None listed
Conditions
Brief summary
We have chosen two established antenatal education programmes (‘SheBirths’ and 'Acubirth'), which together introduce 6 different CM techniques for the management of labour and birth. We plan to introduce the programme via 10 two-day workshop to 96 women and their birth partners over a period of 12 months. We will adapt the programme for implementation at 2 large teaching hospitals in NSW. Participants and their birth partners will be recruited from Antenatal clinics from 24 weeks of gestation and randomly allocated to attend the CM birth education program plus standard care or to standard care alone. The CM birth education programme is an intervention which introduces techniques of: Physiology of birth, the Fear-Pain-Tension cycle; Movement and positions for birth; Acupressure techniques; Guided visualisation; Breathing techniques. Outcomes: The primary outcome to be evaluated is the rate of epidural use. Secondary outcomes to be evaluated include: pharmacological pain relief, instrumental delivery; caesarean section; length of labour; Apgar scores; admission to NICU/SCN; gestational age at delivery; satisfaction/control scores and post-natal depression scores.
Interventions
The intervention is a two-day workshop, held at the study hospital over a weekend, which occurs once per month for a period of 10 months. Study particpants and their birth partners will attend 1 weekend course during the period of 24-34 weeks of gestation. The workshop will introduce 6 different complementary medicine techniques for labour and birth: Education - the hormones of labour, and the fear-tension-pain cycle; breathing techniques; guided visualisation; acupressure; movement/yoga techniques; facilitation of partner support and its current evidence. The workshop will introduce 3 concepts each day of the weekend, which will run for for 6 hours each day. The intervention will be conducted by the researcher, Kate Levett, who is a qualified teacher (BEd), Researcher (MPH), Childbirth Educator (She Births), Acupuncturist (Adv.Dip.App.Sci.Acup, and Grad.Cert.Jap.Acup.). The intervention group will also be advised and encouraged to attend the hospital based antenatal education classes (standard care), which is run by Midwifery Educators at each of the study hospitals.
Sponsors
Study design
Eligibility
Inclusion criteria
Primiparous women, 24-36 weeks of gestation, low-risk normal pregnancy, cephalic presentation, sufficient English to participate in a 2-day workshop.
Exclusion criteria
High risk pregnancy, multiparous, any congenital abnormalities, Participation in similar programme of complementary antenatal education, Participation in a midwifery model of care, insufficient English for participation, non-consent.