Mobility is an adjuvant approach for intrapartum care - A clinical randomized interventional study

M. Vaijayanthimala, A. Judie

Research output: Contribution to journalArticle

Abstract

In this highly technological medical scenario immobility during intrapartum period has become common issue associated with child birth. Though the benefits of movements and position changes to facilitate labour process have been discussed in literature for decades, controversial opinions, on movements and positions during labour still exits. Additionally lack of resources and accurate information to these issues depicts that need for an hour to be discussed and analyzed to find evidenced based practice intervention and to maintain sense of normality and make birth "as nature intended". To evaluate the effectiveness of mobility during labour on birth outcome among primi parturient mothers. Additionally this study also tested the maternal satisfaction a with child birth. 240 low risk primi parturient mothers who were in active stage of labour with uncomplicated pregnancy recruited and were allocated by Simple random sampling technique into the two arms of the study, but only 106 in study and 105 in control group participants completed the trial. Movements like walking, rocking, swaying were provided to experimental and not to control group. Both the groups were received hospital routine care. In active stage of labour (3-6 cm of cervical dilatation) the women completed the demographic and obstetrical information and pain was measured by 0-10 numerical rating scale and labour process and outcome are assessed by using partograph. Maternal satisfaction was assessed by rating scale. This study revealed that pain and other labour process parameters are significant at p=0.05 level between study and control group. Mothers in study group had less number of fetal distress and caesarian section, shorter duration of first stage, less need for augmentation and pain medication and higher satisfaction than control group at p=0.001 level of significance.

Original languageEnglish
Pages (from-to)356-362
Number of pages7
JournalInternational Journal of Pharmaceutical and Clinical Research
Volume6
Issue number4
Publication statusPublished - 2014

Fingerprint

Parturition
Mothers
Control Groups
Labor Pain
First Labor Stage
Pain
Fetal Distress
Cesarean Section
Walking
Demography
Pregnancy

Keywords

  • Child birth satisfaction
  • Intra partum period
  • Movements and position
  • Primi parturient mothers

ASJC Scopus subject areas

  • Pharmaceutical Science
  • Drug Discovery
  • Pharmacology (medical)

Cite this

@article{aec566b702e046fdbe947abfdf53566b,
title = "Mobility is an adjuvant approach for intrapartum care - A clinical randomized interventional study",
abstract = "In this highly technological medical scenario immobility during intrapartum period has become common issue associated with child birth. Though the benefits of movements and position changes to facilitate labour process have been discussed in literature for decades, controversial opinions, on movements and positions during labour still exits. Additionally lack of resources and accurate information to these issues depicts that need for an hour to be discussed and analyzed to find evidenced based practice intervention and to maintain sense of normality and make birth {"}as nature intended{"}. To evaluate the effectiveness of mobility during labour on birth outcome among primi parturient mothers. Additionally this study also tested the maternal satisfaction a with child birth. 240 low risk primi parturient mothers who were in active stage of labour with uncomplicated pregnancy recruited and were allocated by Simple random sampling technique into the two arms of the study, but only 106 in study and 105 in control group participants completed the trial. Movements like walking, rocking, swaying were provided to experimental and not to control group. Both the groups were received hospital routine care. In active stage of labour (3-6 cm of cervical dilatation) the women completed the demographic and obstetrical information and pain was measured by 0-10 numerical rating scale and labour process and outcome are assessed by using partograph. Maternal satisfaction was assessed by rating scale. This study revealed that pain and other labour process parameters are significant at p=0.05 level between study and control group. Mothers in study group had less number of fetal distress and caesarian section, shorter duration of first stage, less need for augmentation and pain medication and higher satisfaction than control group at p=0.001 level of significance.",
keywords = "Child birth satisfaction, Intra partum period, Movements and position, Primi parturient mothers",
author = "M. Vaijayanthimala and A. Judie",
year = "2014",
language = "English",
volume = "6",
pages = "356--362",
journal = "International Journal of Pharmaceutical and Clinical Research",
issn = "0975-1556",
publisher = "International Journal of Pharmaceutical and Clinical Research",
number = "4",

}

TY - JOUR

T1 - Mobility is an adjuvant approach for intrapartum care - A clinical randomized interventional study

AU - Vaijayanthimala, M.

AU - Judie, A.

PY - 2014

Y1 - 2014

N2 - In this highly technological medical scenario immobility during intrapartum period has become common issue associated with child birth. Though the benefits of movements and position changes to facilitate labour process have been discussed in literature for decades, controversial opinions, on movements and positions during labour still exits. Additionally lack of resources and accurate information to these issues depicts that need for an hour to be discussed and analyzed to find evidenced based practice intervention and to maintain sense of normality and make birth "as nature intended". To evaluate the effectiveness of mobility during labour on birth outcome among primi parturient mothers. Additionally this study also tested the maternal satisfaction a with child birth. 240 low risk primi parturient mothers who were in active stage of labour with uncomplicated pregnancy recruited and were allocated by Simple random sampling technique into the two arms of the study, but only 106 in study and 105 in control group participants completed the trial. Movements like walking, rocking, swaying were provided to experimental and not to control group. Both the groups were received hospital routine care. In active stage of labour (3-6 cm of cervical dilatation) the women completed the demographic and obstetrical information and pain was measured by 0-10 numerical rating scale and labour process and outcome are assessed by using partograph. Maternal satisfaction was assessed by rating scale. This study revealed that pain and other labour process parameters are significant at p=0.05 level between study and control group. Mothers in study group had less number of fetal distress and caesarian section, shorter duration of first stage, less need for augmentation and pain medication and higher satisfaction than control group at p=0.001 level of significance.

AB - In this highly technological medical scenario immobility during intrapartum period has become common issue associated with child birth. Though the benefits of movements and position changes to facilitate labour process have been discussed in literature for decades, controversial opinions, on movements and positions during labour still exits. Additionally lack of resources and accurate information to these issues depicts that need for an hour to be discussed and analyzed to find evidenced based practice intervention and to maintain sense of normality and make birth "as nature intended". To evaluate the effectiveness of mobility during labour on birth outcome among primi parturient mothers. Additionally this study also tested the maternal satisfaction a with child birth. 240 low risk primi parturient mothers who were in active stage of labour with uncomplicated pregnancy recruited and were allocated by Simple random sampling technique into the two arms of the study, but only 106 in study and 105 in control group participants completed the trial. Movements like walking, rocking, swaying were provided to experimental and not to control group. Both the groups were received hospital routine care. In active stage of labour (3-6 cm of cervical dilatation) the women completed the demographic and obstetrical information and pain was measured by 0-10 numerical rating scale and labour process and outcome are assessed by using partograph. Maternal satisfaction was assessed by rating scale. This study revealed that pain and other labour process parameters are significant at p=0.05 level between study and control group. Mothers in study group had less number of fetal distress and caesarian section, shorter duration of first stage, less need for augmentation and pain medication and higher satisfaction than control group at p=0.001 level of significance.

KW - Child birth satisfaction

KW - Intra partum period

KW - Movements and position

KW - Primi parturient mothers

UR - http://www.scopus.com/inward/record.url?scp=84907880056&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907880056&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84907880056

VL - 6

SP - 356

EP - 362

JO - International Journal of Pharmaceutical and Clinical Research

JF - International Journal of Pharmaceutical and Clinical Research

SN - 0975-1556

IS - 4

ER -