Evaluation of the Effect of Vaginal Delivery With Labor Analgesia on Maternal Burnout, Breastfeeding Self-Efficacy and Attachment Level
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- To evaluate maternal attachment levels.
研究概览
简要总结
Labor pain causes women to be afraid of vaginal delivery and to be anxious about delivery and therefore to prefer cesarean delivery (Ali Alahmari et al., 2020). The World Health Organization (WHO) has set the safe cesarean section rate for countries at 15% (World Health Organization, 2015). However, many countries are well above this rate (Betran et al., 2021). An important factor in the preference for cesarean deliveries is the fear of vaginal delivery (Zhao et al., 2021). Vaginal delivery with epidural anesthesia in primiparous women is a very good opportunity to prevent the preference of cesarean deliveries due to fear of vaginal delivery. Unless contraindicated, epidural analgesia should be offered to women to alleviate the pain felt with contractions during labor (Callahan et al., 2023).
Recently, women frequently prefer epidural anesthesia to avoid pain during vaginal delivery. Vaginal delivery with epidural anesthesia aims to minimize the pain of women during the trauma process and is the most effective pain method among pharmacological and nonpharmacological interventions (Antonakou, & Papoutsis, 2016). The reason why vaginal delivery with epidural anesthesia is not widespread enough is that women are not given enough information about epidural anesthesia (Shishido et al., 2020).
详细描述
Purpose: The aim of this study is to emphasize the importance of vaginal birth with epidural anesthesia in primiparous women (who will have their first birth) in order to reduce the effect of fear of vaginal birth on the choice of cesarean section and to evaluate the effect of increasing the level of knowledge about epidural anesthesia on birth preferences.
Objectives:
To determine the level of fear and anxiety of women regarding childbirth.
To examine the effect of fear of vaginal birth on the preference for cesarean section.
To evaluate the effectiveness of vaginal birth with epidural anesthesia in pain management.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Having a normal vaginal delivery in the delivery room,
- •19 to 45 years old
- •To be transferred to the Puerperium service after delivery,
- •The baby's APGAR score is 7 and above
- •37 and above weeks of gestation
- •No complications in the baby and mother due to childbirth
- •Postnatal care by the mother's side
- •Mother and baby sharing the same room after birth until discharge,
- •The mother is breastfeeding her baby,
- •Mother's voluntary participation in the study.
排除标准
- •Separation of mother and baby for any reason while the mother is with the baby
- •Transfer of the baby to the NICU
- •Wanting to get out of the study.
- •Being a single parent
- •Those who cannot speak and write Turkish
研究组 & 干预措施
intervention
pregnant women receiving epidural
干预措施: pregnant women with (Other)
Control
no pregnant women receiving epidural
结局指标
主要结局
To evaluate maternal attachment levels.
时间窗: 1 year
Measured with a validated maternal attachment scale. The lowest possible score on the scale is 26, and the highest is 104. A higher score indicates a higher level of maternal attachment.
To examine the breastfeeding status of infants during the first six months of life.
时间窗: 1 year
Including exclusive breastfeeding, partial breastfeeding, and formula supplementation
To monitor infant growth and development through percentile tracking during the first six months.
时间窗: 1 year
Based on weight, height, and head circumference measurements compared with growth charts
To determine the breastfeeding self-efficacy levels of mothers.
时间窗: 1 year
Assessed using the Breastfeeding Self-Efficacy Scale The minimum possible score on the scale is 14, and the maximum is 70. There is no cutoff point for the scale, and a higher score indicates higher breastfeeding self-efficacy.
To evaluate maternal attachment levels.
时间窗: 1 year
Measured with a validated maternal attachment scale. The lowest possible score on the scale is 26, and the highest is 104. A higher score indicates a higher level of maternal attachment.
To examine the breastfeeding status of infants during the first six months of life.
时间窗: 1 year
Including exclusive breastfeeding, partial breastfeeding, and formula supplementation
To monitor infant growth and development through percentile tracking during the first six months.
时间窗: 1 year
Based on weight, height, and head circumference measurements compared with growth charts
次要结局
未报告次要终点
研究者
öznur tiryaki
Associate Prof
Sakarya University