Iduna Sophia D’Couto, - (2010) A study to assess the knowledge and anxiety of birth companion in relation to their support in childbirth and the influence of support on maternity Centers, Tiruppur. Masters thesis, RVS College of Nursing, Coimbatore.
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Abstract
“A Study to assess the Knowledge and Anxiety of Birth Companion in relation to their Support in Childbirth and the influence of Support on the Outcome of Labor among Primipara Woman at Selected Maternity Centers”. The aim of the study was to assess the level of knowledge of labor process and its care and anxiety of the birth companion and to determine whether they are related with the support given by the companion during labor, also whether the support given influences length of labor, pain perception and perception of birthing experience of the primiparous woman. The conceptual framework used in this study was based on modified Einestine Wiedenback – The Need for Help model. The study adopted a descriptive and correlation survey approach. A convenient sample of 40 primiparous women in labor and their birth companions were the samples of this study from two maternity centers. The data on knowledge and anxiety was collected by a knowledge questionnaire and an anxiety scale using interview technique, and support measures carried out by the birth companion were observed hourly for 15 minutes throughout labor and recorded on a checklist. The data from the woman in labor was collected on length of labor at the end of each stage. Pain was assessed using Verbal Graphic Rating Scale on an hourly basis for the first contraction of every hour and pain in the II and III stage was recorded at the end of stages. Birth experience was collected by interviewing the woman following delivery. The data was analyzed using descriptive, correlation and descriptive statistics. The finding of the study showed that the level of knowledge was average among 75% of samples, poor in 25% of samples and no one had good knowledge. The knowledge on birth process was significantly more than the care to be given for the woman in labor (t test = 20.4, p < 0.05). The anxiety of the birth companion was found in three areas related to self, woman in labor and child to be born. 35 birth companions (87.5 %) showed moderate anxiety for the women in labor, and the highest anxiety was related to the child to be born with a mean score of 20%. ii There was a significant difference between the areas of anxiety (ANOVA, f = 10.12, P < 0.05) and the anxiety was more for the child to be born. With regard to the support given by the birth companion, 29 samples (72.5%) provided moderate support to the women in labor in I stage, 23 samples (74%) provided high support in the II stage and in the stage III, the support provided was either low (42%) or moderate (48.8%). The most outstanding support measure was staying beside the women in labor (93%), followed by talking to the women in labor (81%), and holding hands (76%). The activity carried out least frequently was massaging back and extremities (18%). The average length of labor was 6.62 hours. In the first stage 57.5% of the women in labor experienced moderate pain, 74% experienced unbearable pain in the II stage, and 45% of women had severe pain in III stage of labor. 18 samples (58 %) were highly satisfied with their birth experience. Correlations of the variables showed a mild negative correlation between knowledge and anxiety of the birth companion (r = -0.29), anxiety and support provided by the birth companion (r = -0.15), support and length of labor (r =-0.57) and support and intensity of pain (r = -0.33). Correlations of the variables showed a mild positive correlation between knowledge and support (r = 0.26) and support provided by the birth companion with birth experience (r = 0.29). Statistically the relationship was significant for level of knowledge to the support (χ2 = 12.4, df =1, p<0.05). The association between demographic variables of birth companion and the study variables knowledge, anxiety and support showed no significance in all areas. This study concludes that birth companions without undergoing any knowledge programmes exhibited moderate knowledge, underwent moderate stress and they provided support that led to high satisfaction among 58% of the women in labor. If the areas of knowledge are strengthened, a better support could be provided by the birth companion for the women in labor.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Knowledge; Anxiety; Birth Companion; Relation; Support; Childbirth; Influence; Maternity Centers; Tiruppur |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Ramakrishnan J |
| Date Deposited: | 05 Feb 2018 06:32 |
| Last Modified: | 05 Feb 2018 06:32 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5634 |
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