Effect of Supportive Measures for Companionship on Parturient W omen Satisfaction and Labor Outcome

Abstract

The aim of this study is to evaluate the effect of supportive measures by trained companio nship on parturient wo men satisfaction and labor outcome . The hypothesis of the study is the supportive measures will increase parturient women satisfaction and improve labor outcome. An intervention study design was conducted at first in outpatient clinic during the last mon th of pregnancy then at labor unit of Ain Shams Maternity University Hospital during the period from January 2011 to September 2011. The sample size involved 104 companionship attended with 104 parturient women who were randomly selected during the last mon th of pregnancy. T he criteria of the sample included primipara, normal pregnancy without medical and obstetrical complication, normal fetal position, full term, single fetus, vaginal delivery, early first stage of labor on admission and healthy, educated trained female companionship. Tool s of data collection include Semi Structured Interviewing Questionnaire, Numerical Rating Scale, Checklist, Apgar Score Checklist, Modified Mackey Childbirth Satisfaction Rating Scale ( Mackey Scale) . Results of the study r evealed that there was a significant improve ment in knowledge regarding supportive measures during labor and expert in providing supportive measure during labor among trained companionship . Also, companionship preparation was positively associated with s ignificant effect in reducing the severity of labor pain, vocalization, and positive association between labor progress, neonatal outcome, increase satisfaction and childbirth experience. Recommendation of the study includes designing guideline about supportiv e measures during labor to be implemented and distributed among all health team members in Ministry of Health Maternity health facilities and companionship t o avoid potential harm to laboring mother