: Evaluation of continuous support by doula midwife during labor on duration, pain, and mode of labor in primiparous women

Evaluation of continuous support by doula midwife during labor on duration, pain, and mode of labor in primiparous women

a double-blind clinical trial with a parallel-group design of 110 samples. The card drawing technique was used to randomize the assignment of subjects to the groups.

110 primiparous women referred to Imam Ali Amol hospital after obtaining the written consent of the qualified individuals, they will be placed in two groups with the support of a doula midwife and the control group (routine care) by a simple randomization method. In the doula support group, the doula midwives explain the delivery process and its progress for mothers by close physical and eye contact with them, assured them and made them calm, led them, and emphasized the relaxation. The control group received the care from midwifery personnel, two groups received the same general care during delivery (fetal heart rate control, vaginal examinations, maternal vital signs, etc.). To blind patients in two groups, the intervention and control groups will be admitted to separate rooms and vaginal examinations, labor progress, measurement of the pain severity was done by a researcher who was unaware of how groups were assigned.

The inclusion criteria included the primiparous women, live , term and singleton fetus, cephalic presentation the exclusion criteria: pregnancy disorders, the possibility of CPD, Caesarean indication.

The control group received the care from midwifery personnel doula support group, the doula midwives visited patients from the moment of admission and accompanied mothers at all stages of labor and delivery and beside Providing routine care

decrease labor pain severity and duration and decrease cesarian delivery

The card drawing technique was used to randomize the assignment of subjects to the groups. A total of 110 identical cards were first prepared, and 55 were labeled A (routine care), 55 B(the private midwife support ). A card was randomly drawn for each participant who entered the study by an independent assistant researcher (engaged only in the randomization process) and the type of intervention written on the card was announced by another researcher.

After the randomization process, the intervention and control groups were admitted to separate rooms. In addition to routine care by midwifery personnel, each patient in the intervention group will be cared for by doula midwife until the end of labor. For both groups, the results of the vaginal examination and the severity of the pain will be evaluated and recorded by a researcher who is unaware of how the groups are allocated.