:: Volume 3, Issue 4 ( Journal of Clinical and Basic Research (JCBR) 2019) ::
jcbr 2019, 3(4): 7-12 Back to browse issues page
Effect of an Accompanying Midwife on Maternal Resilience and Preferred Route of Delivery in Pregnant Women
Anahita Khodabakhshi-koolaee 1, Fariba Rooshani Koosha2, Leili Mosalanejad3
1- Department of Psychology and Education, Faculty of Humanities, Khatam University, Tehran, Iran
2- Department of Counseling, Faculty of Human Sciences, Islamic Azad University, Central Tehran Branch, Tehran, Iran
3- Non-Communicable Diseases Research Center, Jahrom University of Medical Sciences, Jahrom, Iran
Abstract:   (238 Views)
Background and objectives: Pregnancy is one of the most important and stressful periods of women's lives. Recent studies have indicated an increasing trend in caesarean section rates. Although women are becoming more impatient and less resilient about vaginal delivery, raising awareness on stress management and resilience increases women’s readiness for the important task of motherhood. The purpose of this study was to investigate effect of an accompanying midwife on maternal resilience and preferred method of delivery in pregnant women.
Methods: This cross-sectional, descriptive-analytical study was performed on pregnant women who were in the final month of pregnancy and referred to the Khatam-al-Anbia and Baghiyyatollah al-Azam hospitals in Tehran (Iran) for periodic examinations in 2018. Overall, 150 pregnant women (75 with an accompanying midwife and 75 without an accompanying midwife) were selected using simple random sampling. The Connor-Davidson Resilience Scale was used to assess maternal resilience. In addition, the delivery preference (natural childbirth or cesarean section) was determined in the scale. Data were analyzed in SPSS 16 using descriptive statistics and inferential statistics at significance level of 0.05.
Results: Pregnant women with an accompanying midwife had a significantly higher mean resilience score than those without an accompanying midwife (P=0.002). Moreover, the resilience score had a significant impact on subjects’ preferred route of delivery (P <0.01).
Conclusion: The findings of this study show that pregnant women accompanied by a midwife during pregnancy have better resilience and tendency towards vaginal delivery.
Keywords: Resilience, accompanying midwife, vaginal delivery, caesarean section
Full-Text [PDF 216 kb]   (69 Downloads)    
Article Type: Research | Subject: Medicine
Received: 2019/12/11 | Accepted: 2019/12/11 | Published: 2019/12/11
1. Shahidi Sh, Shirafkan S. Psychology and Spirituality, Tehran: Growth Publishing;2004. (Persian).
2. heidari T, ziaei S, ahmadi F, mohammadi E. Body and spirit promoting during pregnancy: A content analysis study. Sci J Hamadan Nurs Midwifery Fac. 2014; 22 (1) :5-14. (Persian).
3. Sehati Shafaie F, Sheybani F. Lifestyle and its relationship with pregnancy outcomes in pregnant women referred to educational hospitals in Tabriz. Iranian Journal of Obstetrics, Gynecology and Infertility. 2015;17(131):13-19. (Persian).
4. Stager L. Supporting women during labor and birth. Midwifery Today Int Midwife .2009; 92:12-5.
5. Umeora J, Ugochukwu O, Ukkaegbe CI, Eze JN, Masekoameng AK. Spousal companionship in labor in an urban facility in South East Nigeria. Anatol J Obstet Gynecol .2011; 2:1-5.
6. Khodabakhshi Koolaee A, Heidari S, Khoshkonesh A, Heidari M. Relationship between Spiritual Intelligence with Resilience to Stress and the Preference of Delivery Method among Pregnant Women. Iranian Journal of Obstetrics, Gynecology and Infertility. 2013; 16(58): 8-15. (Persian).
7. Hanewald R. Reviewing the literature on "At-Risk" and resilient children and young people, Australian Journal of Teacher Education .2011; 36(2). [DOI:10.14221/ajte.2011v36n2.2]
8. Alizadeh H. Cognitive resilience (psychological well-being and behavioral disorders), Tehran: Arasbaran publication; 2013. (Persian).
9. Agaibi, C. E, & Wilson, J. P. Trauma, PTSD, and resilience: A review Of the Literature. Trauma, Violence, & Abuse.2005; 6(3), PP: 195-216. [DOI:10.1177/1524838005277438]
10. Mosala Nejad L, Khodabakhshi koolaie A, Shoyukh F. The Effect of Spiritual Therapy on Pregnancy rate, Journal of Psychology of Behavior. 2012; 6(1): 78-81. (Persian).
11. Spice K, Jones SL, Hadjistavropoulos HD, Kowalyk K, Stewart SH. Prenatal fear of childbirthand anxiety sensitivity. J Psychosom Obstet Gynecol Sep. 2009;30(3):168-74. [DOI:10.1080/01674820902950538]
12. Alipour Z, Lamian M, Hajizadeh A, Vafaie M. The Relationship between Selected Anxiety and Maternal Fear in Pregnant Women, Journal of Women's Nursing. 2011; 16(2): 169-73. (Persian).
