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The Effect of Pregnant Education Classes on the Birth Process of Nulliparous Pregnants

Yıl 2023, Cilt: 45 Sayı: 1, 103 - 108, 31.03.2023

Emre Destegül , Cevdet Adıgüzel

https://doi.org/10.7197/cmj.1117329

Öz

Objecitve: The aim of this study was to investigate the effects of antenatal education classes on the type of delivery, duration of labor in vaginal delivery and birth rates with episiotomy.
Material Method: This retrospective study included 200 nulliparous pregnant women who were admitted to Adana City Hospital Obstetric and Gynecology Outpatients clinic between 2017-2021. Of these 99 attended antenatal education classes, which were designed by the Turkish Ministry Of Health and 101 did not attend any antenatal educational classes. In the retrospective analysis of the cases, cesarean section rates, indications for cesarean section, duration of labor, episiotomy rates and APGAR scores were compared.
Results: No significant difference was found between the mode of delivery between the pregnant women who attended and did not attend antenatal education classes (p=0.463). A significant difference was determined between the groups in terms of cesarean section indications and duration of labor (p=0.007 and p<0.001, respectively). In terms of cesarean indications, the rate of cesarean section was found to be higher in the group that did not participate in the antenatal classes (27.7% vs 10.1%), especially due to non-progressive labor. There was no significant difference between the groups in terms of birth rates with episiotomy (p=0.088).
Conclusion: The study results demonstrated that the pregnant women who participated in the antenatal education classes had shorter labour and a lesser need for cesarean section with the indication of non-progressive labour. Although there was no significant difference between the cesarean section rates between the groups, it can be considered important to expand the scope of these antenatal classes and to provide the appropriate social and legal groundwork in order to achieve this goal.

Anahtar Kelimeler

Pregnant Class Pregnant education program Birth Ceserean delivery Vaginal delivery

Kaynakça

  • 1) Kashanian M, Farahroos J, and Malektaj MH. "Effect of continuous support during labor on duration of labor and rate of cesarean delivery." International Journal of Gynecology & Obstetrics 109.3 (2010): 198-200.
  • 2) AWHONN (Association of Women’s Health, Obstetric and Neonatal Nurses) Nursing support of laboring women. Journal of Obstetric, Gynecologic and Neonatal Nursing 2011;40(5): 665-666.
  • 3) Hutteman R, Bleidorn W, Keresteš G, Brković I, Butković A, Denissen JJ. Reciprocal associations between parenting challen- ges and parents’ personality development in young and middle adulthood. European Journal of Personality 2014;28(2):168-179
  • 4) Epifanio MS, Genna V, De Luca C, Roccella M, La Grutta S. Paternal and maternal transition to parenthood: the risk of postpartum depression and parenting stress. Pediatric reports 2015;7(2):38-44.
  • 5) https://data.oecd.org/healthcare/caesarean-sections.htm
  • 6) Zar M, Wijma K, Wijma B. Pre and Postpartum fear of childbirth in nulliparous and parous women. Scand J Behav Ther 2001; 30: 75–84.
  • 7) Kızılkaya-Beji, N. ve Dişsiz, M. Gebelik ve hemşirelik yaklaşımı. N. Kızılkaya-Beji (Ed.), Hemşire ve ebelere yönelik kadın sağlığı ve hastalıkları 2015;294-300. İstanbul: Nobel Tıp Kitabevleri.
  • 8) Altıparmak S. Doğum öncesi verilen eğitimin gebenin bilgi düzeyi ile memnuniyet durumuna etkisi. Haliç Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelik Yüksek Lisans Tezi. 2014.
