Effect of Consultation and Educating in Preparation Classes for Delivery on Pregnancy Consequences

A Randomized Controlled Clinical Trial

Authors

  • Seyedeh Zahra Masoumi Mother & Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran

Keywords:

Caesarean section, Delivery, Consulting, Education

Abstract

Background: Care during pregnancy and performing consultation for delivery preparation play an important role in improving pregnant women’s knowledge. 

Objective: The purpose of this study was to investigate the effect of consultation and instruction in the preparation classes for delivery on pregnancy consequences, including choosing the type of delivery, the performed type of delivery, and infant’s weight.

Methods: This study was conducted in 2015 on 170 pregnant women who had been referred to the prenatal clinic in Hamedan. The participants were randomly divided into intervention and control groups. Eight sessions of consultation for delivery preparation were held for the women in 20 to 36 weeks of pregnancy. The control group received only the routine care. After 37 weeks of pregnancy, the participants answered a questionnaire. The infant’s weight was measured after birth. Data were analyzed Using SPSS-21 and McNemar–Bowker Test, independent t-test, chi-square test, and Fisher exact test.

Results: Results showed a significant statistical difference between the two groups concerning their selective and performed delivery (p<0.001). The weight of infants in the intervention group was significantly higher than that of those in the control group (p<0.001). 

Conclusion: The findings of this study showed that the consultation for delivery preparation had a positive effect on some pregnancy consequences such as selecting the type of delivery performed and infant’s weight. 

Trial registration: The trial was registered at the Iranian Registry of Clinical Trials (http://www.irct.ir) with the

IRCTID: IRCT2015012513405N9.

Funding: The authors received no financial support for the research, authorship, and/or publication of this article.

 

References

Lowe NK. Self-efficacy for labor and childbirth fears in nulliparous pregnant women. J Psychosom Obstet

Gynaecol. 2000; 21(4): 219-24. doi: 10.3109/01674820009085591. PMID: 11191169.

Cunningham G, Leveno JK, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics. 24 ed. New

York: McGraw-Hill. 2014; 177.

Bragg F, Cromwell D, Edozien L, Gurol-Urganci I, Mahmood T, Templeton A, et al. Variation in Rates of

Cesarean Section Among English NHS Trusts After Accounting for Maternal and Clinical Risk: Cross- sectional Study. Obstetric Anesthesia Digest. 2011; 31(3): 160-1. doi: 10.1136/bmj.c5065.

Phadungkiatwattana P, Tongsakul N. Analyzing the impact of private service on the cesarean section rate in

public hospital Thailand. Arch Gynecol Obstet. 2011; 284(6): 1375-9. doi: 10.1007/s00404-011-1867-0.

PMID: 21359844.

Tillett J. Should elective cesarean birth be an accepted option for women? J Perinat Neonatal Nurs. 2005;

(1): 4-6. doi: 10.1097/00005237-200501000-00003. PMID: 15796417.

Rashidian A. Health Observatory: First Report I.R. Iran Multiple-Indicator Demographic and Health

Survey 2010. Tehran: Ministry of health, medicine, and medical education, medicine deputy. 2011.

Shakeri M, Mazloumzade S, Mohamaian F. Factors affecting the rate of cesarean section in Zanjan

maternity hospitals in 2008. The Scientific Journal of Zanjan University of Medical Sciences. 2012; 20(80):

-104.

Danforth DN, Gibbs RS. Danforth's obstetrics and gynecology: Lippincott Williams & Wilkins. 2008.

Sagiry M, Satar zadeh N, Tabrizy N, Pezeshky Z. Comparison severity pain with use entonox and outcome

neonatal in primary gravity. Journal of Ardabil University of Medical Sciences. 2008; 1(8): 62-7.

American College of Obstetricians and Gynecologists. ACOG practice bulletin: Intrapartum fetal heart rate

monitoring. Obstet Gynecol. 2005; 106(2): 1453-6.

Enkin M, Keirse MJ, Chalmers I, Enkin E. A guide to effective care in pregnancy and childbirth: Oxford

university press Oxford. 2000.

Sagady M, Gordon H. The Cesarean Section Program, Outcome Management Associates. Births. 1998:

-21.

Goodman P, Mackey MC, Tavakoli AS. Factors related to childbirth satisfaction. J Adv Nurs. 2004; 46(2):

-9. doi: 10.1111/j.1365-2648.2003.02981.x. PMID: 15056335.

