بررسی تأثیر حمایت مداوم ماما در طی لیبر و زایمان بر شدت درد زایمان

  Evaluation of the Effect of Continuous Midwifery Support on Pain Intensity in Labor and Delivery     Z. Ahmadi [1]     Received: 01/03/09 Sent for Revision: 06/05/09 Received Revised Manuscript: 28/07/10 Accepted: 17/08/10     Background and Objectives: Because of high prevalence of severe labor pain and adverse complications for the mother and baby, seeking methods for pain relief is necessary. Continuous midwifery support is one of the nonpharmacologic methods of pain relief. The aim of this study was to determine the effect of continuous midwifery support on the pain intensity of labour and delivery.   Materials and Methods : In this clinical trail, 100 primiparous women in delivery department of Emam Hossein hospital in Zanjan, Iran, in 2007, were randomly selected and divided into two groups. The exprerimental group received continuous midwifery support based on the effective management of normal childbirth, consistsing of: emotional, information, and physical support. The control group received only usual care. The scale of collection of data was questionnaire and check list. Data were analyzed using descriptive and analytic methods (t-test, chi-squre and Mann-Whitney tests).   Results: Pain intensity of Labour (p= 0.002) and the second stage of delivery (p= 0.009) among the supported or (experimental) group was less than that of the control group. Duration of labour (p= 0.005) and second stage of delivery (p= 0.001) in the supported group was also less than that of the control group. There was no relations between pain intensity with age, educatinal level, job and economic status.   Conclusion: Continous midwifery support along with management of normal childbirth principles reduce intensity of pain labour and delivery.   Key words: Labor pain, Continuous Labor support, Midwifery care, Pain relief     Funding: This research was funded by Islamic Azad University, Zanjan Branch.   Confilict of interest: None declared.   Ethical approval: The Ethics committee of Islamic Azad University, Zanjan Branch, approved the study.     [1] - Academic Member, Dept. of Midwifery , Faculty of Medical Sciences, Islamic Azad University, Zanjan Branch, Iran   Corresponding autor, Tel : (0423) 2222095, Fax: (0423) 2221927, E-mail:ahmadi.zahra4@gmail .com