  • 9) Coşar F. Lamaze felsefesine dayalı doğuma hazırlık sınıflarının doğum sürecine etkisi. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Doğum ve Kadın Hastalıkları Hemşireliği Anabilim Dalı Doktora Tezi. 2012.
  • 10) Declercq E, Young R, Cabral H, Ecker J. Is a rising cesarean delivery rate inevitable? Trends in industrialized countries, 1987 to 2007. Birth 2011;38:99-104
  • 11) OECD,''Caesarean section'', in Health at a Glance 2015: OECD Indicators. OECD Publishng; 2015. Available from:http://dx.doi.org/10.1787/health_glance-2015-37-en
  • 12) Möller L, Josefsson A, Lilliecreut, C, Gunnervik C, Bladh M, & Sydsjö, G. Reproduction, fear of childbirth and obstetric outcomes in women treated for fear of childbirth in their first pregnancy: a historical cohort. Acta obstetricia et gynecologica Scandinavica, 2019;98(3), 374-381.
  • 13) Waldenström U, Hildingsson I, Ryding EL. Antenatal fear of childbirth and its association with subsequent caesarean section and experience of childbirth. BJOG 2006; 113:638- 46.
  • 14) Bıyık İ and Aslan MM. "Gebelikte eğitimin doğum korkusu ve sezaryen oranlarına etkisi." Kocaeli Tıp Dergisi 9.2 (2020): 77-82.
  • 15) National Collaborating Centre for Women’s and Children’s Health (UK). Antenatal care. Routine care for the healthy pregnant woman. NICE Clinical Guidelines, No. 62. London: RCOG Press; 2008 Mar.ISBN-13: 978-1-904752-46-2 https:// www.ncbi.nlm.nih.gov › books › NBK51886
  • 16) McMillan A, Barlow J, Redshaw M et al. Birth and beyond: A review of the evidence about antenatal education. Department of Health UK, January 2009.
  • 17) Cantone, D., Pelullo, C. P., Cancellieri, M., & Attena, F. Can antenatal classes reduce the rate of cesarean section in southern Italy?. Women and birth, 2017; 30(2), e83-e88.
  • 18) Kacperczyk-Bartnik, J., Bartnik, P., Symonides, A., Sroka-Ostrowska, N., Dobrowolska-Redo, A., & Romejko-Wolniewicz, E. Association between antenatal classes attendance and perceived fear and pain during labour. Taiwanese Journal of Obstetrics and Gynecology, 2019; 58(4), 492-496.
  • 19) Brixval, C. S., Axelsen, S. F., Thygesen, L. C., Due, P., & Koushede, V. Antenatal education in small classes may increase childbirth self-efficacy: results from a Danish randomised trial. Sexual & Reproductive Healthcare, 2016; 10, 32-34.
  • 20) Moghaddam Hosseini V, Nazarzadeh M, Jahanfar S. Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women Birth. 2018 Aug; 31(4):254-262
  • 21) Soriano-Vidal FJ, Vila-Candel R, Soriano-Martín, PJ, Tejedor-Tornero A, & Castro-Sánchez E. The effect of prenatal education classes on the birth expectations of Spanish women. Midwifery, 2018; 60, 41-47.
  • 22) Jiang, H., Qian, X., Carroli, G., & Garner, P. Selective versus routine use of episiotomy for vaginal birth. Cochrane Database of Systematic Reviews, 2017 (2).
  • 23) Gagnon AJ, Sandall J, Individual or group antenatal education for childbirth or parenthood, or both, in: Sandall, J. (Ed.), Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd, Chichester, UK, 2007. p. CD002869.
  • 24) Jenkins MG, Ford JB, Morris JM, Roberts CL, Women’s expectations and experiences of maternity care in NSW - What women highlight as most important. Women and Birth 2014; 27, 214–219
  • 25) Pennell A, Salo-Coombs V, Herring A, Spielman F, Fecho K, Anesthesia and Analgesia-Related Preferences and Outcomes of Women Who Have Birth Plans. J. Midwifery Womens. Health 2011; 56, 376–381.
  • 26) Thompson R, Miller Y.D. Birth control: to what extent do women report being informed and involved in decisions about pregnancy and birth procedures? BMC Pregnancy Childbirth 2014; 14, 62.

