آیا حمایت مداوم مادر توسط مامای همراه در پیامدهای زایمانی تغییری ایجاد می‌کند؟

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد بهداشت باروری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 استادیار گروه آمار زیستی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران. استادیار گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

مقدمه: حمایت مداوم مادر توسط "مامای همراه" حین لیبر و زایمان، یکی از مهم‌ترین راهکارهای بهبود روند زایمان می‌باشد. مطالعه حاضر با هدف مقایسه پیامدهای زایمانی بین دو گروه دریافت‌کننده حمایت مداوم مامای همراه و عدم دریافت حمایت انجام شد.
روش کار: دراین مطالعه­ توصیفی - تحلیلی، پیامدهای 220 زایمان در دو گروه از مادران در شهر بندرعباس در سال 1395 مورد مشاهده قرار گرفت. در گروه اول علاوه بر مراقبت‌های معمول، حمایت‌های عاطفی، جسمانی و اطلاعاتی توسط مامای همراه به مادر ارائه و گروه دوم، فقط مراقبت‌های معمول ارائه می‌شد. پیامدهای زایمانی شامل طول فاز فعال، مصرف اکسی‌توسین، شدت درد، نوع زایمان، میزان پارگی پرینه، نمره آپگار، تماس پوست به پوست و شروع شیردهی به وسیله چک لیست مشاهدات پژوهشگر ساخته مورد بررسی قرار گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 20) و آزمون‌های تی‌تست، کای دو، من ویتنی و رگرسیون لوجستیک دو‌گانه انجام شد.میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: تماس پوست به پوست (001/0>p) و شیردهی یک ساعت اول تولد (001/0>p) بین دو گروه تفاوت آماری قابل توجهی داشت. بقیه پیامدها بین دو گروه تفاوت آماری نداشت. شانس این دو پیامد در مادرانی که مامای همراه داشتند، به ترتیب تقریباً 6 و 9 برابر بود.
نتیجه‌گیری: حمایت مداوم مادر در طی لیبر و زایمان توسط مامای همراه می‌تواند تماس پوست به پوست و شیردهی یک ساعت اول بعد از تولد را ارتقاء بخشد.

کلیدواژه‌ها

عنوان مقاله [English]

Does continuous labor support by midwife make a difference in delivery outcomes?

نویسندگان [English]

  • Sahebeh Dadshahi 1
  • Shahnaz Torkzahrani 2
  • Padideh Janati-Ataie 2
  • Malihe Nasiri 3
1 M.Sc. Student of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Lecturer, Department of Midwifery, school of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Assistant Professor, Department of Biostatistics, school of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Assistant Professor, Department of Paramedicine, school of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Continuous labor support by a doula is one of the most important ways to improve the delivery process. Regarding this, the present study aimed to compare delivery outcomes between two groups receiving continuous support delivered by doula and those having no such support.
 Method: In this descriptive-analytical study, the outcomes of 220 deliveries were evaluated in two groups of mothers living in Bandar Abbas, Iran, in 2016. In the supportive group, the mothers were provided with emotional, physical, and informational supports in addition to routine care. In the non-supportive group, only routine labor care was delivered. Childbirth outcomes, including the duration of active phase of labor, oxytocin consumption, severity of pain, type of delivery, perineal rupture, Apgar score, skin-to-skin contact, and the beginning of breastfeeding, were recorded using a researcher-made observation checklist. The data were analyzed in SPSS (version 20) using t-test, Chi-square test, Mann-Whitney U test, and two-way logistic regression. P-value less than 0.0 was considered statistically significant.
Results: According to the results, there was a significant difference between the two study groups in terms of the skin-to-skin contact (P<0.001) and breastfeeding the first hour of birth (P<0.001). However, no significant difference was observed between the two groups regarding the other variables. The odds of skin-to-skin contact and breastfeeding the first hour of birth were 6 and 9 times higher in the mothers provided with supportive care than those in the mothers receiving no such support.
Conclusion: As the findings indicated, the provision of mothers with continuous support during labor and delivery by the doula improved skin-to-skin contact and breastfeeding the first hour of birth.

کلیدواژه‌ها [English]

  • Continuous support
  • Doula
  • Delivery outcomes
  • Skin-to-skin contact
  • Breastfeeding

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مجله زنان، مامایی و نازایی ایران
دوره 20، شماره 12
اسفند 1396
صفحه 67-76

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