The relationship between delivery fear and childbirth experience with the level of adherence to the WHO recommendations for a positive childbirth experience in Iranian women: a cross-sectional study.

Autor: Shabani F; Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran., Ghanbari Homaie S; Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran., Yousefi Tabaei F; Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran., Montazeri M; Department of Midwifery, Faculty of Nursing and Midwifery, Islamic Azad University, Khalkhal Branch, Khalkhal, Iran., Raphi F; Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran., Lalezari E; Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran., Mirghafourvand M; Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. mirghafourvand@gmail.com.
Jazyk: angličtina
Zdroj: Reproductive health [Reprod Health] 2024 Dec 18; Vol. 21 (1), pp. 189. Date of Electronic Publication: 2024 Dec 18.
DOI: 10.1186/s12978-024-01921-y
Abstrakt: Background: Childbirth experience is a unique event that involves psychological and physiological aspects influenced by social, environmental, organizational, and political factors. In 2018, the World Health Organization (WHO) introduced 56 recommendations for ensuring a positive childbirth experience at different stages of labor and delivery. Owing to the importance of implementing these guidelines, we have chosen to assess adherence to the WHO recommendations and their association with the fear and experience of childbirth.
Methods: This cross-sectional study was conducted on women hospitalized in the labor departments of the Al-Zahra and Taleghani Educational centers in Tabriz, Iran from 2023 to 2024. Sampling was performed via a convenience method, and data were collected via sociodemographic characteristics questionnaire, childbirth experience questionnaire.2 (CEQ.2), delivery fear scale (DFS), and the WHO recommendation checklist. The data were analyzed via Pearson correlation, independent t tests, one-way analysis of variance, and a general linear model (GLM).
Results: The average adherence score to the WHO recommendations among the women studied was 36.4 (SD 9.3), out of a range of 0-56. There was a significant negative correlation between adherence to the recommendations and delivery fear (r = - 0.249; p < 0.001) and a significant positive correlation with childbirth experience (r = 0.414; p < 0.001). The GLM results, after adjusting for sociodemographic variables, revealed a significant increase in positive childbirth experience with increasing adherence score (B = 0.01; 95% CI 0.005 to 0.02, p = 0.001) and a nonsignificant association between delivery fear and adherence score (B = - 0.1; 95% CI - 0.4 to 0.04, p = 0.114).
Conclusion: This study highlights the need to improve the implementation of WHO recommendations in educational and therapeutic centers and to consider various factors that affect the experience and fear of childbirth. Policymakers and medical center managers should place greater emphasis on training, monitor the complete implementation of the recommendations, and provide psychological and social support to pregnant women. This approach can help improve the childbirth experience, reduce delivery fear, and increase the preference for natural childbirth.
Competing Interests: Declarations. Ethics approval and consent to participate: This study was approved by the Ethics Committee of Tabriz University of Medical Sciences, with the code IR.TBZMED.REC.1400.777. Before participation, the researcher thoroughly explained the study’s objectives and methodologies to all participants. Informed written consent was obtained from each participant, affirming their voluntary involvement and understanding of the study’s purpose and procedures. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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