Abstract
Objectives: To clarify the effects on the delivery experience of midwives giving parturient females individual explanations about how the course of delivery, using 3D animation software (Delivery Animation). Method: 1) Subjects: Women admitted to Institution A for delivery; 70 in the intervention group (34 primipara, 36 multipara), and 79 (41 primipara, 38 multipara) in the control group. 2) Data collection method: Intervention group; 3) During phases 1 and 2 of delivery, after internal examinations, collaborative-researcher midwives gave parturient women explanations about the course of delivery, using tablets with the Delivery Animation software installed. This software was independently developed by the researchers. On postpartum day 1, the collaborative-researcher midwives distributed anonymous, self-administered questionnaires to the postpartum women. 4) During phases 1 and 2 of delivery, the course of delivery was explained using existing methods, and anonymous, self-administered questionnaires were distributed on postpartum day 1. 5) The intervention group and control group were compared using descriptive and inferential statistics, organized into primipara and multipara. Results: In the Understanding the Delivery Process category, primipara in the intervention group had significantly higher scores for “understood baby’s rotation” (p < 0.01) and “understood progress through delivery” (p < 0.05). In multipara, the intervention group scored significantly higher for “understood baby’s rotation” (p < 0.01). In the anonymous self-evaluation, primipara in the intervention group scored significantly higher in “midwife I could trust was by my side” (p < 0.01). Opinions on the Delivery Animation were classified into 7 categories. In their evaluations of the Delivery Animation, 89.0% of primipara and 92.0% of multipara said it helped them understand the course of labor, and 85.0% of primipara and 86.0% of multipara said it helped them communicate with the doctor/midwife. Conclusion: The significant differences in understanding of the course of delivery seen between the intervention and control groups, the satisfaction scores on the “Self-evaluation scale for experience of delivery (abridged version)” questionnaire, opinions about and evaluation of the Delivery Animation all show that a personal explanation of the course of childbirth has a positive effect on the understanding and satisfaction of parturient women.
Highlights
1) Academic background of research In Japan, the proportion of c-sections is on the rise, with over twice as many compared to 25 years ago
The significant differences in understanding of the course of delivery seen between the intervention and control groups, the satisfaction scores on the “Self-evaluation scale for experience of delivery” questionnaire, opinions about and evaluation of the Delivery Animation all show that a personal explanation of the course of childbirth has a positive effect on the understanding and satisfaction of parturient women
The most common abnormality for both primipara and multipara was treatment for anemia. 13 primipara in the intervention group (38.0%) and 21 in the control group (51.0%) said they had participated in maternity classes, while the overwhelming majority of multipara said they did not (33 multipara in the intervention group (92.0%) and 32 multipara in the control group (92.0%)
Summary
1) Academic background of research In Japan, the proportion of c-sections is on the rise, with over twice as many compared to 25 years ago. In 2017, the percentage at general hospitals was 26% [1] This is a global trend, and a rise in c-sections can be seen in all OECD (Organisation for Economic Co-operation and Development) member countries [2]. The cooperation of medical professionals and expecting mothers in avoiding unnecessary c-sections is vital. It is difficult for mothers and visiting family to visualize what is happening inside the pelvic region during delivery, having the mother play a role in planning and managing the deliver and understanding the situation leads to avoiding the risks of relying on a c-section. The sharing of information between the medical professionals and the patient/family can be a great help in avoiding unnecessary c-sections and providing a safe and satisfactory delivery
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