#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

The psychosocial aspects of perinatal care and their relationship to selected medical interventions and health complications during parturition


Authors: L. Takács 1;  E. Kodyšová 1;  J. Seidlerová 2
Authors‘ workplace: Katedra psychologie FF UK, Praha, vedoucí katedry doc. PhDr. I. Gillernová, CSc. 1;  II. interní klinika, Fakultní nemocnice a LF UK, Plzeň, přednosta prof. MUDr. J. Filipovský, CSc. 2
Published in: Ceska Gynekol 2012; 77(3): 195-204

Overview

Objective:
Find association between psychosocial factors of perinatal care and selected childbirth complications and interventions.

Design:
Original study.

Setting:
Department of Psychology, Faculty of Arts and Philosophy, Charles University, Prague.

Methods:
Statistical data analysis of questionnaire survey of low-risk parturients (n=657) was carried out. Respondents were divided into experimental groups (EG) according to experienced interventions and complications (hemorrhage, failure to progress, fetal distress, forceps/VEX delivery, caesarean birth, failure to progress followed by caesarean birth, labour acceleration infusion, other infusion, epidural anesthesia, other form of pharmacological analgesia, episiotomy, amniotomy). EG were compared with a control group (CG) of women with no complications and interventions (n=107) in evaluation of psychosocial factors of perinatal care (healthcare provider attitude; control; communication; woman-friendliness of hospital rules) and physical comfort and services, presence of other persons at birth, prevailing emotional reaction and overall satisfaction with maternity care. The interpretation of results draws from qualitative analysis of open-ended question answers.

Results:
EG and CG differed significantly in control (all EG’s scored lower) and healthcare provider attitude evaluation (significantly more negative perception at EG’s: hemorrhage, failure to progress, fetal distress, forceps/VEX delivery, labour acceleration infusion, episiotomy). Significant differences were noted also for woman-friendliness of hospital rules (lower scores for EG’s: hemorrhage, failure to progress, failure to progress followed by caesarean birth) and for presence of other persons at birth. Possible interpretations of the above results are discussed.

Conclusion:
Psychosocial factors of perinatal care constitute important childbirth process determinants, while playing a key role for parturients’ ability to cope with anxiety and stress connected with childbirth complications and interventions. Beneficial psychosocial climate of a hospital contributes to higher patient satisfaction as well as to lower maternal and neonatal morbidity.

Key words:
maternal-child nursing, psychosocial factors, psychosomatic aspects, obstetric labor complications, medical psychology.


Sources

1. Behrens, O., Goeschen, K., Luck, HJ., Fuchs, AR. Effects of lumbar epidural analgesia on prostaglandin F2 alpha release and oxytocin secretion during labour. Prostaglandins, 1993, 45(3), p. 285–296.

2. Bergstrom, L., Richards, L., Morse, JM., Roberts, J. How caregivers manage pain and distress in second-stage labor. J Midwifery Womens Health, 2010, 55(1), p. 38–45.

3. Copstick, SM., Taylor, KE, Hayes, R., Morris, N. Partner support and the use of coping techniques in labour. J Psychosom Res, 1986, 30(4), p. 497–503.

4. Creedy, DK., Shochet, IM., Horsfall, J. Childbirth and the development of acute trauma symptoms: incidence and contributing factors. Birth, 2000, 27(2), p. 104–111.

5. Enkin, M., Keirse, MJNC., Renfrew, M., Nielson, J. Efektivní péče v perinatologii. Praha: Grada, 1998.

6. Georgas, J., Giakoumaki, E., Georgoulias, N., et al. Psychosocial stress and its relation to obstetrical complications. Psychother Psychosom, 1984, 41(4), p. 200–206.

7. Goodfellow, CF., Hull, MGR., Swaab, DF., et al. Oxytocin deficiency at delivery with epidural analgesia. Br J Obstet Gynaecol, 1983, 90, p. 214–219.

8. Grajeda, R., Perez-Escamilla, R. Stress during labor and delivery is associated with delayed onset of lactation among urban Guatemalan women. J Nutr, 2002, 132(10), p. 3055–3060.

9. Henneborn, WJ., Cogan, R. The effect of husband participation on reported pain and probability of medication during labor and birth. J Psychosom Res, 1975, 19(3), p. 215–222.

10. Hodnett, ED., Osborn, RW. Effects of continuous intrapartum professional support on childbirth outcomes. Res Nurs Health, 1989, 12, p. 289–297.

11. Janni, W., Schiessl, B., Peschers, U., et al. The prognostic impact of a prolonged second stage of labor on maternal and fetal outcome. Acta Obstet Gynecol Scand, 2002, 81, p. 214–221.

12. Johnson, RC., Slade, P. Obstetric complications and anxiety during pregnancy: is there a relationship? J Psychosom Obstet Gynecol, 2003, 24(1), p. 1–14.

13. Jonas, O., Roder, D., Chan, A. The association of low socio-economic status in metropolitan Adelaide with maternal demographic and obstetric characteristics and pregnancy outcome. Eur J Epidemiol, 1992, 8(5), p. 708–714.

14. Kashanian, M., Javadi, F., Haghighi, MM. Effect of continuous support during labor on duration of labor and rate of cesarean delivery. Int J Gynecol Obstet, 2010, 109(3), p. 198–200.

