The Effect of Counseling with Nulliparous Women During Third Trimester on Pregnancy Outcomes

Document Type : Original Article

Authors

1 Assisstant Proffessor of Midwifery.Department of Department of Midwifery, Shahrekord University of Medical Sciences, school of Nursing and Midwifery, Shahrekord, Iran Sciences, school of Nursing and Midwifery, Shahrekord, Iran.

2 M.Sc. of Mathematics.Department of Mathematics, School of Mathematics and Statistics, University of Isfahan, Iran.

Abstract

Background and Objective: Since the fear of unknown events in pregnancy and delivery increases medical interventions, this study was carried out to assess the effects of counseling nulliparous women during their third trimester on pregnancy outcomes.
Subjects and Methods: This quasi-experimental study was carried out on 64 nulliparous women without abortion in their third trimester. The women, visitng Shahrekord Health Centers, were allocated randomly into counseling and non-counseling groups. In counseling group, pregnant women were counselled about the symptoms of beginning of labor, the problems could be resulted from the early admission, the benefits of normal delivery and the complications of cesarean section and familiarity with the stages of labor. The non-counseling group received the standard prenatal care. Then, maternal and neonatal outcomes were recorded. The data were analysed State the statistical method used (version 16) and P<0/05 was considered significant.
Results: There was a significant difference in gestational age based on LMP (P=0.01), sonography (P=0.03), physical examination of infants (P=0.008), admission due to labor pains (P=0.04), dilatation at the time of admission (P=0.01), Taking the oxytocin (P=0.04), duration of first stage of labor (P=0.04) and mode of delivery (P=0.01) between two groups. No differences were found in weight, height, circumference and apgar score of newborns in two groups.
Conclusion: Counseling with nulliparous women improved the maternal and neonatal outcomes. The findings suggest counselling nulliparous women during their third trimesterof pregnancy has favorable effects on pregnacny outcome.

Keywords

References

1-Hemminki E, Long Q, Zhang WH, Wu Z, Raven J, Tao F, et al. Impact of Financial and Educational Interventions on Maternity Care: Results of Cluster Randomized Trials in Rural China, CHIMACA. Matern Child Health J. 2012.
2-Todorova K, Mazneĭkova V, Ivanov S. [Can education duning pregnancy improve the perinatal outcome in diabetic   pregnancies?]Akush Ginekol (Sofiia) 2004;43(3):21-7. [Article in Bulgarian]
3-Escott D, Slade P, Spiby H . Preparation for pain management during childbirth: the psychological aspects of coping strategy development in antenatal education. Clin Psychol Rev 2009;29(7):617-22.
4-Escott D, Slade P, Spiby H, Fraser RB. Preliminary evaluation of a coping strategy enhancement method of preparation for labour. Midwifery 2005;21(3):278-91.
5-Lashgari MH, Delavari S, Markazi Moghadam N, Gorouhi  F . [Effects of training programs of pregnant women on their delivery type selection: A single blind, randomized control trial]. Journal of Army University of Medical Sciences of the I.R. IRAN 2005,3(4):679-84. [Article in Persian]
6-Jones HE, Berkman ND, Kline TL, Ellerson RM, Browne FA, Poulton W, Wechsberg WM. Initial feasibility of a woman-focused intervention for pregnant african-american women. Int J Pediatr 2011;2011:389285. 7-Nerum H, Halvorsen L, Sørlie T, Oian P. Maternal request for cesarean section due to fear of birth: can it be changed through crisis-oriented counseling? Birth 2006;33(3):221–8.
8-Maimburg RD, Vaeth M, Dürr J, Hvidman L, Olsen J. Randomised trial of structured antenatal training sessions to improve the birth process. BJOG 2010;117(8):921-8.
9-Orejuela FJ, Garcia T, Green C, Kilpatrick C, Guzman S, Blackwell S. Exploring factors influencing patient request for epidural analgesia on admission to labor and delivery in a predominantly Latino population. J Immigr Minor Health 2012;14(2):287-91.
10-Gareen IF, Morgenstern H, Greenland S, Gifford DS. Explaining the association of maternal age with Cesarean delivery for nulliparous and parous women. J Clin Epidemiol 2003;56(11):1100-10.
11-Bell JS, Campbell DM, Graham WJ, Penney GC, Ryan M, Hall MH. Do obstetric complications explain high caesarean section rates among women over 30? A retrospective analysis. BMJ 2001;322(7291):894-5.
12-Holmes P, Oppenheimer LW, Wen SW. The relationship between cervical dilatation at initial presentation in labour and subsequent intervention. BJOG 2001;108(11):1120-4.
13-Delaram M, Hasanpoor A, Noorian K, Kazemian A. [Impact of early admission in labor on maternal and neonatal   
     outcomes in Hajar health-care center of Shahr-e-Kord, Iran]. Journal of Birjand University of Medical   
     Sciences 2007;14(3): 61-66.  [Article in Persian]
   
   
14-Consonni EB, Calderon IM, Consonni M, De Conti MH, Prevedel TTs, Rudge MV. A multidisciplinary program of preparation for childbirth and motherhood: maternal anxiety and perinatal outcomes. Reprod Health 2010;7:28.
15-Mehdizadeh A, Roosta F, Chaichian S, Alaghehbandan R. Evaluation of the impact of birth preparation courses on the health of the mother and the newborn. Am J Perinatol 2005;22(1):7-9.
16-Haakstad LA, Bø K. Exercise in pregnant women and birth weight: a randomized controlled trial. BMC Pregnancy Childbirth 2011;11:66.
17-Tiembré I, Bi JV, Aké-Tano O, Dagnan S, Ekra D, Dogou-Wawayou B, et al. [Evaluation of the quality of  renatal consultations in the health district of Grand Bassam, Côte d'Ivoire]. Sante Publique 2010;22(2):221-8. [Article in French]
18-Potter JE, Berquó E, Perpétuo IH, Leal OF, Hopkins K, Souza MR, et al. Unwanted caesarean sections among public and private patients in Brazil: prospective study. BMJ 2001;323(7322):1155-8.
Jundishapur Scientific Medical Journal
Volume 11, Issue 4 - Serial Number 79
July and August 2017
Pages 355-363

Files

History

  • Receive Date: 18 June 2011
  • Revise Date: 26 February 2012
  • Accept Date: 13 March 2012

Share

How to cite

Statistics