Siriwan Yuenyong1, Beverley O'Brien2, Veena Jirapeet3. 1. assistant professor in the Faculty of Nursing, Burapha University, Chonburi, Thailand. 2. professor in the faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.. Electronic address: beverley.obrien@ualberta.ca. 3. professor in the Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Abstract
OBJECTIVE: To evaluate the efficacy of a close female relative providing emotional and physical support during active labor and birth. DESIGN: Randomized, two-group controlled clinical trial. SETTING:Regional teaching hospital in the eastern part of Thailand with 782 beds. PARTICIPANTS: Primiparous women (N = 120) whose gestational ages were ≥ 36 weeks and who had uncomplicated pregnancies. METHODS: Participants were randomly assigned to receive usual care and support from a chosen close female relative from admission until 2 hours after birth or usual care only. Within 24 hours of birth, labor outcomes (length of labor & type of birth) and levels of maternal satisfaction were assessed. RESULTS: Those in the experimental group had a significantly shorter duration of active labor and were more satisfied with their childbirth experiences than those in the control group. Differences between groups with respect to incidence of spontaneous delivery were not found. CONCLUSIONS: A close female relative was effective in providing supportive care during labor and delivery. The integration of this nursing intervention for women and their families at public hospitals in Thailand is supported.
RCT Entities:
OBJECTIVE: To evaluate the efficacy of a close female relative providing emotional and physical support during active labor and birth. DESIGN: Randomized, two-group controlled clinical trial. SETTING: Regional teaching hospital in the eastern part of Thailand with 782 beds. PARTICIPANTS: Primiparous women (N = 120) whose gestational ages were ≥ 36 weeks and who had uncomplicated pregnancies. METHODS:Participants were randomly assigned to receive usual care and support from a chosen close female relative from admission until 2 hours after birth or usual care only. Within 24 hours of birth, labor outcomes (length of labor & type of birth) and levels of maternal satisfaction were assessed. RESULTS: Those in the experimental group had a significantly shorter duration of active labor and were more satisfied with their childbirth experiences than those in the control group. Differences between groups with respect to incidence of spontaneous delivery were not found. CONCLUSIONS: A close female relative was effective in providing supportive care during labor and delivery. The integration of this nursing intervention for women and their families at public hospitals in Thailand is supported.
Authors: Yin Kwan Mok; Ka Wang Cheung; Weilan Wang; Raymond Hang Wun Li; Noel Wan Man Shek; Ernest Hung Yu Ng Journal: Midwifery Date: 2022-02-22 Impact factor: 2.640