تاثیر حضور ماما و آموزش تن‌آرامی بر طول مدت مرحله فعال زایمان زنان بستری در زایشگاه تامین اجتماعی بوشهر

پیش زمینه و هدف: داشتن یک همراه زایمانی حمایتگر، آرام و باتجربه خواسته هر فرد در حال مادر شدن است. اضطراب و استرس حین زایمان باعث کاهش سرعت پیشرفت زایمان می گردد. هدف این مطالعه مقایسه حضور ماما و تن آرامی بر طول مرحله فعال زایمان در زنان نخست زا است. مواد و روش ها: مطالعه حاضر یک مطالعه آزمایشی می باشد که در مدت زمان 3 ماه انجام شده است. در این مطالعه تعداد 90 نفر از بین زنان نخست زا که در مرحله فعال زایمانی بودند، به طور تصادفی انتخاب و در سه گروه (یک گروه گواه و دو گروه آزمایش) 30 نفره قرار گرفتند. گروه گواه مراقبت معمول پرستاری را دریافت کردند. در یکی از گروه های آزمایشی اعضاء آن تحت مراقبت اضافی یک ماما بودند و در گروه دیگر آزمایشی علاوه بر حضور ماما، تن آرامی نیز دریافت کردند. در این تحقیق از مشاهده و ثبت فراوانی طول زمان مرحله فعال استفاده شد. یافته ها: میانگین طول مرحله فعال زایمان در گروه های آزمایشی کمتر از گروه گواه بود، و تفاوت میانگین ها ازنظر آماری معنادار بود (گروه ازمایشی اول 183.83، گروه آزمایشی دوم 138.67 و گروه گواه 245.50، 0.01>p)

THE ROLE OF MIDWIFERY AND RELAXATION THERAPY ON THE DURATION OF THE ACTIVE PHASE OF LABOR IN TAMIN- E EJTEMAEE HOSPITAL OF BOUSHEHR

THE ROLE OF MIDWIFERY AND RELAXATION THERAPY ON THE DURATION OF THE ACTIVE PHASE OF LABOR IN TAMIN E EJTEMAEE HOSPITAL OF BOUSHEHR Golestane SM , Dehghani Y *, Mirshekari E Received: 25 Mar , 2014 Accepted: 24 May , 2014 Abstract Background Aims: To have a supportive, calm, experienced birth partner is every mothertobersquo s wish. Anxiety and stress during labor could decrease the progress of labor. The aim of this study is the investigation of effects of presence of midwifery and relaxation therapy on the speed of active phase of delivery in primiparous women. Materials Methods: This study is an experimental study that was conducted in the period of 3 months. In this study, 90 primiparous women in active phase of labor were randomly selected and divided into three groups (one control and two experimental groups) with 30 subjects in each group. The control group received routine nurse care. In one experimental group, the subjects were under midwifery extra care, and in another experimental group the subjects received relaxation therapy in addition the presence of a midwifery psychologist. Observation and record of active time length phase frequency was used. Results: The mean lengths of active phase among experimental groups were lower than control group, and the differences were statistically significant (the first experimental group= 183/83, the second experimental group= 138/67 and the control group= 245/50, p< 0/01). The mean length of active phase in the 2nd experimental group was significantly lower than the 1st experimental group. Primiparous women who received routine nurse care (the control group) had increased length of active phase of delivery compared to the women who were under extra care by midwifery (first experimental group). Women, who had relaxation therapy in addition to presence of midwifery (the second experimental group), had decreased length of active phase of delivery compared to the women who were just under extra care by midwifery. Conclusion: The presence of midwifery and relaxation therapy can cause the decreasing of labor active phase. Key words: midwifery, relaxation, active phase of delivery Address: Department of Psychology, faculty of literature and humanities, Persian Gulf University, Bushehr, Iran, Tel: (+98) 917378902 Email: ydehghani@yahoo.com