Volume 28, Issue 131 (November & December 2020)                   J Adv Med Biomed Res 2020, 28(131): 316-322 | Back to browse issues page


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Kazemi Robati A, Molaei B, Motamed N, Hatami R, Gholami H, Ahmadi Birjandi A et al . Effects of the Presence of the Doula on Pregnant Women's Anxiety and Pain During Delivery: A Randomized Controlled Trial. J Adv Med Biomed Res 2020; 28 (131) :316-322
URL: http://journal.zums.ac.ir/article-1-5844-en.html
1- Dept. of Obstetrics and Gynecology, Zanjan University of Medical Sciences, Zanjan, Iran
2- Dept. of Obstetrics and Gynecology, Zanjan University of Medical Sciences, Zanjan, Iran , afshari_m20@yahoo.com
3- Dept. of Social Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
4- Zanjan University of Medical Sciences, Zanjan, Iran
5- Dept. of Midwifery, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
Abstract:   (144326 Views)

 Background & Objective:  Based on the cultural and structural boundaries in Iran in terms of the presence of doulas through the delivery, the importance of making the delivery more desirable for mothers, and since few important studies have been conducted on this topic in Iran, this study evaluated the effects of the presence of a doula on anxiety and pain in pregnant women during delivery.
 Materials & Methods:  This randomized clinical trial was conducted on 80 pregnant women referred to Ayatollah Musavi Hospital (Zanjan, Iran) in 2016. For women in the intervention group, the doula provided emotional and physical support. The mothers' pain severity and anxiety were measured by using a visual analog scale (VAS) and Spielberger questionnaire, respectively. Categorical and continuous variables were compared using chi-square and t tests, respectively.
 Results:  We found that a higher proportion of patients had experienced mild anxiety about entering the postpartum period (47.5% vs 15%) and exiting it (80% vs 40%; P<0.05) compared to the control group.  Also, the mean VAS score was significantly higher in the control group at 4-5 cm (86.5±11.39 vs 78.62±14.0; P=0.007) and 7-8 cm of cervical dilatation (99.0±4.41 vs 95.0±8.47; P=0.01) stages.
 Conclusion:  The presence of a trained doula during labor can ease the mental consequences of delivery and decrease women's anxiety and pain during labor.

Keywords: Doulas, Labor, Emotions, Anxiety, Pain
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✅ The presence of a trained doula during labor can ease the mental consequences of delivery and decrease women's anxiety and pain during labor.


Type of Study: Original Article | Subject: Life science
Received: 2019/11/23 | Accepted: 2020/06/12 | Published: 2020/10/1

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