تأثير حضور ماما و آموزش تن‌آرامي بر طول مدت مرحله فعال زايمان زنان بستري در زايشگاه تأمين اجتماعي بوشهر

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

پيش زمينه و هدف: داشتن يك همراه زايماني حمايتگر، آرام و باتجربه خواسته هر فرد در حال مادر شدن است. اضطراب و استرس حين زايمان باعث كاهش سرعت پيشرفت زايمان مي گردد. هدف اين مطالعه مقايسه حضور ماما و تن آرامي بر طول مرحله فعال زايمان در زنان نخست زا است. مواد و روش ها: مطالعه حاضر يك مطالعه آزمايشي مي باشد كه در مدت زمان 3 ماه انجام شده است. در اين مطالعه تعداد 90 نفر از بين زنان نخست زا كه در مرحله فعال زايماني بودند، به طور تصادفي انتخاب و در سه گروه (يك گروه گواه و دو گروه آزمايش) 30 نفره قرار گرفتند. گروه گواه مراقبت معمول پرستاري را دريافت كردند. در يكي از گروه هاي آزمايشي اعضاء آن تحت مراقبت اضافي يك ماما بودند و در گروه ديگر آزمايشي علاوه بر حضور ماما، تن آرامي نيز دريافت كردند. در اين تحقيق از مشاهده و ثبت فراواني طول زمان مرحله فعال استفاده شد. يافته ها: ميانگين طول مرحله فعال زايمان در گروه هاي آزمايشي كمتر از گروه گواه بود، و تفاوت ميانگين ها ازنظر آماري معنادار بود (گروه ازمايشي اول 183.83، گروه آزمايشي 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 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