American Journal of Nursing Science

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Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment

Received: 21 April 2020    Accepted: 11 May 2020    Published: 27 May 2020
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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.

DOI 10.11648/j.ajns.20200903.25
Published in American Journal of Nursing Science (Volume 9, Issue 3, June 2020)
Page(s) 155-165
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Birth Plan, Childbirth Outcomes, Empowerment

References
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Author Information
  • Obstetrics and Woman Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt

  • Obstetrics and Woman Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt

  • Community Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt

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  • APA Style

    Rehab Soliman Abd El Aliem, Afaf Mohamed Emam, Ahlam El Ahmady Sarhan. (2020). Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. American Journal of Nursing Science, 9(3), 155-165. https://doi.org/10.11648/j.ajns.20200903.25

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    Rehab Soliman Abd El Aliem; Afaf Mohamed Emam; Ahlam El Ahmady Sarhan. Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. Am. J. Nurs. Sci. 2020, 9(3), 155-165. doi: 10.11648/j.ajns.20200903.25

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    AMA Style

    Rehab Soliman Abd El Aliem, Afaf Mohamed Emam, Ahlam El Ahmady Sarhan. Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. Am J Nurs Sci. 2020;9(3):155-165. doi: 10.11648/j.ajns.20200903.25

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  • @article{10.11648/j.ajns.20200903.25,
      author = {Rehab Soliman Abd El Aliem and Afaf Mohamed Emam and Ahlam El Ahmady Sarhan},
      title = {Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {3},
      pages = {155-165},
      doi = {10.11648/j.ajns.20200903.25},
      url = {https://doi.org/10.11648/j.ajns.20200903.25},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20200903.25},
      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.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment
    AU  - Rehab Soliman Abd El Aliem
    AU  - Afaf Mohamed Emam
    AU  - Ahlam El Ahmady Sarhan
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    DO  - 10.11648/j.ajns.20200903.25
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
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    UR  - https://doi.org/10.11648/j.ajns.20200903.25
    AB  - 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.
    VL  - 9
    IS  - 3
    ER  - 

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