Effect of the one to one Midwifery Care During Labor on Modes of Delivery and Duration of Labor and Increase Satisfaction with Childbirth

Mohammad Nabi Rahimiyan¹, Tahere Rahnavard² and Mansoureh Zamani Lari^2*

¹Master of Anesthesiology, Faculty of Nursing and Midwifery of Hazrat e Fatemeh, Shiraz University of Medical Sciences, Iran. ²MSc, Midwifery, University of Nursing and Midwifery Hazrat e Fatemeh, Shiraz University of Medical Sciences, Shiraz, Iran.

DOI : http://dx.doi.org/10.13005/bbra/2267

ABSTRACT: Anxiety and fear of childbirth lack of progression and increased risk of caesarean section. to comply with this fear women are in need of protection. we support the mother can reduce her anxiety and helped him better match labor. this study aims to determine the effectiveness of the one to one midwifery care during labor on modes of delivery and duration of labor and decrease satisfaction with childbirth compared to usual care will be carried out. This study is a clinical trial .during which 200 pregnant women undergoing vaginal birth, hafez hospital, shiraz university of medical sciences in spring 1393 were enrolled and randomly assigned to intervention and control groups. in the intervention group, with the beginning of the active phase of labor, a midwife, while at the bedside continuously decrease, his use of non pharmacologic methods of pain and physical and emotional support to deal with the pain and stress of labor helped. control samples as routine training centers - were care. birth outcomes (including type and duration of labor, ...) was recorded. data by spss 21 software using inferential statistics, including t tests were analyzed. The study findings showed that significant decline in caesarean section and use of instrumental vaginal delivery (p=0.05) he average degree of maternal satisfaction with care delivery in the intervention group after mama 5.84 in the control group 2.36 that this difference was statistically significant (p<0.05). According to the study results, one to one midwifery care as responding knowledgeably and sensitively to the individual needs of laboring women would eventually decrease surgical interventions, complications and medical costs. the researchers suggest that, this method can be used by midwives in obstetric centers. therefore, providing of the one to one midwifery care in the delivery and labor rooms of birth centres is recommended

KEYWORDS: Midwifery Care; type of delivery; duration of labor; maternal satisfaction with childbirth; nonpharmacologic methods of pain

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