x] [PMCID: PMC7847000]
14. .Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev2016;4:Cd004667. [PMID: 27121907] [DOI:10.1002/14651858.CD004667.pub5. PMID: 27121907]
15. Hanach N, de Vries N, Radwan H, Bissani N. The effectiveness of telemedicine interventions, delivered exclusively during the postnatal period, on postpartum depression in mothers without history or existing mental disorders: A systematic review and meta-analysis. Midwifery 2021; 94:102906. [PMID: 33360589] [DOI:10.1016/j.midw.2020.102906. PMID: 33360589]
16. Wigert H, Nilsson C, Dencker A, Begley C, Jangsten E, Sparud-Lundin C, et al. Women's experiences of fear of childbirth: a metasynthesis of qualitative studies. Int J Qual Stud Health Well-being 2020;15(1):1704484. [PMID: 31858891] [DOI:10.1080/17482631.2019.1704484. PMID: 31858891]
17. Zengin H, Bafali IO, Caka SY, Tiryaki O, Cinar N. Childbirth and Postpartum Period Fear and the Related Factors in Pregnancy. J Collf Physicians Surgeons Pakistan;30(2):144-8. [PMID: 32036820] [DOI:10.29271/jcpsp.2020.02.144. PMID: 32036820]
18. Mander R, Melender HL. Birth settings and pain control trends among women in Finland. Br J Midwifery 2005;13:504-9. [URL:] [DOI:10.12968/bjom 2005.13.8.18564.]
19. Go¨kc¸e İsbir G, İnci F, O¨ nal H, Yıldız PD. The effects of antenatal education on fear of childbirth, maternal self-efficacy and post-traumatic stress disorder (PTSD) symptoms following childbirth: an experimental study. Appl Nurs Res 2016;32:227-32. [PMID: 27969033] [DOI:10.1016/j.apnr.2016.07.013 PMID: 27969033]
20. Wijma K, Wijma B, Zar M. Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth. J Psychosom Obstet Gynaecol 1998; 19(2):84-97. [PMID: 9638601] [DOI:10.3109/ 01674829809048501. PMID: 9638601]
21. Mortazavi F. Validity and reliability of the Farsi version of Wijma delivery expectancy questionnaire: an exploratory and confirmatory factor analysis. Electron Physician 2017; 9(6):4606-15. [PMID: 28848637] [DOI:10.19082/4606. PMID: 28848637]
22. Nieminen K, Andersson G, Wijma B, Ryding E-L, Wijma K. Treatment of nulliparous women with severe fear of childbirth via the Internet: a feasibility study. J Psychosomc Obstetr Gynecol 2016;37(2):37-43. [PMID: 26918752 37.] [DOI:10.3109/0167482X.2016.1140143 PMID: 26918752 37.]
23. Toohill J, Fenwick J, Gamble J, Creedy DK, Buist A, Turkstra E, et al. A randomized controlled trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. Birth 2014; 41(4):384-94. [PMID: 25303111] [DOI:10.1111/birt.12136 PMID: 25303111]
24. Shahsavan F, Akbari N, Gharraee B, Abolghasemi J, Khedmat L. The effect of internet-based guided self-help cognitive-behavioral therapies on Iranian women's psychological symptoms and preferred method of childbirth. Persp Psychiat Care 2021; 57(1):138-47. [PMID: 32567051] [DOI:10.1111/ppc]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Address: Urmia University of Medical Sciences, Deputy of Research and Technology,Djahad Ave.,
Urmia-5714783734, IRAN
P.O. Box: 1138,
Tel: 044 - 331937224
Fax: 044 - 32240642
E-Mail:
j.nur.mid
gmail.com, unmfumsu.ac.ir