Volume 16, Issue 3 (Pajouhan Scientific Journal, Spring 2018)                   psj 2018, 16(3): 48-57 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rahimi F, Islami F, Kahangi M M. Effects of Prenatal Education on Maternal and Neonatal Outcomes in High risk Pregnant Women. psj. 2018; 16 (3) :48-57
URL: http://psj.umsha.ac.ir/article-1-251-en.html
1- Nursing and Midwifery Sciences Development Research Center, Department Of Midwifery, Najafabad Branch, Islamic Azad University, Najafabad, Iran. , Rahimi.farz@yahoo.com
2- Midwifery, Amiralmomenin Hospital, Shahreza, Isfahan University of Medical Sciences, Isfahan, Iran.
3- Mohamad Mehdi Kahangi3
Abstract:   (313 Views)
Background and Objective: Lack of awareness and the fear of women is one of the reasons for cesarean delivery and the occurrence of complications in maternal and neonatal period in our country. This study was conducted to investigate the effect of prenatal education on maternal and neonatal outcomes in high risk pregnant women.
Materials and Methods: The present study was done as a randomized clinical trial on 150 high risk pregnant women was referred to Amiralmomenin Hospital in Shahreza, Iran in 2014. Samples were randomly assigned to control and intervention groups. The control group only received routine pregnancy care and case group received routine pregnancy care and prenatal education. After delivery, Maternal and neonatal outcomes  including  type of delivery , Apgar  index, weight and  height, head circumference, and  jaundice were assessed by using Chi-square and independent t-test.
Results: Intervention and control groups did not significant in terms of demographic and obstetric variables (P>0/05). The results showed that a significant  difference between two groups in type of  delivery, height, weight and head circumference (P<0/001). However there was no significant difference  between the two groups  in Apgar scores and in jaundice (P>0.05).
Conclusion: Raising awareness and education of pregnant women during pregnancy promote and improve the health of the baby and be a natural delivery. Therefore, it is suggested that prenatal education more widely used.
Full-Text [PDF 713 kb]   (85 Downloads)    
Type of Study: Research Article | Subject: Medicine & Clinical Sciences
Received: 2016/08/8 | Accepted: 2018/02/8 | Published: 2018/05/16

