تأثیر کلاس های آمادگی دوران بارداری بر طول مدت و نوع زایمان در زنان نخست زا

نوع مقاله : اصیل پژوهشی

نویسندگان

1 گروه مامایی، واحد اردبیل، دانشگاه آزاد اسلامی، اردبیل، ایران.

2 گروه روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران.

3 گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران.

چکیده

مقدمه: زایمان، یک فرآیند فیزیولوژیک است که باید با روند طبیعی و بدون مداخله انجام گیرد. مطالعه حاضر با هدف تعیین تأثیر کلاس‌های آمادگی دوران بارداری بر طول مدت و نوع زایمان در زنان نخست‌زا انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی در سال 1396 بر روی 100 نفر از زنان نخست‌زایی که جهت مراقبت‌های دوران بارداری و زایمان به بیمارستان سبلان شهرستان اردبیل مراجعه کرده بودند، انجام شد. افراد به‌صورت تصادفی ساده و یک در میان در دو گروه 50 نفره آزمون و کنترل قرار گرفتند. ابزار گردآوری داده‌ها، پرسشنامه بود. افراد گروه آزمون در کلاس‌های آموزش که از هفته 34-20 بارداری در 8 جلسه 2 ساعته که هر دو هفته یک‌بار توسط مربی مامایی برگزار می‌شد، شرکت ‌کردند و در گروه کنترل زنان مراقبت‌های معمول بارداری را دریافت کردند. در هر دو گروه بعد از شروع دردهای زایمان، طول مدت زمان فاز فعال، مرحله دوم زایمان و نوع زایمان توسط پژوهشگر ثبت شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون‌های تی، کای اسکوئر و آزمون دقیق فیشر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: در این مطالعه، آموزش‌های دوران بارداری به‌طور معنا‌داری سبب کاهش طول مدت زایمان (001/0>p) و زایمان به روش سزارین (023/0=p) شد.
نتیجه‌گیری: کلاس‌های آمادگی دوران بارداری سبب کاهش طول مدت زایمان و میزان سزارین می‌شود، لذا پیشنهاد می‌گردد این کلاس‌ها به‌صورت گسترده‌تری در مراکز مراقبت بارداری و زایمان تشکیل شوند.

کلیدواژه‌ها

عنوان مقاله [English]

Effect of prenatal preparation classes on the duration of labor and delivery type in primiparous women

نویسندگان [English]

  • Sima khavandizadeh Aghdam 1
  • Yalda Mahfouzi 2
  • Rafat Kazemzadeh 3
1 Department of Midwifery, Ardabil Branch, Islamic Azad University, Ardabil, Iran.
2 Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran.
3 Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
چکیده [English]

Introduction: Childbirth is a physiological process that must be accomplished without any interventions. The main objective of this study was to evaluate the effects of prenatal preparation classes on the duration of labor and delivery type in primiparous women.
Methods: This clinical trial was conducted on 100 primiparous women referring to the Sabalan Hospital in Ardabil, Iran, for prenatal care and delivery in 2017. The subjects were randomly assigned into two groups of intervention (n=50) and control (n=50). The intervention group participated in childbirth preparation classes (from 20th to 37th weeks of gestation) for eight 2-hour sessions implemented biweekly by a midwife. The control group received only usual pregnancy care. Trainings in the intervention group included the anatomy and physiology of women's genital organ, modifiable activity during pregnancy, personal health, abdominal breathing, nutrition, high-risk pregnancy, mental health, types of delivery, postpartum problems, newborn, and breastfeeding. After the initiation of labor, the duration of active phase, second stage of labor, and method of delivery were recorded by the researcher for both groups. The data were analyzed in SPSS software (version 18) using t-test, Chi-square, and Fisher’s exact test. P-value less than 0.05 was considered statistically significant.
Results: The results of the study showed that the prenatal preparation classes reduced the duration of delivery (P<0.001) and rate of cesarean section (P=0/023).
Conclusion: Prenatal preparation classes led to the reduction of labor duration and rate of cesarean section. Therefore, it is suggested to implement these preparation classes at a wider scope in prenatal care centers.

کلیدواژه‌ها [English]

  • Prenatal preparation classes
  • Delivery outcome
  • Primipara women

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مجله زنان، مامایی و نازایی ایران
دوره 21، شماره 11
بهمن 1397
صفحه 37-43

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