The effect of special manner of the midwifery cares offering in delivery stages on normal delivery outcomes. Maternal care for fetal problem, unspecified
Conditions
Interventions
Intervention 1: In conventional care group: the clients (from admission time in delivery part till one hour after delivery), will care by a group of duty midwives, visit regularly at 1:30–2 hour inter
will perform delivery and all postpartum cares. The caregiver will remain in parturient's bedside, when she is examining by on call obstetrician and will perform all of the physician’s orders.
In conventional care group: the clients (from admission time in delivery part till one hour after delivery), will care by a group of duty midwives, visit regularly at 1:30–2 hour intervals, in admissi
In continuity of care group: the clients will care by one midwife from admission time in delivery part till one hour after delivery. This midwife will not leave client's bedside for more than a few mi
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Parity lowers than 5; normal pregnancy (without multiple pregnancies, fetus and placental problems…); lack of internal – surgical affliction in mother; no distress in fetus; normal pelvic diameters (by vaginal examination); lack of psychological disorders and communication barriers in mother; lack of drug abuse in mother; being in active phase of labor; lack of cesarean section in history; maternal age 18 – 35; viable and term fetus; estimated body weight in fetus lower than 4000 germs; without premature rupture of membranes and abnormal vaginal bleeding and willing to participate in the study Exclusion criteria: Client's changing mind from continuity of care; fetal distress; emergency problems for mother such as placental abruption.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Kind of delivery. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;First and fifth minute neonate’s Apgar score. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;Length of first and second stage of labor. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;Induced ( episiotomy) and spontaneous tears in perinea and vagina. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes. | — |
Secondary
| Measure | Time frame |
|---|---|
| Uterus atonia in fourth stage. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;Method of membranes rupture. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;Amount of used Oxytocine in labor. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;Neonate’s gender and body weight. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;Client’s fertility characteristics. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;Fetal heart rates pattern in labor. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes.;Uterus contractions pattern in labor. Timepoint: In first, second, third and fourth stage of delivery and childbirth. Method of measurement: Validated and reliable self administer check list for record the birth outcomes. | — |
Countries
Iran (Islamic Republic of)
Outcome results
None listed