Yıl 2023, Cilt: 45 Sayı: 1, 103 - 108, 31.03.2023

Emre Destegül , Cevdet Adıgüzel

https://doi.org/10.7197/cmj.1117329

Öz

Kaynakça

  • 1) Kashanian M, Farahroos J, and Malektaj MH. "Effect of continuous support during labor on duration of labor and rate of cesarean delivery." International Journal of Gynecology & Obstetrics 109.3 (2010): 198-200.
  • 2) AWHONN (Association of Women’s Health, Obstetric and Neonatal Nurses) Nursing support of laboring women. Journal of Obstetric, Gynecologic and Neonatal Nursing 2011;40(5): 665-666.
  • 3) Hutteman R, Bleidorn W, Keresteš G, Brković I, Butković A, Denissen JJ. Reciprocal associations between parenting challen- ges and parents’ personality development in young and middle adulthood. European Journal of Personality 2014;28(2):168-179
  • 4) Epifanio MS, Genna V, De Luca C, Roccella M, La Grutta S. Paternal and maternal transition to parenthood: the risk of postpartum depression and parenting stress. Pediatric reports 2015;7(2):38-44.
  • 5) https://data.oecd.org/healthcare/caesarean-sections.htm
  • 6) Zar M, Wijma K, Wijma B. Pre and Postpartum fear of childbirth in nulliparous and parous women. Scand J Behav Ther 2001; 30: 75–84.
  • 7) Kızılkaya-Beji, N. ve Dişsiz, M. Gebelik ve hemşirelik yaklaşımı. N. Kızılkaya-Beji (Ed.), Hemşire ve ebelere yönelik kadın sağlığı ve hastalıkları 2015;294-300. İstanbul: Nobel Tıp Kitabevleri.
  • 8) Altıparmak S. Doğum öncesi verilen eğitimin gebenin bilgi düzeyi ile memnuniyet durumuna etkisi. Haliç Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelik Yüksek Lisans Tezi. 2014.
  • 9) Coşar F. Lamaze felsefesine dayalı doğuma hazırlık sınıflarının doğum sürecine etkisi. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Doğum ve Kadın Hastalıkları Hemşireliği Anabilim Dalı Doktora Tezi. 2012.
  • 10) Declercq E, Young R, Cabral H, Ecker J. Is a rising cesarean delivery rate inevitable? Trends in industrialized countries, 1987 to 2007. Birth 2011;38:99-104
  • 11) OECD,''Caesarean section'', in Health at a Glance 2015: OECD Indicators. OECD Publishng; 2015. Available from:http://dx.doi.org/10.1787/health_glance-2015-37-en
  • 12) Möller L, Josefsson A, Lilliecreut, C, Gunnervik C, Bladh M, & Sydsjö, G. Reproduction, fear of childbirth and obstetric outcomes in women treated for fear of childbirth in their first pregnancy: a historical cohort. Acta obstetricia et gynecologica Scandinavica, 2019;98(3), 374-381.
  • 13) Waldenström U, Hildingsson I, Ryding EL. Antenatal fear of childbirth and its association with subsequent caesarean section and experience of childbirth. BJOG 2006; 113:638- 46.
  • 14) Bıyık İ and Aslan MM. "Gebelikte eğitimin doğum korkusu ve sezaryen oranlarına etkisi." Kocaeli Tıp Dergisi 9.2 (2020): 77-82.
  • 15) National Collaborating Centre for Women’s and Children’s Health (UK). Antenatal care. Routine care for the healthy pregnant woman. NICE Clinical Guidelines, No. 62. London: RCOG Press; 2008 Mar.ISBN-13: 978-1-904752-46-2 https:// www.ncbi.nlm.nih.gov › books › NBK51886
  • 16) McMillan A, Barlow J, Redshaw M et al. Birth and beyond: A review of the evidence about antenatal education. Department of Health UK, January 2009.
  • 17) Cantone, D., Pelullo, C. P., Cancellieri, M., & Attena, F. Can antenatal classes reduce the rate of cesarean section in southern Italy?. Women and birth, 2017; 30(2), e83-e88.
  • 18) Kacperczyk-Bartnik, J., Bartnik, P., Symonides, A., Sroka-Ostrowska, N., Dobrowolska-Redo, A., & Romejko-Wolniewicz, E. Association between antenatal classes attendance and perceived fear and pain during labour. Taiwanese Journal of Obstetrics and Gynecology, 2019; 58(4), 492-496.
  • 19) Brixval, C. S., Axelsen, S. F., Thygesen, L. C., Due, P., & Koushede, V. Antenatal education in small classes may increase childbirth self-efficacy: results from a Danish randomised trial. Sexual & Reproductive Healthcare, 2016; 10, 32-34.
  • 20) Moghaddam Hosseini V, Nazarzadeh M, Jahanfar S. Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials. Women Birth. 2018 Aug; 31(4):254-262
  • 21) Soriano-Vidal FJ, Vila-Candel R, Soriano-Martín, PJ, Tejedor-Tornero A, & Castro-Sánchez E. The effect of prenatal education classes on the birth expectations of Spanish women. Midwifery, 2018; 60, 41-47.
  • 22) Jiang, H., Qian, X., Carroli, G., & Garner, P. Selective versus routine use of episiotomy for vaginal birth. Cochrane Database of Systematic Reviews, 2017 (2).
  • 23) Gagnon AJ, Sandall J, Individual or group antenatal education for childbirth or parenthood, or both, in: Sandall, J. (Ed.), Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd, Chichester, UK, 2007. p. CD002869.
  • 24) Jenkins MG, Ford JB, Morris JM, Roberts CL, Women’s expectations and experiences of maternity care in NSW - What women highlight as most important. Women and Birth 2014; 27, 214–219
  • 25) Pennell A, Salo-Coombs V, Herring A, Spielman F, Fecho K, Anesthesia and Analgesia-Related Preferences and Outcomes of Women Who Have Birth Plans. J. Midwifery Womens. Health 2011; 56, 376–381.
  • 26) Thompson R, Miller Y.D. Birth control: to what extent do women report being informed and involved in decisions about pregnancy and birth procedures? BMC Pregnancy Childbirth 2014; 14, 62.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Cerrahi Tıp Bilimleri Araştırma Yazıları
Yazarlar

Emre Destegül 0000-0001-5726-0223

Cevdet Adıgüzel 0000-0002-3003-4573

Yayımlanma Tarihi 31 Mart 2023
Kabul Tarihi 30 Haziran 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 45 Sayı: 1

Kaynak Göster

AMA Destegül E, Adıgüzel C. The Effect of Pregnant Education Classes on the Birth Process of Nulliparous Pregnants. CMJ. Mart 2023;45(1):103-108. doi:10.7197/cmj.1117329
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