13. Nasiri F, Sharifi Sh. Relationship between fear of childbirth and personality type in pregnant women, Women , Obstetrics and Gynecology journal. 2013; 16(66): 18-25. (Persian).
14. Alderdice F, Lynn F. Factor structure of the Prenatal distress questionnaire. Midwifery .2011; 27(4):553-9. [DOI:10.1016/j.midw.2010.05.003]
15. Bruggemann OM, Parpinelli MA, Osis MJ, Cecatti JG, Neto AS. Support to woman by a companion of her choice during childbirth: a randomized controlled trial. Reprod Health .2007; 4(1):5. [DOI:10.1186/1742-4755-4-5]
16. Lundgren I. Swedish women's experiences of doula support during childbirth. Midwifery .2010; 26(2):173-80. [DOI:10.1016/j.midw.2008.05.002]
17. Klaus MH, Kennell JH. The doula: an essential ingredient of childbirth rediscovered. Acta Paediatr 1997; 86(10):1034-6. [DOI:10.1111/j.1651-2227.1997.tb14800.x]
18. Zhang J, Bernasko JW, Leybovich E, Fahs M, Hatch MC. Continuous labor support from labor attendant for primiparous women: a meta-analysis. Obstet Gynecol .1996; 88(4 Pt 2):739-44. [DOI:10.1016/0029-7844(96)00232-3]
19. Sosa R, Kennell J, Klaus M, Robertson S, Urrutia J. The effect of a supportive companion on perinatal problems, length of labor, and mother-infant interaction. N Engl J Med .1980; 303(11):597-600. [DOI:10.1056/NEJM198009113031101]
20. Javad NM, Afshari P, Montazeri S, Latifi SM. The effect of continuous labor support by accompanying person during labor process. Jundishapur Sci Med J .2008; 7(1):32-8. (Persian).
21. Samieizadeh Toosi T, Sereshti M, Dashipur AR, Mohammadinia N, Arzani A. The effect of supportive companionship on length of labor and desire to breastfeed in primiparous women. J Urmia Nurs Midwifery Facul .2011; 9(4):262-9. (Persian).
22. Pascali-bonaro D, Kroeger M. Continuous female companionship during childbirth: a crucial resource in times of stress or calm. J Midwifery Womens Health .2004; 49(4 Suppl 1):19-27. [DOI:10.1016/j.jmwh.2004.04.017]
23. Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Womens Health .2004; 49(6):489-504. [DOI:10.1016/j.jmwh.2004.07.007]
24. Lowe NK. The nature of labor pain. Am J Obstet Gynecol .2002; 186:S16-24. [DOI:10.1067/mob.2002.121427]
25. Lundgren I, Berg M. Central concepts in the midwife-woman relationship. Scan J Caring Sci. 2007; 21(2):220-8. [DOI:10.1111/j.1471-6712.2007.00460.x]
26. Holte A. Professional communication skills. Scan J Prim Health Care.2005; 8(3):131-2. [DOI:10.3109/02813439008994945]
27. Beygi M, Bahadoran P. Relationship between the stress of labor and the birth weight of newborns, Journal of Nursing. 2008; 5(26): 9-25. (Persian).
28. Lundgren I. Swedish women's experiences of doula support during childbirth. Midwifery. 2010; 26(2):173-80. [DOI:10.1016/j.midw.2008.05.002]
29. Lee T. Psychosocial distress and wellbeing: Resilience among indigenous Mayan women in Western Guatemala (Doctoral dissertation, McGill University);2015.
30. Khavandizadeh Aghdam S. The effect of the continuous labor support from a supportive companion on the process and outcomes of labor in primigravida. J Ardabil Univ Med Sc .2006; 6(4):368-73. (Persian)
31. Ahmadi Z. Evaluation of the effect of continous midwifery support on pain intensity in labor and delivery. J Rafsenjan Univ Med Sci .2010; 9(4):293-304. (Persian).
32. naghizadeh S, Sehati Shafaie F,Borzanje Atri Sh, Ebrahimi H, Ebrahimpour M. 2012; 15(38): 24-31. (Persian).
33. Attarha M, Keshavarz Z, Bakhtiari M & Jamilian M. The outcome of midwife-mother relationship in delivery room: a qualitative content analysis Health. 2016; 8(04), 336. (Persian). [DOI:10.4236/health.2016.84035]
34. Burroughs A. Maternity nursing, . 7 th ed. Philadelphia: W.B. Saunders Company; 1997. P.: 3.
35. Ahmadi Y, Sharifi far T, Pishgui A, Teymuri F, Hosseini M, Yari M. 2016;3(4): 242-248. (Persian).
36. AktaŞ S, Pasinlioğlu T & Çalik K. The Effect of Empathy Traning Given to Midwives on Mothers'Birth Perceptions and Their Satisfaction with Midwives. Life Sciences.2016; 11(3): 1-10. [DOI:10.12739/NWSA.2016.11.4.4B0007]

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Volume 3, Issue 4 ( Journal of Clinical and Basic Research (JCBR) 2019) Back to browse issues page