Effect of Midwife-Provided Orientation of Birth Companions on Maternal Anxiety and Coping during Labor
A Stepped Wedge Cluster Randomized Control Trial in Eastern Uganda
Bibliographic Data
| ID | 15481040 |
|---|---|
| Authors | Eva Wodeya Wanyenze (0000-0001-8934-2215, Mbarara University of Science and Technology, corresponding author), Gorrette Nalwadda (Makerere University), Gorrette K Nalwadda (Makerere University), Josaphat Byamugisha (0000-0002-3438-9662, Makerere University), Josaphat K Byamugisha (Makerere University), Patience A Muwanguzi (0000-0003-0403-9327, Makerere University), Nazarius Mbona Tumwesigye (0000-0001-7085-8780, Makerere University) |
| Year | 2023 |
| Volume | 20 |
| Issue | 2 |
| Pages | 1549-1549 |
| Publication date | 2023-01-14 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20021549 |
| PMID | 36674304 |
| OpenAlex | W4316664732 |
| Language | EN |
| References cited | 39 |
The study aimed to assess the effect of midwife-provided orientation of birth companions on maternal anxiety and coping during labor. A stepped wedge cluster randomized trial design was conducted among 475 participants (control n = 240), intervention n = 235) from four clusters. Midwives in the intervention period provided an orientation session for the birth companions on supportive labor techniques. Coping was assessed throughout labor and anxiety scores were measured after birth. Independent t-test and Chi-Square tests were used to assess the differences by study period. Anxiety scores were reduced among women in the intervention period ( p = 0.001). The proportion of women able to cope during early active labor was higher during the intervention period ( p = 0.031). Women in the intervention period had 80% higher odds of coping ( p = 0.032) compared to those in the control period. Notable differences in anxiety and coping with labor were observed among first-time mothers, younger women, and when siblings provided support. Midwife-provided orientation of birth companions on labor support lowers maternal anxiety and improves coping during labor. Findings could inform the planning and development of policies for the implementation of the presence of birth companions in similar low-resource settings
Anxiety · Coping (psychology · Psychiatry · Randomized controlled trial · Clinical Psychology · Global Maternal and Child Health · Maternal and Perinatal Health Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology
The stepped wedge cluster randomised trial
Continuous support for women during childbirth
Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost?
Psychosocial Predictors of Postpartum Posttraumatic Stress Disorder in Women With a Traumatic Childbirth Experience
Psychological aspects of childbirth
| Citation velocity | historical |
|---|---|
| Highly cited | No |