15. Kebza, V. Psychosociální determinanty zdraví. Praha: Academia, 2005.

16. Kennell, JH. Kontinuierliche Unterstützung während der Geburt: Einflüsse auf Wehen, Entbindung und Mutter-Kind-Interaktion. In Brisch, HK, Hellbrügge, T. (Eds.), Die Anfänge der Eltern-Kind-Bindung, Stuttgart, Klett-Cotta, 2008, S. 157–169.

17. Klaus, M., Kennell, JH. The effects of continual social support during birth on maternal and infant morbidity. In: Fedor-Freybergh, PG. Vogel, MLV. (Eds.). Prenatal and perinatal psychology and medicine. Encounter with the unborn. New Persey: The Parthenon Publishing Group, 1988.

18. Langer, A., Campero, L., Garcia, C., Reynoso, S. Effects of psychosocial support during labour and childbirth on breastfeeding, medical interventions, and mothers’ wellbeing in a Mexican public hospital: a randomised clinical trial. Br J Obstet Gynaecol, 1998, 105(10), p. 1056–1063.

19. Lederman, RP., Lederman, E., Work, BA., McCann, DS. The relationship of maternal anxiety, plasma catecholamines, and plasma cortisol to progress in labor. Am J Obstet Gynecol. 1978,132(5), p. 495–500.

20. Lederman, RP., Lederman, E., Work, BA., McCann, DS. Anxiety and epinephrine in multiparous women in labor: relationship to duration of labor and fetal heart rate patterns. Am J Obstet Gynecol, 1985, 153(8), p. 870–877.

21. Leifer, G. Úvod do porodnického a pediatrického ošetřovatelství. Praha: Grada, 2004.

22. Leighton, BL., Halpern, SH. The effects of epidural analgesia on labor, maternal, and neonatal outcomes: A systematic review. Am J Obstet Gynecol, 2002, 186(5), p. 69–77.

23. Lothian, JA. Do not disturb: the importance of privacy in labor. J Perinat Educ, 2004 , 13(3), p. 4–6.

24. Magann, EF., Evans, S., Hutchinson, M., et al. Postpartum hemorrhage after vaginal birth: an analysis of risk factors. Southern Med J, 2005, 98(4), p. 419–422.

25. Morhason-Bello, IO., Babatunde, OA. Oladosu, AO. Social support during childbirth as a catalyst for early breastfeeding initiation for first-time Nigerian mothers. Inter Breastfeeding, 2009, 4, p. 16.

26. Murray, AD., Dolby, RM., Nation, RL., Thomas, DB. Effects of epidural anaesthesia on newborns and their mothers. Child Dev, 1981, 52, p. 71–82.

27. Odent, M. Znovuzrozený porod. Praha: Argo, 2004.

28. Pascoe, JM. Social support during labor and duration of labor: a community-based study. Public Health Nurs, 1993, 10, p. 97–99.

29. Peterson, G., Mehl, L., McRae, J. Relationship of psychiatric diagnosis, defenses, anxiety and stress with birth complications. In: Fedor-Freybergh, PG., Vogel MLV., (Eds.), Prenatal and perinatal psychology and medicine. Encounter with the unborn. New Jersey, The Parthenon Publishing Group, 1988, p. 399–416 .

30. Pirdel, M., Pirdel, L. Perceived environmental stressors and pain perception during labor among primiparous and multiparous women. J Reprod Infertil, 2009, 10(3), p. 217–223.

31. Ransjö-Arvidson, AB., Matthiesen, AS., Lilja, G., et al. Maternal analgesia during labor disturbs newborn behavior: effects on breastfeeding, temperature, and crying. Birth, 2001, 28(1), p. 5–12.

32. Simkin, PP. Just another day in a woman’s life? Nature and consistency of women’s long-term memories of their first birth experiences. Birth, 1992, 19, p. 64–81.

33. Simkin, PP., O’Hara, M. Nonpharmacologic relief of pain during labor: systematic reviews of five methods. Am J Obstet Gynecol, 2002, 186(5), p. 131–159.

34. Sosa, R., Kennell, JH., Klaus, MH, Urrutia, JJ. The effect of a supportive companion on perinatal problems, length of labor, and mother-infant interaction. N Engl J Med, 1980, 303(11), p. 597–600.

35. Stadlmayr, W., Amsler, S., Lemola, S., et al. Memory of childbirth in the second year: The long-term effect of a negative birth experience and its modulation by the perceived intranatal relationship with caregivers. J Psychosom Obstet Gynecol, 2006, 27(4), p. 211–224.

36. Šulová, L. Raný psychický vývoj dítěte. Praha: Karolinum, 2005.

37. Takács, L., Kodyšová, E. Psychosociální faktory ovlivňující spokojenost rodiček s perinatální péčí. Čes Gynek, 2011, 76(3), s. 199–204.

38. Takács, L., Kodyšová, E., Kejřová, K., Bartošová, M. Psychosociální klima porodnice a jeho vliv na emoční pohodu rodičky. Psychologie pro praxi, 2011, 47(3–4), s. 9–23.

39. Takács, L., Kodyšová, E., Kejřová, K., Bartošová, M. Zahájení kojení z hlediska psychosociálních faktorů perinatální péče. E-psychologie [online], 2011, 5 (4), 16–32 [cit. 7.8.2011]. Dostupný z WWW: <http://e-psycholog.eu/pdf/takacs-etal.pdf>.

40. Trueba, G., Contreras, C., Velazco, MT., et al. Alternative strategy to decrease Cesarean section: support by doulas during labor. J Perinat Educ, 2000, 9(2), p. 8–13.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 3

2012 Issue 3

Most read in this issue
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#