Effects of Labor Support Program by a Female Relative on Fear of Childbirth and Perception of Childbirth Experience Among First-time Adolescent Mothers

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ชุลีพร การะภักดี วรรณี เดียวอิศเรศ อุษา เชื้อหอม



            The purpose of this quasi experimental research aimed to examine effects of a female relative support in labor program between first-time adolescent mothers who received labor support program by a female relative and those who received only routine nursing care. The participants were 47 of first-time adolescent mothers who attended antenatal care and gave birth at Sawanpracharak hospital, Nakhon Sawan province from February to May 2018. They were assigned into the control group (n = 22) and the experimental group (n = 25) by purposive sampling. The experimental group received both routine care and a female relative support in labor program while the control group received only routine nursing care. Data were collected by using a demographic record form, the Delivery Fear scale, and the perception of childbirth experience questionnaire. Data were analyzed by using descriptive statistics and independent t-test.

          The results revealed that the participants in the experimental group chose their mothers to provided labor support and had a significantly lower fear of childbirth than those in the control group during the active phase and throughout the process of delivery (t45 = 3.61, p < .01 and t45 = 5.95, p < .001, respectively). The participants in the experimental group also had significantly more positive perception of childbirth experience than those in the control group (t45 = -3.86, p < .001).  These findings suggest that the nurse–midwives in labor rooms should support a female relative to give labor support for parturient especially for first-time adolescent mothers to help decrease fear of childbirth and to enhance positive perception of childbirth experience.


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Adams, S. S., Eberhard –Gran, M., & Eskild A. (2012). Fear of childbirth and duration of labour: A study of 2206 women with intended vaginal delivery. British Journal of Obstetrics and Gynaecology, 119, 1238-1246.

Alehagen, S., Wijma, K., & Wijma, B. (2001). Fear during labor. Acta Obstetricia & Gynecologica Scandinavica, 80, 315-320

Anusornteerakul, S., & Kittiprisada, P. (2013). The effect of health education program and relative assistant on pain, fear, anxiety in primiparous during the first stage of labor. Journal of Nursing Science & Health, 36(1), 23-31. [In Thai]

Bryanton, J., Gagnon, A. J., Johnston, C., & Hatem, M. (2008). Predictors of women’s perceptions of the childbirth experience. Journal of Obstetric Gynecologic & Neonatal Nursing, 37(1), 24-34. DOI: 10.1111/J.1552-6909.2007.00203.x

Campbell, D. A., Lake, M. F., Falk, M., & Backstrand, J. R. (2006). A randomized control trial continuous support in labor by a lay doula. Journal of Obstetric Gynecologic & Neonatal Nursing, 35(4), 456-464.

Dick-Read, G. (1984). Childbirth without fear. 5th ed USA: Harper & Row.

Haines, H. M., Rubbertsson, C., Pallant, J. F., & Hildingsson, I. (2012). The influence of childbirth on mode and experience of birth: Retrieved from http://www.biomedicentral.com/147-2393/12/55

Hodnett, E. D., Gates, S., Hofmeyr, G. J., Sakala, C. (2012). Continuous support for women during childbirth. The Cochrane Database of systematic reviews 2012. DOI:10.1002/14651858.CD003766.pub4

Khresheh, R. (2010). Support in the first stage of labour from a female relative: the first step in improving the quality of maternity services. Midwifery, 26, 21-24.

Lowdermilk, D. L., & Perry, S. E. (2006). Maternity nursing (7th ed.). St. Louis: Mosby.

Panyoi, P., Phumdoung, S., & Thiptamphong, B. (2015). Fear of childbirth and coping
strategies of adolescent pregnant women . Journal of Nursing Science and Health, 38(4), 34-43. [In Thai]

Polit, D. F., & Beck, C. T. (2008). Nursing research generating and assessing evidence for nursing practice (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Saisto, T., Ylikorkala, O., & Halmesmaki, E. (1999). Factor associated with fear of delivery in
second pregnancies. Obstetrics & Gynecology. 94(5), 679-682.

Sansiriphun, N. (2013). Fear of childbirth. Nursing Journal, 40, 103-112. [In Thai]

Serisathien, Y. (1987). Alternative: Relationship between perception of childbirth experience, self-concept, and maternal-newborn attachment in high risk mothers. Master thesis (Master of Science), Mahidol University Bangkok. [In Thai]

Saul, D. J. (2010). Promoting a positive childbirth experience for adolescents. Journal of Obstetric Gynecologic & Neonatal Nursing, 39(6), 703-712.

Soontornlimsili, B., Phumonsakul, S., & Chareonpol, O. (2009). The effect of nursing during labor on laboring stress and perception of childbirth experience of first-time teenage mothers. Ramathibodi Nursing Journal, 15(3), 361-372. [In Thai].

Sukrat, B., & Eamkhong, P. (2017). Statistics on adolescent birth, Thailand 2017. Department of reproductive health, Ministry of Public Health, Bangkok, The Agriculture cooperative federation of Thailand.

Strategic and Planning Division. (2018). KPIs Template 2561. Office of the permanent secretary, Ministry of Public Health.

Subprasert, Y. (1998). Effect of nursing care using non-pharmacological technique of pain relief on pain coping behaviors during delivery, duration of labor and perception of childbirth experience in primiparous. Master thesis (Nursing education), Chulalongkorn University Bangkok. [In Thai]

Toohil, J., Fenwick, J., Gamble, J., D. K., Buist, A., Turkstra, E., & Elsa-Lena R. (2014). A randomized control trial of a psycho-education intervention by midwives in reducing childbirth fear in pregnant women. Birth, 41(4), 384-394.

WHO Health Organization. (2014). Adolescent pregnancy. Retrieved from http://www.who.int/reproductivehealth/ publication/ publist.htm.

WHO Health Organization. (2016). Companion of choice during labour and childbirth for improved quality of care. Retrieved from www.who.int/reproductivehealth/ publication/ publist.htm.

Wijma, K., Wijma, B., & Zar, M. (1998). Psychometric aspect of W-DEQ: A new questionnaire for the measurement of fear of childbirth. Journal of Psychosomatic Obstetrics and Gynecology, 19(2), 84-97.

Yuenyong, S., & Rakthai, N. (2011). The effect of labor support by close relative on pain, anxiety and satisfaction with childbirth experience among primiparous mothers. The Journal of Faculty of Nursing, Burapha University, 19(2), 67- 82. [In Thai]