Effects of ADIET communication and delivery rehearsal on anxiety, labor process, and outcomes in vaginal trial delivery.

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2025-03-19 DOI:10.5498/wjp.v15.i3.99509

Ling-Mei Liu, Hao-Yu He, Jing-Xian Lu

{"title":"Effects of ADIET communication and delivery rehearsal on anxiety, labor process, and outcomes in vaginal trial delivery.","authors":"Ling-Mei Liu, Hao-Yu He, Jing-Xian Lu","doi":"10.5498/wjp.v15.i3.99509","DOIUrl":null,"url":null,"abstract":"Background: In recent years, the obstetrics department has advocated vaginal delivery to reduce the rate of cesarean sections. However, in clinical practice, pregnant women are prone to anxiety before childbirth, making it difficult to perform a vaginal trial delivery smoothly. The combined approach of ADIET communication and delivery rehearsal for vaginal trial delivery can provide a reference for reducing prenatal anxiety, shortening labor duration, facilitating a smooth delivery, and ensuring the safety of both mothers and babies.Aim: To analyze the effect of AIDET communication combined with labor rehearsal on vaginal trial delivery.Methods: A study conducted between January 2023 and December 2023 included 200 vaginal trials. Women were randomly assigned to an observation group (100 women), which received ADIET communication plus delivery intervention, and a control group (100 women), which received routine communication plus delivery intervention. This study aimed to compare antenatal anxiety status as measured using the Maternal Anxiety Scale, labor duration, delivery efficacy as assessed using the simplified Chinese version of the Childbirth Self-Efficacy Inventory, and delivery outcomes.Results: After the intervention, the observation group had a lower Maternal Anxiety Scale score and higher Childbirth Self-Efficacy Inventory score (P < 0.05) than the control group (P < 0.05), whereas the observation group had higher natural delivery, cesarean delivery, vaginal delivery, and neonatal asphyxia rates (P < 0.05).Conclusion: For women undergoing vaginal trial delivery, a combination of AIDET communication and delivery rehearsal can relieve prenatal anxiety, enhance delivery efficiency, shorten labor duration, and somewhat improve delivery outcomes.","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 3","pages":"99509"},"PeriodicalIF":3.9000,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886330/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5498/wjp.v15.i3.99509","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: In recent years, the obstetrics department has advocated vaginal delivery to reduce the rate of cesarean sections. However, in clinical practice, pregnant women are prone to anxiety before childbirth, making it difficult to perform a vaginal trial delivery smoothly. The combined approach of ADIET communication and delivery rehearsal for vaginal trial delivery can provide a reference for reducing prenatal anxiety, shortening labor duration, facilitating a smooth delivery, and ensuring the safety of both mothers and babies.

Aim: To analyze the effect of AIDET communication combined with labor rehearsal on vaginal trial delivery.

Methods: A study conducted between January 2023 and December 2023 included 200 vaginal trials. Women were randomly assigned to an observation group (100 women), which received ADIET communication plus delivery intervention, and a control group (100 women), which received routine communication plus delivery intervention. This study aimed to compare antenatal anxiety status as measured using the Maternal Anxiety Scale, labor duration, delivery efficacy as assessed using the simplified Chinese version of the Childbirth Self-Efficacy Inventory, and delivery outcomes.

Results: After the intervention, the observation group had a lower Maternal Anxiety Scale score and higher Childbirth Self-Efficacy Inventory score (P < 0.05) than the control group (P < 0.05), whereas the observation group had higher natural delivery, cesarean delivery, vaginal delivery, and neonatal asphyxia rates (P < 0.05).

Conclusion: For women undergoing vaginal trial delivery, a combination of AIDET communication and delivery rehearsal can relieve prenatal anxiety, enhance delivery efficiency, shorten labor duration, and somewhat improve delivery outcomes.

查看原文本刊更多论文

ADIET沟通及分娩预演对阴道试产焦虑、产程及结局的影响。

背景：近年来，产科提倡阴道分娩，以降低剖宫产率。然而，在临床实践中，孕妇在分娩前容易出现焦虑情绪，难以顺利进行阴道试产。采用ADIET沟通与分娩预演相结合的方式进行阴道试产，可为减少产前焦虑，缩短产程，促进分娩顺利，保障母婴安全提供参考。目的：分析AIDET沟通结合产程预演对阴道试产的影响。方法：一项于2023年1月至2023年12月进行的研究包括200例阴道试验。将女性随机分为观察组（100名）和对照组（100名），观察组接受ADIET沟通+分娩干预，对照组接受常规沟通+分娩干预。本研究旨在比较使用产妇焦虑量表测量的产前焦虑状态、分娩持续时间、使用简体中文版分娩自我效能量表评估的分娩效果和分娩结果。结果：干预后，观察组产妇焦虑量表评分低于对照组（P < 0.05），分娩自我效能量表评分高于对照组（P < 0.05），自然分娩、剖宫产、顺产及新生儿窒息率高于对照组（P < 0.05）。结论：对于阴道试产妇女，AIDET沟通结合分娩预演可缓解产前焦虑，提高分娩效率，缩短产程，在一定程度上改善分娩结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.