scholarly journals Implementation of Virtual and Face-to-Face Childbirth Preparation Training for the Spouses of the Primiparous Women to Reduce the Fear of Childbirth, Improve the Pregnancy Experience, and Enhance Mother- and Father-Infant Attachment: Protocol for a Quasiexperimental Clinical Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Zari Doaltabadi ◽  
Leila Amiri-Farahani ◽  
Seyedeh Batool Hasanpoor-Azghady

Background. Men have a special role to play in promoting maternal and child health during pregnancy, childbirth, and postpartum period. The health of women also requires the participation and cooperation of men. The aim of this study is to compare the effect of virtual and face-to-face childbirth preparation training for spouses of the primiparous women on the pregnancy experience, fear of childbirth (FOC), and mother- and father-infant attachment. Methods. The primiparous women attending the prenatal clinics of Lolagar Hospital and Azadi and Tehransar health centers of Tehran along with their husbands will be studied. The inclusion criteria for the women’s husbands are the first experience of becoming a father, being at least 18 years of age, and the ability to read and write. The exclusion criteria for women’s husbands are the history of physical/mental illness; being a smoker; and consuming alcohol, drugs, or psychotropic substances. The participants will be selected by the convenience sampling method and will be divided into three groups of study A, study B, and control. Spouses in study groups A and B will receive childbirth training through virtual and face-to-face methods with similar content, respectively. The control group only receives ordinary prenatal care. At the 18–20 weeks of gestation, demographic information, pregnancy experience scale (PES), and version A of Wijma delivery expectancy/experience questionnaire (WDEQ-A) will be completed. At 37-38 weeks of gestation, the PES and WDEQ-A questionnaires will be completed again and maternal postnatal attachment scale (MPAS) and postnatal paternal-infant attachment questionnaire (PPAQ) will be completed by the parents 12 weeks after the delivery. Discussion. Improving the experience of pregnancy, especially reducing the FOC and creating a positive attitude towards it, is a vital strategy to promote vaginal childbirth and reduce the number of cesarean sections requested by women. Achieving this will reduce the cost of health care and improve the quality of life during pregnancy, after childbirth, and during the growth and development of infants. Ethics and Dissemination. This research has been funded by the Iran University of Medical Sciences, approved by the Thailand Registry of Clinical Trials, and will commence in May 2020. Results will be disseminated through peer-reviewed journals and shared with the academic and medical community to pregnancy and childbirth outcomes. This trial is registered with TCTR20200515011.

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Seyedeh Robab Mousavi ◽  
Leila Amiri-Farahani ◽  
Syedeh Batool Hasanpoor-Azghady ◽  
Soghra Omrani Saravi

Abstract Background Childbirth preparation trainings are an important component of prenatal education, and pregnant women are increasingly interested in seeking information from online sources. The aim of this study is to compare the feasibility and the effects of in-person and virtual childbirth preparation training courses on the pregnancy experience, fear of childbirth (FOC), birth preference, and type of delivery among pregnant women. Methods In total, 165 primiparous women referring to a prenatal clinic at Milad Hospital in Tehran, will be included in this study. The subjects will be selected using the convenience sampling method and will be divided into three groups of study A, study B, and control. The study groups A and B will receive virtual and in-person childbirth training with similar content, respectively. The control group will receive only routine prenatal care. In the 18th and 20th weeks of pregnancy, the demographic information, pregnancy experience scale (PES), and version A of the Wijma delivery expectancy/experience questionnaire (WDEQ-A) will be completed, and in the 36th and 38th weeks of pregnancy, the PES and WDEQ-A questionnaires, as well as birth preference form will be completed. The type of delivery will be recorded in the first few days of postpartum. Conclusion This quasi-experimental clinical trial will investigate the effect of virtual childbirth preparation training on primiparous women. The expected outcomes will include the difference in pregnancy experience measured by the brief version of PES, the difference in FOC measured by WDEQ-A, the birth preference, and the type of delivery. Trial registration IRCT.ir: IRCT20180427039436N2;


2019 ◽  
Author(s):  
Leila Amiri Farahani ◽  
Soroor Parvizy Sr ◽  
Eesa Mohammadi ◽  
Mohsen Asadi-Lari Sr ◽  
Ziba Taghizadeh

