None listed
Conditions
Brief summary
A randomised controlled trial examined a skills-based self-teach childbirth/childbirth coaching preparation programme. The trial examined whether there was an effect on birth satisfaction, and parenting self-efficacy, family life satisfaction, and postpartum depression at six months postpartum. A post hoc analysis treating data as a prospective observational study sought to determine which covariates were linked to birth satisfaction, and the three six months measures. Comments collected with the post birth questionnaire twere also analysed to deepen our understanding of the birth experience of both parents. Lastly, this research project examined whether the midwife benefited when clients undertook the skills-based preparation. A sample of 182 first time mothers and their partners was recruited from throughout New Zealand. Participants completed four questionnaires composed of established survey instruments between 24 weeks gestation and six months postpartum. One hundred and four midwives elected to complete a survey. A 3X2 repeated measures ANOVA revealed that the self-taught skills (Intervention) group changed differently over time, reporting a higher increase in childbirth self-efficacy and higher decrease in family life satisfaction for mothers compared to the Active and Passive Control Groups. An ANOVA analysis revealed that mothers and fathers in the Intervention and Active Control Groups reported higher birth satisfaction compared to the Passive Control Group. A post-hoc regression analysis found there were many significant associations with the outcomes of birth satisfaction, parenting self-efficacy, family life satisfaction and postpartum depression. For mothers three major themes emerged from the phenomenological thematic analysis of the data. When she felt she owned her process, had good care/carers and support/supporters, and had a safe delivery, the mother reported higher birth satisfaction. For fathers four major themes emerged. When he felt confident of the safety of mother and baby throughout the process, that he was included and involved, that the mother coped well with childbirth, and that the birth and after met his expectations, the father reported higher birth satisfaction. An ANCOVA determined that midwives in the Intervention Group experienced less stress than they generally experienced compared to the midwives working with the other two groups. The skills-based preparation advocated in The Pink Kit Method for was effective in increasing mothers’ childbirth self-efficacy.
Interventions
A skills based interventional package is posted to women, they complete it at home in their own time. The intervention is a anonymised version of "The Pink Kit for Birthing Better". The kit is sent out to women and contains 4 e-books, two audio CDs and a DVD. Women can choose when to read or listen to any of the content from 24 weeks gestation until full term. It is not personalised and participants will be asked what percentage of the course they think they used after the birth of their child.
A skills based interventional package is posted to women, they complete it at home in their own time. The intervention is a anonymised version of "The Pink Kit for Birthing Better". The kit is sent out to women and contains 4 e-books, two audio CDs and a DVD. Women can choose when to read or listen to any of the content from 24 weeks gestation until full term. It is not personalised and participants will be asked what percentage of the course they think they used after the birth of their child. Contents of the PInk Kit: 4 e-books: 1. Breath, language and touch skills 2. Teamwork and managing skills 3. Rationalization for basic skills applicable for every birth 4. Extra skills for specific situations 1 DVD and contents Skills to manage birth process, eg: Directed breathing Map your pelvis Teamwork Skills to keep the body’s structure relaxed and open, for example: Deep touch relaxation Cervical relaxation Hip lift Sit bone spread Pelvic clock Kate’s cat 2 CDs and contents How to prepare the birth passage, eg: internal work Skills for each phase of a contraction The second intervention is a collection of birth stories put together by the researchers to act as an active control.
Sponsors
University of Otago
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Must be pregnant and expecting a first child. Must have a partner. Must be less than 24 weeks pregnant. The partners of women who volunteered for the study were also invited to participate, there were no inclusion/exclusion criteria for partners. Midwives were sent a questionnaire at the conclusion of the study as informants rather than participants
Exclusion criteria
Unable to speak english or understand questionnaires. No home address.
Outcome results
None listed