Empowering women with fetal malpositions: enhancing childbirth experience and empowerment through educational interventions: a randomized controlled clinical trial.

IF 2.8 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Xiuhong Wang, Xueyan Wang, Xiaofeng Wan, Xueheng Wen, Cailing Lv, Jinguo Zhai
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引用次数: 0

Abstract

Background: This study aims to determine the impact of a childbirth educational intervention, based on empowerment theory, on childbirth experience and empowerment in women with fetal occiput posterior and occiput transverse malpositions.

Methods: A randomized controlled trial was conducted from February 2022 to December 2022 involving pregnant women with fetal occiput posterior and occiput transverse malpositions. Eligible women were randomly assigned to either the control or study group. The control group received routine care during childbirth, while the study group received routine care and a childbirth-empowering educational intervention delivered by midwives. Primary outcomes assessed were childbirth experience and patient perceptions of patient-empowering nurse behaviors in pregnant women. Secondary outcomes included pregnancy outcomes, delivery support and control, maternal coping behavior during delivery, maternal participation in delivery decisions, and perception of empowerment.

Results: A total of 137 pregnant women were enrolled, with 69 and 68 in the control and study groups, respectively. The study group showed significantly higher levels of childbirth experience and reported better patient perceptions of patient-empowering nurse behaviors than the control group. Additionally, the study group demonstrated higher levels of delivery support and control, maternal coping behavior, and specific aspects of perceived participation and patient perception of empowerment compared to the control group. There were no statistically significant differences in pregnancy outcomes between the two groups.

Conclusion: The childbirth empowering educational intervention effectively improved the childbirth experience and empowerment of women with fetal occiput posterior and occiput transverse malpositions. However, further studies are required to investigate its impact on pregnancy outcomes.

Trial registration: The study protocol was approved by the hospital ethics committee (approval number:2020140A01) and registered at the Chinese Clinical Trial Registry (registration number: ChiCTR2300070915; date of first registration: 26/04/2023).

胎位不正妇女赋权:通过教育干预提高分娩经验和赋权:一项随机对照临床试验。
背景:本研究旨在探讨基于赋权理论的分娩教育干预对胎儿枕后位和枕横位畸形妇女分娩体验和赋权的影响。方法:于2022年2月至2022年12月对胎儿枕后位和枕横位畸形孕妇进行随机对照试验。符合条件的妇女被随机分配到对照组或研究组。对照组在分娩期间接受常规护理,而研究组接受常规护理和助产士提供的分娩赋权教育干预。评估的主要结果是分娩经验和患者对孕妇患者授权护士行为的看法。次要结局包括妊娠结局、分娩支持和控制、分娩期间产妇应对行为、产妇参与分娩决策和赋权感知。结果:共纳入137名孕妇,对照组和研究组分别为69名和68名。与对照组相比,研究组的分娩经验水平明显更高,并且报告了更好的患者对患者授权护士行为的感知。此外,与对照组相比,研究组表现出更高水平的分娩支持和控制,产妇应对行为,感知参与和患者感知授权的具体方面。两组妊娠结局无统计学差异。结论:分娩赋权教育干预能有效改善胎儿枕后位和枕横位畸形产妇的分娩体验和赋权。然而,需要进一步的研究来调查其对妊娠结局的影响。试验注册:研究方案经医院伦理委员会批准(批准文号:2020140A01),并在中国临床试验注册中心注册(注册号:ChiCTR2300070915;首次注册日期:2023年4月26日)。
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来源期刊
BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth OBSTETRICS & GYNECOLOGY-
CiteScore
4.90
自引率
6.50%
发文量
845
审稿时长
3-8 weeks
期刊介绍: BMC Pregnancy & Childbirth is an open access, peer-reviewed journal that considers articles on all aspects of pregnancy and childbirth. The journal welcomes submissions on the biomedical aspects of pregnancy, breastfeeding, labor, maternal health, maternity care, trends and sociological aspects of pregnancy and childbirth.
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