BACKGROUND Background and Aims: Childbirth preparation courses are the most important educational components during pregnancy. There have been changes in the health-related educational approaches and an increase in the tendency of pregnant women to acquire information from online resources so far. OBJECTIVE the current study aimed to compare the effect of childbirth preparation education using two methods of in-person and social networks on the experience of pregnancy, fear of childbirth, the birth preference, and type of delivery among pregnant women. METHODS In total, 165 primiparous women referring to the prenatal clinic affiliated to Milad Hospital in Tehran, Iran, will be done in this study. The sampling has been fulfilled through convenience sampling method and the participants will be divided into three groups of control and intervention 1 and 2 weekly. The intervention begins in 20th weeks of gestation and lasts until 37th gestational weeks. The intervention group 1 is subjected to educational content based on Mayer's Principles of multimedia learning using PDF files, images, videocasts, and podcasts. On the other hand, the subjects in the intervention group 2 will receive the same content using the in-person method through textbooks, movies, and medical moulages. The pretest will be performed at 18-20 weeks of gestation using a demographic characteristics form, Pregnancy Experience Scale (PES), and version A of Wijma Delivery Expectancy/Experience Questionnaire (WDEQ-A). In addition, at 36-38 weeks of gestation, the posttest will be carried out using PES, WDEQ-A, and birth preference. The type of delivery will be recorded a few days postpartum. RESULTS it is a protocol study. no result CONCLUSIONS This semi-experimental clinical trial with a control group tests the effect of virtual childbirth preparation courses on primiparous women. The expected outcomes included the improvement of pregnancy experience measured by the shortened form of PES, a decrease in the fear of childbirth measured by WDEQ-A, and the difference between the birth preference and type of delivery. CLINICALTRIAL IRCT20180427039436N2


2021 ◽  
pp. 1357633X2110241
Author(s):  
Zari Doaltabadi ◽  
Leila Amiri-Farahani ◽  
Seyedeh Batool Hasanpoor-Azghady ◽  
Shima Haghani

Introduction The spouse has a special role in promoting the health of mothers and infants during pregnancy, childbirth, and postpartum. Women's health during pregnancy requires the participation and cooperation of their spouses. Therefore, this study was conducted to determine the effect of face-to-face and virtual prenatal care training of spouses on the pregnancy experience and fear of childbirth of primiparous women. Methods This is a quasi-experimental clinical trial that was conducted on primiparous pregnant women referring to three prenatal clinics in Tehran, Iran. Sampling was done by available method and pregnant women were divided into three groups of face-to-face training ( n = 35), virtual training ( n = 35), and control ( n = 33). The content of training program in the virtual and face-to-face groups was similar and included; nutrition during pregnancy, emotional support, fetal growth and development, advantages and disadvantages of vaginal delivery, planning for delivery, infant care, and danger signs for infants, which were presented in four sessions. The samples in the control group did not receive any training. In the 18th and 20th weeks of pregnancy, the demographic information form, pregnancy experience scale, and version A of the Wijma delivery expectancy/experience questionnaires were completed, and once again in the 37th and 38th weeks of pregnancy, the pregnancy experience scale and version A of the Wijma delivery expectancy/experience questionnaires were completed. Results There was a statistically significant difference in the mean score of pregnancy experience after the intervention between the face-to-face training and control groups ( p = 0.001). There was a statistically significant difference in the mean score of uplifts between the two groups of face-to-face training and control ( p = 0.01), and also between virtual training and control groups ( p = 0.02). There was a statistically significant difference between the two groups of face-to-face training and control in terms of and hassles score after the intervention ( p = 0.04). There was a statistically significant difference between the two groups of face-to-face training and control ( p = 0.02) and also between virtual training and control ( p = 0.04) in terms of the mean score of fear of childbirth after the intervention. Conclusion The results of this study showed that teaching prenatal care to spouses of primiparous women by face-to-face and virtual methods can be a useful intervention in improving the pregnancy experience and reducing the fear of childbirth among primiparous women.


Sains Insani ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 52-58
Author(s):  
Zaida Nor Zainudin ◽  
Siti Aishah Hassan ◽  
Nor Aniza Ahmad ◽  
Yusni Mohamad Yusop ◽  
Wan Norhayati Wan Othman

