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Study aim
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Determining the effect of companion’s support on the fear and self-efficacy of labor
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Design
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A clinical trial will be conducted on 114 primiparous pregnant women who are referred with cervical dilatation of 5-4 cm. Research units are randomly allocated to three groups of midwives (intervention), relatives and friends (control 1) and unmarried (control 2).The data collection tool was a demographic questionnaire, a phobia questionnaire, a self-efficacy questionnaire for labor and a McKay standard questionnaire to measure the satisfaction of delivery.
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Settings and conduct
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They receive the usual midwifery care group. The intervention group is provided by the researcher as a midwife with psychosocial, physical, educational support and supportive care of the cervical dilatation of 5-4 cm until two hours after delivery. Control group 1 supports 4 to5 cm dilation of the cervix up to two hours after delivery according to the usual method of the hospital, which will be used to select a woman from a family, or family, or from friends. The control group (2) receives only routine care. Data collection tools consisted of demographic data, demographic questionnaire, maternal phobia questionnaire, labor self-efficacy questionnaire, and McKay standard questionnaire for measuring the satisfaction of delivery. Maternal self-efficacy and DFS delivery questionnaire is completed at the age of 4-5 cm (at the time of admission), dilatation of 8-10 cm DFS , in the second stage of the labor (crooning step)
and self-check questionnaire half an hour later. Fear of Vijima Maternity Delivery Questionnaire (version b) and satisfaction questionnaire completed two hours after delivery.Omolbnen Hospital
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Iranian nationalty; written informed consent; primiparous; low-risk pregnancy; cervical dilatation of 4-5 cm; age 18 to 35 years old; gestational age 38 weeks and more; no major underlying disease (diabetes, high blood pressure, epilepsy, heart disease, asthma); no initial indication of cesarean section; fetal weight of 2500-4000 grams. Exclusion criteria: tobacco use and narcotic drugs; cesarean section indication at each stage of the study; pregnancy become high risk including bleeding or fetal distress; use of analgesic methods including spinal and epidural analgesia; use of entonox and reluctance to continue to participate in the study.
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Intervention groups
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The intervention group is provided by the researcher as a midwife with psychosocial, physical, educational support and supportive care of the cervical dilatation of 4-5 cm until two hours after delivery. Control group (1) supports 4 to 5 cm dilation of the cervix up to two hours after delivery according to the usual method of the hospital, which will be used to select a woman from a family, or family, or from friends. The control group (2) receives only routine care
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Main outcome variables
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Maternal self-efficacy and DFS delivery questionnaire is completed at the stage of 4-5 cm (at the time of admission), dilatation of 8-10 cm, DFS in the second stage of the labor (crooning step) and self-check questionnaire half an hour later. wijma Maternity Wear Questionnaire (version b) and Delivery Satisfaction Questionnaire completed two hours after delivery.