The Role Of Antenatal Education In Reducing Turkey High Cesarean Section Rates: A Randomized Controlled Trials
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Comparison of the mode of delivery and the institution where the birth hospital
研究概览
简要总结
Considering the increasing rates of cesarean delivery in Turkey, we aimed to research the impact of antenatal education on pregnancy, the childbirth process, the cesarean section rate, and the postpartum period through a randomized controlled study. METHOD: A total of 120 pregnant women (40 in the education group and 80 in the control group) with a gestational age of 28 weeks or more were included in the study from the Üsküdar. The education group trained face to face in the Childbirth Preparation Class. Only if, pre- and post-training tests were administered to the education group to evaluate sociodemographic characteristics, educational needs, birth preferences, satisfaction with the training, and the behavioral outcomes gained from the training.
详细描述
In this context, given the increase in cesarean section rates, we designed a study incorporating both quantitative and qualitative data to investigate the effect of educating pregnant women about childbirth, the labor process, and the postpartum period. We aimed to examine the relationship between participants' receipt of antenatal education and mode of delivery (vaginal birth/cesarean section), the institution where the birth took place, age, and the number of informational phone calls received. In addition, among volunteers who participated in the pregnancy education program, we aimed to evaluate their educational needs, birth preferences, satisfaction with the training, and the impact of the training on their.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Years over
- •Pregnancy over 28 weeks (primiparous).
- •To live in Üsküdar.
- •No additional diseases that may affect maternal and neonatal outcomes.
排除标准
- •Patients with high-risk pregnancies.
- •Patients with maternal comorbidities (gestational hypertension, preeclampsia, uncontrolled diabetes or gestational diabetes, malignancy, vascular diseases, degenerative joint and connective tissue diseases, mental illness).
- •Women with known chronic disease.
- •Have a history of cesareans.
研究组 & 干预措施
Antenatal education
40 pregnant women who were selected according to the inclusion and exclusion criteria and who had completed Childbirth Preparation Class formed the intervention group. Then, the pregnant women who registered in our system have been given numbers. They have been sequentially numbered using a method that employs a central computer mechanism to implement the random assignment sequence. From these numbers, 80 people were selected using a single-blind random sampling method. Records of selected pregnant women were enrolled in the control group, with an allocation ratio of 1:2.
In addition, a semi-structured questionnaire was administered to the intervention group before and after the training. The pre- and post-training questionnaire results of the pregnant women in this group were analyzed to investigate the effects of the training on birth preference, fear of childbirth, behavioral sociodemographic data, satisfaction rate with the training, fear of childbirth and breastfeeding-infantcare
干预措施: Antenatal education (Other)
Control group
The age, number of telephone consultations/information sessions, preferred hospital type (public/private), and final delivery method (normal/cesarean) of the participants in both groups were recorded.
结局指标
主要结局
Comparison of the mode of delivery and the institution where the birth hospital
时间窗: through study completion, an average of 6 months.
Data Collection: The age, number of telephone consultations/information sessions, preferred hospital type (public/private), and final delivery method (normal/cesarean) of the participants in both groups were recorded. In addition, socio-demographic data (age, education, income, occupation, spouse's age, etc.), birth preferences (normal/vaginal or cesarean), 10 questions (1-5 scale) asking why they preferred normal delivery, 8 questions (1-5 scale) asking why they preferred cesarean delivery, and factors influencing their birth preference were recorded before the training. After the training, qualitative and quantitative data, including open-ended questions on the training needs and satisfaction of the study group, were recorded.
次要结局
未报告次要终点