Memandangkan kemampuan internet mewujudkan prasarana yang sesuai untuk membina hubungan, pengamal kaunseling telah mengambil inisiatif memaksimumkan ruang internet ini. Satu perkhidmatan alternatif menolong melalui interaksi maya ini diwujudkan. E-Kaunseling telah mula mendapat perhatian kaunselor sebagai satu perkhidmatan alternatif yang ditawarkan kepada klien.Kajian ini bertujuan untuk meneroka sejauh mana keberkesanan perkhidmatan E-Kaunseling terhadap jantina. Kajian eksperimental-kuasi ini menggunakan reka bentuk Kumpulan Kawalan Ujian Pra Dan Ujian Pasca. Data kuantitatif diperolehi menggunakan soal selidik Client’s Satisfaction Inventory Short-Form (CSI-SF). Seramai 60 subjek kajian terlibat dan dijalankan dalam dua kumpulan kajian iaitu kumpulan kawalan menggunakan kaedah Kaunseling Bersemuka dan kumpulan eksperimen pula menggunakan kaedah E-Kaunseling.Dapatan menunjukkan tiada perbezaan antara jantina dan Kepuasan Klien dalam kedua-dua kaedah dan hasil analisis Anova Dua Hala menunjukkan tiada perbezaan utama (main interaction) antara Jantina dan Kepuasan klien. Hasil analisis lanjut menggunakan Anova Sehala menunjukkan kesan interaksi (interaction effect) bahawa klien lelaki mendapat lebih kepuasan dalam kaedah E-kaunseling manakala klien perempuan mendapat lebih kepuasan dalam kaedah Kaunseling bersemuka. Implikasi kajian ialah kepada kaunselor sekolah dalam menawarkan perkhidmatan e-kaunseling bagi membantu pelajar yang ingin mendapatkan perkhidmatan kaunseling di luar waktu persekolahan. In view of the ability of the internet to create an appropriate relationship-building infrastructure, counselling practitioners have taken the initiative to optimize this internet space. An alternative service aims to establish this virtual interaction. E-Counselling has begun to catch the eye of counsellors as an alternative service offered to clients.This study aims to explore the effectiveness of E-Counselling services on gender.This quasi-experimental study uses the design of Pre-Test and Post-Test Control Groups. Quantitative data were obtained using the Client’s Satisfaction Inventory Short-Form (CSI-SF) questionnaire. A total of 60 participants were involved and conducted in two study groups, namely the control group using the Face-to-Face Counselling method and the experimental group using the E-Counselling method. Findings show no difference between gender and Client Satisfaction in both methods and the results of the Two-Way Anova analysis show no significant difference between Gender and Client Satisfaction. The results of further analysis using One-Way Anova show the interaction effect that male clients get more satisfaction in the E-counselling method while female clients get more satisfaction in the face-to-face counseling method. The implication of the study is for school counselors to provide e-counseling programs to support students who want to access counseling after school hours.


2019 ◽  
Vol 5 (4) ◽  
pp. 257-268
Author(s):  
Razia Hakimi ◽  
◽  
Masoomeh Kheirkhah ◽  
Jamileh Abolghasemi ◽  
Masumah Hakimi ◽  
...  

Background: Access to precise information about sexual behaviors is an essential need for a favorable marital life. In the context of Afghan society culture, unawareness about sex issues in offspring on the verge of marriage could lead to an undesirable sexual function. The present study aimed to determine the effect of face-to-face sex education on the sexual function of adolescent female Afghan immigrants. Methods: This was a quasi-experimental study with a Pre-test-Post-test and a control group design. This research was conducted in the immigrant neighborhoods of Mashhad City, east of Iran, in 2018. Two charity centers with the largest numbers of Afghan immigrants were randomly selected as the case and control centers. A continuous sampling technique was applied to select the study participants. Besides, women who met the study inclusion criteria completed a demographic questionnaire and the Female Sexual Function Index (FSFI) before and at 4 and 8 weeks after the intervention. In addition to the center’s routine programs, the experimental group received face-to-face education through PowerPoint slides, while the control group only received routine training of the center. The collected data were analyzed by SPSS using descriptive and inferential statistics. Results: There was no significant difference in the sexual function scores between the two study groups before the intervention (P=0.850), while there was a significant difference between them after 4 (P=0.003) and 8 weeks (P<0.001) of intervention provision. Conclusion: Face-to-face sexual training improved sexual function in adolescent female Afghan migrants; therefore, this training method could be used for sexual education in young female immigrants.


2019 ◽  
Vol 2 (1) ◽  
pp. 62-68
Author(s):  
Eka Sriwahyuni ◽  
Andani Barus ◽  
Megawati Sinambela

Hypnobirthing is one of the hypnosis techniques (self-hypnosis), which is a natural effort to instill positive intentions/suggestions into the soul / subconscious mind during pregnancy and childbirth preparation. Primipara is a woman who gives birth for the first time and tends to experience more intense pain than multiparas. The only practice of midwives in the city of Medan that uses hypnobirthing is Rumah Sehat Kasih Bunda. This study was conducted to determine the effect of hypnobirthing relaxation techniques on decreasing pain in the first stage of normal labor in primipara in Rumah Sehat Kasih Bunda in 2019. This study was a Quasi Experiment with the Pretest-Postest design with a control group. The number of samples was ten people, namely five respondents as experiments and five respondents as controls. The sampling procedure uses an accidental sampling technique — retrieval of data using questionnaires. Data analysis carried out by univariate and bivariate with the t-independent test. The results showed that there was an effect of hypnobirthing relaxation techniques on normal labor because there was a decrease in pain in the first stage of normal labor in primiparas after hypnobirthing did. We recommend that pregnant women and mothers who will give birth take classes for pregnant women who not only focus on pregnancy but also about hypnobirthing and are advised to use hypnobirthing relaxation techniques to reduce pain in the first stage of labor.