References
1. Akbarzade M, Toosi M, Zare N, Sharif F. Effect of Relaxation and attachment behaviors training on anxiety in first-time mothers in Shiraz city: A randomized clinical trial. Qom univ med SCIJ, 2013;6(4): 14-23. (Persian)
2. Toosi M, Akbarzadeh M, Zare N, Sharif F. The role of relaxation training in health index of infants in pregnant mothers. Journal of jahrom University of Medical Sciences, 2013;11(1): 15-21. (Persian)
3. London M, Ladewig P, Ball J, Bindler R, Maternal and child nursing care, 2th ed. upper saddle River: pearson prentice hall;2007.
4. Warren SL, Racu C, Gregg V, Simmens SJ. Maternal paniv disorder:infant prematurity and low birth weight. J Anxiety Disord, 2006; 20: 342-352. [DOI]
5. Shahhosseni Z, Abedian K, Azimi H.Anxiety during pregnancy in preterm delivery.Zanjan univ Med SCIJ, 2007;16 (63): 85-92. (Persian)
6. Alipoor Z, Lamyianm M, Hajizade E. Anxiety in pregnancy: Risk for outcome child birth. oromiee univ med SCIJ, 2009;9(1): 30-38. (Persian)
7. Teixeira J, Martin D, Prendiville O, Glover V. Theeffects of acute relaxation on indices of anxiety during pregnancy .J Psychosom Obstet Gynaecol, 2005 ;26:271-276.
8. Saif S, Kadivar P. Growth psychology 4th ed. Tehran: Roshd publication; 1884-87.
9. Mosavi Asl SA, Khramin SHA, Hadinia A, Rakhsha SHR, Poursamad A. The Role of Relaxation Training to pregnant Mothers on Health Index of Infants .J Armaghan danesh, 2009; 14(2): 97-104. (Persian)
10. Oates MR. Adverse effects of maternal antenatal anxiety on children: causal effect or developmental continuum? Br J Psychiatry, 2002; 180:478-9.
11. Shayeghiyan Z, Rasolzade K, Sedighi E. Effect Anxiety in pregnant women on delivery and health infants. Tehran univ Med SCIJ, 2007; 14(3): 57-64. (Persian)
12. Adibnegad R. In translation: Pediatric physician, growth and nutriation. 17th ed.:Hay. Tehran an publication, 2004; 323-325.
13. O’Connor TG, Heron J, Glover V, The LASPAC Study Team. Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression. J Am Acad Child Adolese Psychiatry, 2002;41: 1470-1477. [DOI]
14. Okour AM, Badarneh R. Spousal Violence against Pregnant women from a Bedouin Community in Jordan. J Womens Health [Larchmt], 2011; 20(12): 1853-9. [DOI]
15. Brownridge DA,Taillieu TL, Tyler KA, Tiwari A, Ko ling CH, Santos SC. Pregnancyand intimate partner violence: Risk factors,severty,and health effects. Violence Against Women, 2011 ;17(7): 858-881. PMID: 21775311 . DOI:10.1177/1077801211412547
16. Akbarzade M.Mental Health in Pregnancy &Child birth.9thed.Hydari publishers Tehran; 2012.pp: 21-98. (Persian)
17. Azizi A. Frequency of high risk pregnancy causes in pregnant women. Iranian Journal of Obstetrics and Gynecology. 2015:18(153): 10-19.
18. Towle MA .Maternal &newborn nursing care.13th edition: United States of American pub.2009.pp347.
19. Beers MA, Porter KS, Jones TV, Kaplan JL, Berkwits M. High risk pregnancy .lucile Packard children hospital at Stanford.Disease Health Info/HealthLibrary.2011.pp 246.
20. Mirzaee F. High risk pregnancy.33rd edition.tehran:nore andishe pub, 2009.pp78. (Persian)
21. Rahimi F, Ahmadi M, Rosta F, Alavi Majd H, Valiani M. Effect of Relaxation Training on Pregnancy Anxiety in High Risk Women .journal of safety promotion and injury prevention 2014;2(3):180-189. (Persian)
22. Jamilian M , Mobasseri SH, Wakilian K, Jamilian H R. Effect of childbirth preparation classes on the duration of admission and satisfaction of mothers. Scientific journal of Ilam University of medical Sciences, 2012; 21(2), 44-50. (Persian)
23. American Academy of pediatrics and the American college of obstetricians and Gynecologists: Guidelines for perinatal care .Disk-Read G, editor.4th ed.ACOG :Washington DC;2004.
24. Saisto T,Toivanen R,Salmela-Aro K,Halmesmaki E.Therapeutic group psychoeducation and relaxation in treating fear of childbirth.Acta Obstet Gynecol Scand, 2006 ;85:1315-1319.
