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Early Intrapartal Childbirth Preparation, self-coherence, and physical and psychological outcomes of labor
| Title: | Early Intrapartal Childbirth Preparation, self-coherence, and physical and psychological outcomes of labor |
| Author: | Martinez, Mollena Jordan |
| Description: | Many young expectant mothers do not have the opportunity, for a variety of reasons, to attend prenatal classes in preparation for the labor and delivery process. For laboring patients, especially primiparas, who receive no prenatal childbirth classes, providing support becomes more of a challenge for nurses. Literature regarding techniques of providing information to unprepared primiparas in labor is nonexistent. Early Intrapartal Childbirth Preparation is a concept by which labor sensate information and practice strategies (based upon Self-Regulation theory) are given to primiparas in an intensive twenty minute session during the latent phase of labor. Developed by this investigator, Early Intrapartal Childbirth Preparation was tested in an experimental design involving 89 laboring primiparas who had not attended childbirth classes. The effects of Early Intrapartal Childbirth Preparation on length of labor, amount of pain medication used, and emotional response of subjects when self-coherence is controlled for was analyzed. Control group (n = 41) and intervention group (n = 46) subjects in this experimental design study were given the Self-Coherence Survey (Budd, 1987) to complete during the latent phase of labor. Intervention group subjects were subsequently given the Early Intrapartal Childbirth Preparation which included an informational videotape as part of the twenty minute session. Control and intervention group subjects completed the Labor Mood Adjective Checklists (Leventhal, 1989) within 24 hours post delivery. Physiological measures consisting of Stages I and II labor lengths, and pain medication usage (types and amounts) were collected from labor records. MANCOVA was used to pinpoint differences among the dependent variables with and without covariation. The findings of this study included a shorter Stage I labor and less medication used in the intervention group when compared to the control group. No differences were found between groups on emotional responses to labor. Higher coherence (Factor 1 of the Self-Coherence Survey) was significantly correlated to a decrease in the negative emotional responses for all subjects. Higher holism/introspection (Factor 2 of the Self-Coherence Survey) was correlated with decreased length of labor and a decrease in pain medication usage. |
| Permanent Link: |
http://rave.ohiolink.edu/etdc/view?acc_num=case1056637933
http://hdl.handle.net/2374.OX/16094 |
| Date: | 1992 |
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