2017 ◽  
Vol 56 (4) ◽  
pp. 268-275 ◽  
Author(s):  
Simona Korenčan ◽  
Bojana Pinter ◽  
Mojca Grebenc ◽  
Ivan Verdenik

Abstract Introduction The objective of the study was to determine the course and outcomes of pregnancy and childbirth in adolescents compared to women aged 20–24 years in Slovenia. Methods In the retrospective study, the course of pregnancy and labour and the perinatal outcome of newborns in primiparous adolescents aged ≤19 years (study group) have been compared to the control group of primiparous women aged 20–24 years. The study group was further divided into a study subgroup of adolescents aged ≤17 years. Data were retrieved from the National Perinatal Information System in Slovenia for the period 2008–2012. Altogether, 13,663 women and their newborns were included. Results Adolescent pregnancy was associated with increased rates of unknown estimated date of delivery, preterm labour, low birth weight newborns, small for gestational age newborns and low gestational weight gain. Spontaneous labour was more common in adolescents, while emergency and elective Caesarean sections were less common than in women aged 20–24 years. In addition, pregnancy in adolescents aged ≤17 years was associated with increased rate of maternal anaemia and labour without complications. Higher rates of smoking, lower rates of parenting school attendance, lower rates of pregnancy check-ups and screening tests in pregnancy such as nuchal translucency in adolescents were found. Conclusions The results of the study show that adolescent pregnancy is related to higher health risks for pregnant adolescents and their newborns. In addition, adolescents are subject to poorer prenatal care comparing to older women.


2002 ◽  
Vol 3 (4) ◽  
pp. 172-177 ◽  
Author(s):  
Shadi S. Saleh ◽  
Thomas Vaughn ◽  
James Hall ◽  
Samuel Levey ◽  
Laurence Fuortes ◽  
...  

Health officials have promoted case management as a promising intervention in substance abuse treatment (Ridgely & Willenbring, 1992). The relationship between organizational mission combined with case management and different types of outcomes has not been explored in studies, but they are worth noting and exploring further. This study, which is part of a larger clinical trial, examined the 3-, 6-, and 12-month effectiveness of case management in a residential setting for individuals treated for substance abuse. Clients who agreed to participate were randomly assigned to one of four study groups. Two groups received face-to-face case management and one telecommunication case management, while the fourth was the control group. Results from the analysis revealed only modest support for the effectiveness of case management as a supplement to traditional treatment. The face-to-face case-managed groups achieved improvements on the legal, employment, and psychiatric domains exceeding that achieved by the control group. Because of the short-term follow-up of the study, conclusive evidence of the effects of case management could not be drawn. This study is a valuable stepping stone, however, to further research in the field and as an aid to policymakers who are interested in knowing more about the effects of case management.


2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Farokh Saljughi ◽  
Mitra Savabi-Esfahani ◽  
Shahnaz Kohan ◽  
Soheila Ehsanpour

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.


Author(s):  
Sujatha S. ◽  
Rebecca Samson ◽  
Christopher Amalraj ◽  
Sundaresan Sundaresan

Neglected pain in neonates leads to various ill effects and it can be prevented by using simple and safe non-pharmacological pain relieving measures. Pharmacologic agents are not recommended in neonates for acute pain due toinvasive procedures however, administration of 24% oralsucrose solutionis found to be effective. The objective of this study was to assess the efficacy of 24%oral sucrose in combination with Facilitated tucking during BCG Vaccination through intradermalroute in term neonates which is not done elsewhere. Fifty five healthy term neonates who fulfilled the inclusion criteria such as gestational age above 37 weeks, within 24 hoursof birth age, and neonates delivered only through spontaneous vaginal delivery were included in the study. The study intervention consists of administration of 2 ml of oral 24% sucrose 2 minutes before BCG Vaccination through intradermal route and Facilitated tuckingat the time of vaccination. The primary outcome measure of cumulative NIPS score at 0, 3,5 minuteswas not significant in both the study groups. Whereas there was significant reduction in the level of pain and mean cry time in the neonates of sucrose group. Heart rateand oxygen saturation after intradermal injection also showed significant (p less than 0.001) differenceamong the neonates, who received 24% of oral sucroseand Facilitated tucking than for neonates of control group. Thus oral (24%)sucrose solution given 2 minutes before injection was effective in reducing level of neonatal pain following Intradermal Vaccination. It is a simple, safe and fast acting analgesic and should be considered for minor invasive procedures in term neonates which last for 5-7minutes.


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