25. Bahrami N ,Araban M ,Bahrami S.The impact of antenatal education on postpartum depression, Dezful ,Iran: Hormozgan univ med SCIJ, 2009;13(4): 277-283.(Persian)
26. Mehdizadeh A, Roosta F, Kamali Z, Khoshgoo N. Evaluation of the effectiveness of antenatal preparation for childbirth courses on the health of the mother and the newborn. Razi Medical Journal, 2003:10(35), 455-461. (Persian)
27. Wetzel W. Alternative and complementary therapies. Maternity and women’s health care.8th ed.Maryland: Mosby; 2004:74-90. PMID: 25268759. [DOI]
28. Maknney ES, James SR, Murray SS,Ashwill JW. Maternal –child nursing. 3rd ed. Philadelphia: Saunders; 2008 : pp33.
29. Spinelli G, Baglio S, Donati ME, Grandolfo J. Osborn. Do antenatal classes benefit the mother and her baby? The Journal of Maternal-Fetal & Neonatal Medicine, 2009;13(2): 94-101. [DOI]
30. Ferguson S, Davis D, Browne J. Does antenatal education affect labour and birth? A structured review of the literature, 2013;26(1): 5-8.
31. Susan K. McGrath, John H, Kennell MD. A Randomized Controlled Trial of Continuous Labor Support for Middle-Class Couples: Effect on Cesarean Delivery Rates, 2008;35(2): 92-97. [DOI]
32. Artieta Pinedo I, Paz Pascual C, Gurutze Remiro-Fernandezdegamboa G, Odriozola-Hermosilla I Bacigalupe A, Payo J. The Benefits of Antenatal Education for the Childbirth Process in Spain.2010; 29(3). [DOI]
33. Bstani Khalesi Z, Rafat F, Pakseresht S. Relationship between adequacy of prenatal care utilization index and neonatal outcomes.2013;25(76): 8-15. (Persian)
34. Cunningham FG. Leveno KJ, Bloom S, Hauth J, Rouse D, Spong C. Williams obstetrics.23rd edition .2010 .Newyork :MCGraw،Hill.
35. Kali RV, Cavanaugh JC. Humman development . 2nd ed.Belmot CA: Wadsworth publ ; 2000 :93 -5.
36. Bastani F, Hidarnia A, Kazemnejad A, Vafaei M, Kashaian M. Arandomized controlled trial of the effects of applied relaxation training on reducing anxiety and perceived stress in pregnant women , American college of nurse،midwives issued by Elsevier Inc,2005; 50(4):36،40. (Persian)
37. Clapp JF. The effect of maternal exercise on fetal oxygenation and feto،placental growth .Eur J Obstet Gynecol Reprod Biol. 2003; 110(11): 80-5. PMID:12965094
38. Mosavi asl SA, Khramin SHA, Hadinia A,Rakhsha SHR, Poursamad A. The Role of Relaxation Training to pregnant Mothers on Health Index of Infants .J Armaghan danesh 2009 ; 14[2]:97،104. (Persian)
39. Bastani F, Hidarnia A, Montgomery KS,Aquilar،Vafaei ME, Kazemnejad A. Dose relaxation education in anxious primigravid Iranian women influence adverse pregnancy outcome ?A Randomized controlled trial. J Perinat Neonatal Nurs 2006;20:138-146. (Persian)
40. Fink N,Urech C,Cavelti M, Alder J.Relaxation during pregnancy: what are the benefits for mother, fetus, and the newborn?A systematic review of the literature.J Perinat Neonat Nurs 2012 ;26[4]:296-306. PMID:23111717. [DOI]
41. Omer H, Friedlander D, Palti Z. Hypnotic relaxation in the treatment of premature labor. Psychosom med 1986 ;48:351-361.
42. 42. Chuntharapat S, Petpichetchian W, Hatthakit U. Yoga during pregnancy: effects on maternal comfort,labor pain and birth outcomes. Complement ther clin pract 2008;14:105-115. [DOI]
43. Urech C , Fink NS, Hoesli I, Wilhelm FH, Bitzer J, Alder J. Effect of relaxation on Psychobiological Wellbeing during pregnancy: A Randomized controlled trial. Psychoneuroendocrinology 2010 ;35:1348-1355. [DOI]
44. Rahimi F, Ahmadi M, Rosta F, Alavimajd H, Valiani M, Kahangi S M M. Investigating the Effect of Progressive Muscle Relaxation Training on Infants outcome in High Risk Pregnant Women . sjimu. 2018; 25 (6) :10-20 .(Persian)
45. Alder J, Urech C, Fink N, Bitzer J, Hoesli I. Response to Induced relaxation during pregnancy:comparison of women with High Versus Low Levels of Anxiety. J Clin Psychol Med Settings2011;18:13-21. [DOI]

Add your comments about this article : Your username or Email:
CAPTCHA code

Send email to the article author


© 2018 All Rights Reserved | Pajouhan Scientific Journal

Designed & Developed by : Yektaweb