Delivery. Spontaneous vertex delivery
Conditions
Interventions
Intervention 1: Intervention group: Intrapartum care in the intervention group will be based on the constructs of the care model of the World Health Organization. The nine dimensions of this model are
All considerations of confidentiality and privacy, no physical harm or abuse, dignity and respect, lack of care, right to necessary information, informed consent, and choices/preferences during labor,
Suggested activities for the companion of choice include support for women (stay with her, calm her down, massage her, show her affection, and encourage and stimulate her), behave correctly when the w
Effective communication with the participants will include listening and being polite to them, quickly relieving their pain, behaving in a jovial fashion and being kind and close to them as well as in
Non-pharmacological pain relief techniques, such as teaching diaphragmatic breathing with proper inhalation and exhalation, thermotherapy, position change, and massage, if the participant agrees. If n
Document
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
15 Years to 49 Years
Inclusion criteria
Inclusion criteria: Being at the beginning of the active phase of labor First or second pregnancy
Exclusion criteria
Exclusion criteria: Multiple pregnancy Non-cephalic presentation Having indication for cesarean delivery including abnormal presentation, placenta previa and etc. Midwifery problems such as placenta previa, vaginal delivery after cesarean section, placenta abruption, preeclampsia Mothers with underlying problems such as cardiovascular disease, diabetes and etc. Having a mental disability and other psychological problems Death of one of close relatives during the last three months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Childbirth experience. Timepoint: 4-6 weeks after childbirth. Method of measurement: Childbirth Experience Questionnaire.;Fear of childbirth. Timepoint: At the beginning of the active phase and in dilatation 7-8 cm. Method of measurement: Delivery Fear Scale.;Quality of intrapartum care. Timepoint: 4-6 weeks after childbirth. Method of measurement: Pregnancy and Childbirth Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Postpartum depression. Timepoint: 4-6 weeks after childbirth. Method of measurement: Edinburgh’s Postpartum Depression.;Postpartum stress. Timepoint: 4-6 weeks after childbirth. Method of measurement: PTSD Symptom Scale 1.;Duration of active phase of delivery. Timepoint: From dilatation 4 cm until full dilatation of cervix. Method of measurement: Partograph chart (minute).;Duration of second stage of delivery. Timepoint: From full dilatation of cervix until birth of newborn. Method of measurement: Partograph chart (minute).;Duration of Third stage of delivery. Timepoint: From birth of newborn until complete expulsion of placenta. Method of measurement: Partograph chart (minute).;Frequency of vaginal delivery. Timepoint: After childbirth. Method of measurement: Childbirth checklist.;Tendency to childbearing. Timepoint: 4-6 weeks after childbirth. Method of measurement: Tendency for childbearing checklist. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSomaiyeh Abdolalipour
Tabriz University of Medical Sciences
Outcome results
None listed