Randomized Controlled Trial of Interventions Used by Midwives to Treat Fear of Childbirth.
| Autor: | Mies Padilla S, González de la Torre H, López Alcaide E, Verdú Soriano J, Martín Martínez A |
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| Jazyk: | angličtina |
| Zdroj: | Nursing research [Nurs Res] 2024 Nov-Dec 01; Vol. 73 (6), pp. E221-E231. Date of Electronic Publication: 2024 Jul 17. |
| DOI: | 10.1097/NNR.0000000000000756 |
| Abstrakt: | Background: Fear of childbirth affects women worldwide and can have adverse consequences. Midwives have implemented a number of interventions, autonomously or as part of a professional team. However, midwives have been unable to identify the most appropriate intervention for ensuring the reduction or alleviation of this fear to provide the best perinatal outcomes. Objective: This study aimed to evaluate the effectiveness of a prenatal educational intervention followed by specific support during childbirth, designed and delivered exclusively by midwives for women with a high fear of childbirth. Method: This randomized controlled trial was performed with two arms in two phases: an online prenatal education phase followed by a support phase during childbirth. Participating women with a high fear of childbirth, which was determined using the Wijma Delivery Expectancy Questionnaire A-Spanish version, were assigned to the experimental group or the usual care control group at a 1:1 ratio. Results: Women showed a reduction in fear of childbirth in both phases of the study. According to the intention-to-treat analysis, a significant mean difference was observed in the prenatal stage in favor of the intervention group, and a nonsignificant difference was observed in favor of this same group after delivery. Discussion: The effectiveness of continuous specific prenatal education with preferential support during childbirth by midwives was indicated by improvements in the level of fear of childbirth. Competing Interests: The authors have no conflicts of interest to report. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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