The effect of intrapartum care model given in line with World Health Organization (WHO) recommendations on labor pain, fear of labor, comfort of labor, duration of labor, administration of oxytocin and perception of midwifery care: a randomized controlled study.
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引用次数: 0
Abstract
Objectives: This study aimed to assess the impact of a WHO-aligned intrapartum care model on labor aspects, including pain, fear, comfort, labor duration, oxytocin use, and perceptions of supportive care.
Methods: This is a randomized controlled study. The study was conducted with 124 primiparous pregnant women (intervention group n = 62, control group n = 62) who were admitted to the maternity unit of a hospital in Central Anatolia, Türkiye. The intervention group was subjected to the intrapartum care model, once cervical dilatation reached 5 cm. The control group received only standard intrapartum care in the hospital.
Results: The Visual Analog Scale (VAS) scores for the pregnant women in the intervention group who received intrapartum care in accordance with WHO recommendations were significantly lower than those for the control group (p < 0.001). The pregnant women in the intervention group exhibited lower fear of labor scores and higher comfort of labor scores during the active phase than those in the control group (p < 0.001). Furthermore, the duration of the first, second, and third stages of labor was observed to be significantly shorter in the intervention group compared to the control group (p < 0.001). Additionally, the use of oxytocin was found to be less prevalent in the intervention group compared to the control group (p < 0.001). Furthermore, the mean scores of the scale measuring women's perception of supportive care during labor were found to be significantly higher in the intervention group compared to the control group (p < 0.001).
Conclusion: In alignment with these findings, it is recommended that midwives and obstetricians implement the intrapartum care model in accordance with the World Health Organization's (WHO) recommendations. The implementation of this model aims to reduce labor pain, fear, and oxytocin use, enhance women's perception of birth comfort and care, and transform the birth experience into a more positive one.
目的：本研究旨在评估与世卫组织一致的产时护理模式对分娩方面的影响，包括疼痛、恐惧、舒适、分娩持续时间、催产素的使用和对支持性护理的看法。方法：随机对照研究。该研究对124名初产孕妇（干预组n = 62，对照组n = 62）进行了研究，这些孕妇住在土耳其中部安纳托利亚一家医院的产科病房。干预组在宫颈扩张达到5cm时进行产中护理模型。对照组仅在医院接受标准的产时护理。结果：干预组孕妇的视觉模拟量表（VAS）评分明显低于对照组（p p p p p）。结论：根据这些发现，建议助产士和产科医生按照世界卫生组织（who）的建议实施分娩时护理模式。该模型的实施旨在减少分娩疼痛、恐惧和催产素的使用，增强女性对分娩舒适和护理的感知，并将分娩体验转变为更积极的体验。临床试验注册：www.clinicaltrials.gov标识符NCT06681675。
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