Volume 21, Issue 11 (12-2023)
Nursing and Midwifery Journal 2023, 21(11): 868-879 |
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Javadi Z, Bayrami R, Najarzade M. THE RELATIONSHIP OF MEDICALIZED BIRTH CARE WITH FEAR OF CHILDBIRTH AND CHILDBIRTH EXPERIENCE IN NULLIPAROUS WOMEN WITH NATURAL BIRTHS IN FATIMEH ZAHRA HOSPITAL OF MIANDOAB IN 2022: A CROSS-SECTIONAL STUDY. Nursing and Midwifery Journal 2023; 21 (11) :868-879
URL: http://unmf.umsu.ac.ir/article-1-5015-en.html
URL: http://unmf.umsu.ac.ir/article-1-5015-en.html
1- Assistant Professor of Reproductive Health, Faculty of Nursing and Midwifery, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, , zahraa.javadi1758@gmail.com
2- Department of Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences,
3- Assistant Professor of Midwifery, Faculty of Nursing and Midwifery, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences,
2- Department of Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences,
3- Assistant Professor of Midwifery, Faculty of Nursing and Midwifery, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences,
Abstract: (1758 Views)
Background & Aims: "Medicalization" is how non-medical and social problems are defined and managed as medical problems. Today, unnecessary medical interventions are used excessively in low-risk pregnancies and births, which leads to excessive intervention during pregnancy and childbirth. Research shows the connection between unnecessary interventions and fear of childbirth and childbirth experiences. Therefore, a study was conducted to determine the relationship between medicalized childbirth care and the fear of childbirth and childbirth experience in nulliparous women with natural childbirth..
Materials & Methods: This descriptive cross-sectional correlation study was conducted on 250 nulliparous pregnant women with natural delivery referred to Fatemeh Zahra Hospital of Miandoab in 2022. Participants were selected using convenience sampling. The data collection tools were the personal characteristics and midwifery records, the fear of childbirth questionnaire, the childbirth experiences questionnaire, and the checklist of medical care of labor and childbirth. Questionnaires were completed after the pregnant women had signed written consent forms. Data were analyzed in SPSS software ver. 16.0 using t-test, chi-square tests, analysis of variance, logistic regression, and correlation coefficient.
Results: The results showed that the mean score of fear of childbirth was 74.93 ± 8.99, and the mean score of childbirth experience was 41.34 ± 3.42. The hospitalization before the onset of labor pains, continuous fetal monitoring, and premature rupture of the water sac were directly related to having a severe fear of childbirth. The results also showed that continuous fetal monitoring, labor pain strength induction, and fundal pressure during labor were significantly inversely related to having childbirth experience..
Conclusion: Some unnecessary midwifery interventions increase the fear of childbirth and the unpleasant experience of childbirth. It seems necessary to modify health policies for proper care for low-risk births.
Materials & Methods: This descriptive cross-sectional correlation study was conducted on 250 nulliparous pregnant women with natural delivery referred to Fatemeh Zahra Hospital of Miandoab in 2022. Participants were selected using convenience sampling. The data collection tools were the personal characteristics and midwifery records, the fear of childbirth questionnaire, the childbirth experiences questionnaire, and the checklist of medical care of labor and childbirth. Questionnaires were completed after the pregnant women had signed written consent forms. Data were analyzed in SPSS software ver. 16.0 using t-test, chi-square tests, analysis of variance, logistic regression, and correlation coefficient.
Results: The results showed that the mean score of fear of childbirth was 74.93 ± 8.99, and the mean score of childbirth experience was 41.34 ± 3.42. The hospitalization before the onset of labor pains, continuous fetal monitoring, and premature rupture of the water sac were directly related to having a severe fear of childbirth. The results also showed that continuous fetal monitoring, labor pain strength induction, and fundal pressure during labor were significantly inversely related to having childbirth experience..
Conclusion: Some unnecessary midwifery interventions increase the fear of childbirth and the unpleasant experience of childbirth. It seems necessary to modify health policies for proper care for low-risk births.
Type of Study: Qualitative |
Subject:
مامایی
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