{"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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To analyze the effect of AIDET communication combined with labor rehearsal on vaginal trial delivery.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>After the intervention, the observation group had a lower Maternal Anxiety Scale score and higher Childbirth Self-Efficacy Inventory score (<i>P</i> < 0.05) than the control group (<i>P</i> < 0.05), whereas the observation group had higher natural delivery, cesarean delivery, vaginal delivery, and neonatal asphyxia rates (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>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.</p>","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}
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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.
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.
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