Birthing With Others: Exploring the Efficacy of One-On-One Professional Support on Physiological Birth and Flow State.

IF 2.8 3区 医学 Q1 NURSING
Orli Dahan, Alon Goldberg
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引用次数: 0

Abstract

Background: One-on-one professional support during labor is recognized for its role in promoting physiological birth, reducing interventions, and enhancing women's birthing experiences. Throughout physiological birth, many women encounter an altered state of consciousness. This state not only facilitates the normal birth process but also empowers women during and after childbirth. Recently, the flow-a mental state of complete absorption and energized focus in an activity, with a sense of control and high motivation-has been identified as a measure of this experience during physiological birth. This study aimed to discover whether one-on-one continuous professional support would improve the childbirth experience by increasing the likelihood of physiological birth and a heightened state of flow during childbirth.

Methods: Women with childbirth experience were recruited through social media. Participants (n = 788) completed an online survey: the Flow State Scale (FSS) and a demographic questionnaire, including details about the professional support received during childbirth.

Results: One-on-one professional support was significantly associated with natural childbirth (midwife: 80.9%, doula: 65.7%) and lower medical interventions (midwife: 19.1%, doula: 34.3%) compared to conventional professional assistance (natural birth: 44.4%, interventions: 55.6%). A MANCOVA analysis revealed significant differences in flow state levels, with women receiving one-on-one support experiencing the highest flow state.

Conclusions: This research validates the significant correlation between one-on-one support-provided by midwives or doulas-and physiological birth. It also establishes for the first time a correlation between women in childbirth receiving continuous one-on-one professional support and heightened flow state levels, signifying a positive and empowering birthing experience.

与他人一起分娩:探索一对一专业支持对生理分娩和流动状态的影响。
背景:分娩过程中一对一的专业支持在促进生理性分娩、减少干预和提高妇女分娩体验方面的作用被公认。在整个生理分娩过程中,许多妇女都会遇到意识状态的改变。这种状态不仅有利于正常的分娩过程,而且在分娩期间和分娩后赋予妇女权力。最近,“心流”——一种完全专注于一项活动的精神状态,具有控制感和高度的动机——被确定为生理出生期间这种体验的衡量标准。本研究旨在发现一对一的持续专业支持是否会通过增加生理分娩的可能性和分娩过程中更高的心流状态来改善分娩体验。方法:通过社交媒体招募有分娩经历的女性。参与者(n = 788)完成了一项在线调查:流动状态量表(FSS)和人口统计问卷,包括分娩期间获得的专业支持的详细信息。结果:与传统专业协助(自然分娩:44.4%,干预:55.6%)相比,一对一专业支持与自然分娩(助产士:80.9%,导乐:65.7%)和较低的医疗干预(助产士:19.1%,导乐:34.3%)显著相关。MANCOVA分析揭示了心流状态水平的显著差异,接受一对一支持的女性经历了最高的心流状态。结论:本研究验证了助产士或助产师提供的一对一支持与生理分娩之间的显著相关性。它还首次建立了妇女在分娩时接受持续一对一的专业支持和提高心流状态水平之间的相关性,这标志着一种积极和赋权的分娩体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Birth-Issues in Perinatal Care
Birth-Issues in Perinatal Care 医学-妇产科学
CiteScore
4.10
自引率
4.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Birth: Issues in Perinatal Care is a multidisciplinary, refereed journal devoted to issues and practices in the care of childbearing women, infants, and families. It is written by and for professionals in maternal and neonatal health, nurses, midwives, physicians, public health workers, doulas, social scientists, childbirth educators, lactation counselors, epidemiologists, and other health caregivers and policymakers in perinatal care.
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