Comparison of the Effect of Accompanying Midwife and Non-Midwife on the degree of Aanxiety and Labor Pain in Primipara Women

The main objective: Comparison of the Effect of Midwife and Non-Midwife on Reduction of Anxiety and Labor Pain in Primipara Women Dedicated Objectives: 1. Determine the Degree of Anxiety in Intervention groups (with Midwife and Non-Midwife) and Control before and after Intervention 2. Determination of Pain in Intervention groups (with Midwife and Non-Midwife) and Control before and after Intervention 3. Comparison of Anxiety level in Intervention groups (with Midwife and Non-Midwife) and Control before and after Intervention 4. Comparison of Pain in Intervention groups (with Midwife and Non-Midwife) and Control before and after Intervention 5- Comparison of Anxiety level in two groups of Intervention with Midwife and Non-Midwife 6. Comparison of Pain Score in two groups of Midwives and Non-Midwives Practical purposes: If the Presence of a Companion is Effective in Reducing the amount of Anxiety and in the Delivery of PrimiParous Women, the results will be decided by the Maternity wards of the province and the related Hospital Committees in order to be Included in the Protocols for Pain Relief.

This Randomized, Triple Randomized Clinical Trials Study was Conducted on 120 Pregnant Nursing Mothers who had entered the study. Samples were Randomly assigned to three Intervention groups with Midwife and Non-Obstetric Intervention along with a Control group (Routine Care), Randomized Block-Type Random Block Size. Sample Size using the statistical formula and according to Previous Studies and Consideration The Maximum standard deviation of Women's Anxiety score at departure from the Delivery room is 16.04 and the type 1 error is 0.05, the Study Power is 0.90, and the Effect Size of 0.35, with the help of the software G Power A total of at least 108 samples are needed, Considering that there is a probability of dropping about 10% of samples in a total of 120 People, and in each group, 40 People are enrolled and each Participant is assigned a Code.

Block of Delivery in Abhar Abdol and Omid Hospitals and the Type of Randomized Clinical Trial of Three groups and random block type with equal block size

Inclusion criteria: -Iranian Native-Born Women -Sunnis 15-40 Years Old -The Pregnancy is between 37Weeks and 42 Weeks -Have a Live Embryo, Monocular and without Major Anomalies -Cephalic display and Normal weight 4000 2500 -Presence of Labor Contractions, Dilatation 3-4 cm, proper Pelvic Position Output metrics: - The presence of Acute and Chronic Psychiatric NeuroPsychiatric and Anxiety Recorded in the case and use of a Special Psychic Disorder - Having a history of Acute and Chronic Pain, such as Migraine and Appendix, etc. Recorded in the case Having an Indication of Cesarean Section such as history of Surgery on the Uterus, Placenta Pervia, Head and Pelvic Misalignment, Preeclampsia,Cervicellacae Cervix history, Fetal Distress and Partial Early Retirement Use of Analgesic in the last 8 hours - History of Blood Pressure, Gestational Diabetes and Other underlying Illnesses Registered in the case - History of Alcohol Addiction, Smoking and Drug use - Unwilling to Participate in Research

The Two Intervention groups (with Midwife and Non-Midwife) and the Control group, the Midwife Intervention group, who, in addition to Routine Childbirth Care, from the Active Phase of Labor until two hours after Delivery, a Midwife (Obstetric midwife) is permanently associated with Zao, and Psychological Support Zao does. The Second Intervention group, in addition to Routine Nursing Care, is a Familiar Companion and Selects a Mother who has at least one Normal Delivery from the Onset of the Active Phase of Labor to two hours after giving Birth to Zao and Provides Psychological Support to Zao. The Control group that receives Routine Childbirth Care.

Independent variable: Accompanied Midwife, Untimely Companion Dependent variable: Anxiety and Labor Pain

The first-stage sampling method is available from among primiparous women who come to the hospital for delivery. In the second stage, randomly assigned blocks were divided into three intervention groups 1 and 2 and control group. To select the samples, the sealed envelopes used by the statistic consultant and the researcher and those who do the sampling do not know the contents of the envelopes, on the envelopes numbered from one to twenty six. At each sampling time, each sample picks up a number, which, after opening the envelope, is based on the contents of the envelope, the sample is in one of the intervention groups 1 and 2, or controlled.

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Qazvin University of Medical Sciences

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