Bolbol-Haghighi N, Masoumi SZ, Kazemi F. Effect of Massage Therapy on Duration of Labour: A

Randomized Controlled Trial. Journal of clinical and diagnostic research: JCDR. 2016; 10(4): 12-5. doi:

7860/jcdr/2016/17447.7688.

Sehhati Shafai F, Kazemi S, Ghojazadeh M. Comparing maternal outcomes in nulliparous women in labor

in physiological and conventional labor: a randomized clinical trial. J Mazandaran Univ Med Sci. 2013;

(97): 122-31.

Jamilian M, Mobasseri SH, Wakilian K, Jamilinan H.R. Effect of Childbirth Preparation Classes on The

Duration of Admission and Satisfaction of Mothers. Scientific Journal of Ilam University of Medical

Sciences. 2013; 21(2): 44-50.

Tofighi Niaki M, Behmanesh F, Mashmuli F, Azimi H. The effect of prenatal group education on

knowledge, attitude and selection of delivery type in primiparous women. Iranian Journal of Medical

Education. 2010; 10(2): 124-30.

Arefi Z, Hekamatpou D, Orouji MA, Shaahmadi Z, Khushemehri G, Shaahmadi F. The Effect of

Educational Intervention based on BASNEF Model on Decreasing the Cesarean Section Rate among

Pregnant Women in Khomain Country. J Family Reprod Health. 2015; 9(3): 101-5. PMID: 26622307,

PMCID: PMC4662752.

Størksen HT, Garthus-Niegel S, Adams SS, Vangen S, Eberhard-Gran M. Fear of childbirth and elective

caesarean section: a population-based study. BMC Pregnancy Childbirth. 2015; 15: 221. doi:

1186/s12884-015-0655-4. PMID: 26382746, PMCID: PMC4573308.

Verbeke W, De Bourdeaudhuij I. Dietary behaviour of pregnant versus non-pregnant women. Appetite.

; 48(1): 78-86. doi: 10.1016/j.appet.2006.07.078. PMID: 17005297.

Mohammad Alizadeh Charandabi S, Kamali Fard M, Ebrahimi Mamqani M, Asghari Jafarabadi M, Omidi

F. Evaluation of the nutritional behavior of women in first trimester of pregnancy and its relationship with

some socio-demographic characteristics of whom referred to health centers in Karaj. Iranian Journal of

Obstetrics, Gynecology and Infertility. 2012; 15(18): 10-8.

Mirmolaei T, Moshrefi M, Kazemnejad A, Farivar F, Morteza H. Effects of feeding behavior of pregnant

women. Faculty of Nursing and Midwifery's Journal of Tehran University of Medical Sciences. 2009;

(4): 35-42.

Garg A, Kashyap S. Effect of counseling on nutritional status during pregnancy. Indian J Pediatr. 2006;

(8): 687-92. doi: 10.1007/BF02898446. PMID: 16936363.

Shakeri M, Mazlomzade S, Mohamaian F, Bateni J. Effectiveness of Antenatal Preparation for Childbirth

Classes on Pregnant Women Nutritional Behavior. The Scientific Journal of Zanjan University of Medical

Sciences. 2013; 21(84): 102-10.

Murrin C, Fallon UB, Hannon F, Nolan G, O'Mahony D, Crowley D. Dietary habits of pregnant women in

Ireland. Ir Med J. 2007; 100(8): 12-5. PMID: 17955694.

Wakita Asano A, Miyoshi M, Arai Y, Yoshita K, Yamamoto S, Yoshiike N. Association between vegetable

intake and dietary quality in Japanese adults: a secondary analysis from the National Health and Nutrition

Survey, 2003. J Nutr Sci Vitaminol (Tokyo). 2008; 54(5): 384-91. doi: 10.3177/jnsv.54.384. PMID:

Beck NC, Siegel LJ. Preparation for childbirth and contemporary research on pain, anxiety, and stress

reduction: Areview and critique. Psychosom Med. 1980; 42(4): 429-47. doi: 10.1097/00006842- 198007000-00005. PMID: 7443939.

Sturrok WA, Johnson JA. The relationnship between childbirth education classes and obstetric outcome.

Birth. 1990; 17(2): 82-5. doi: 10.1111/j.1523-536X.1990.tb00704.x. PMID: 2363770.

Published

2022-03-08