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

Datos Bibliográficos

ID15481040
AutoresEva Wodeya Wanyenze (0000-0001-8934-2215, Mbarara University of Science and Technology, autor de correspondencia), 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)
Año2023
Volumen20
Número2
Páginas1549-1549
Fecha de publicación2023-01-14
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20021549
PMID36674304
OpenAlexW4316664732
IdiomaEN
Referencias citadas39

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