DOĞUMA İLİŞKİN ÖZELLİKLER POSTPARTUM DEPRESYON VE MATERNAL BAĞLANMAYI YORDUYOR MU?

Abstract

This study was carried out to examine the effect of childbirth education classes on women's birth method, fear and experience. For this study, which is a systematic review, the studies were obtained by browsing PubMed, Cochrane, EBSCOhost and Google Academic databases in March-May 2018. Seventeen studies published in 2000-2018 were included in the study. The data were synthesized using meta-analysis and narrative methods. The total sample size of the studies is 17736. In this systematic review, a meta-analysis based on the results of six studies found that childbirth education classes increased the rate of vaginal delivery (OR: 1.59, p<0.01). The pooled results of five studies also showed that childbirth education classes were effective in reducing the fear of birth (MD: -23.41, p<0.001). In some studies, it had been reported that childbirth education classes positively affected the perception of pain, using of epidural analgesia, perceived support, satisfaction, self-efficacy, sense of self-confidence, adaptation process, sense of control, body awareness and use of alternative birth position. It had also been found that the childbirth education classes reduce anxiety, stress, medical intervention and drug use. As a conclusion, this systematic review showed that childbirth education classes reduce the fear of birth, and increase the vaginal delivery rate and positive birth experiences.