Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment
American Journal of Nursing Science
Volume 9, Issue 3, June 2020, Pages: 160-170
Received: Apr. 21, 2020; Accepted: May 11, 2020; Published: May 27, 2020
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Authors
Rehab Soliman Abd El Aliem, Obstetrics and Woman Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Afaf Mohamed Emam, Obstetrics and Woman Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Ahlam El Ahmady Sarhan, Community Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
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Abstract
Background: The birth plan raises women’s knowledge, improves empowerment, and promotes childbirth outcomes. Aim of the study was to implement a birth plan and evaluate its effect on women childbirth outcomes and empowerment. Design: A quasi-experimental comparative design. Sampling: A purposive sample of 194 pregnant women was enrolled and equally allocated into two groups (the intervention group who engaged in a birth plan to receive planned care during childbirth, a control group who received routine hospital care) 97 women each. Setting: The study was conducted at the obstetrics outpatient clinic and in the delivery room of Benha University Hospital. Tools: four tools were used for data collection; A Structured Self-Administration Questionnaire, Birth plan fulfillment sheet, childbirth outcomes sheet, Childbirth related Empowerment Scale. Results: that there were highly significant difference in most items of designed birth plan care during 1st, 2nd and 3rd stage between control and study group (P ≤ 0.001) and there was a significant decrease in mean ± SD of 1st stage duration and the total duration of childbirth stages of the study group comparing to the control group (P ≤ 0.05). Before implementing the birth plan, there was no statistical significance difference between control and study group regarding childbirth-related empowerment scale as (p ˃ 0.05) while after implementation, there were highly statistically significant differences regarding most items of birth-related empowerment scale as (P ≤ 0.001). Conclusion: the birth plan has a higher implementation of designed childbirth care, a positive effect on maternal and fetal outcomes and there was a highly significant increase in the total women`s empowerment scores after implementing birth plan (p<0,001) compared to control group. Recommendation: Raising awareness of healthcare staff of the outpatient clinic, delivery ward to implement birth plan toward increasing childbirth empowerment.
Keywords
Birth Plan, Childbirth Outcomes, Empowerment
To cite this article
Rehab Soliman Abd El Aliem, Afaf Mohamed Emam, Ahlam El Ahmady Sarhan, Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment, American Journal of Nursing Science. Vol. 9, No. 3, 2020, pp. 160-170. doi: 10.11648/j.ajns.20200903.25
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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