Abstract
ABSTRACTObjective: to evaluate the effectiveness of an educational manual in the instrumentalization of companions to provide support to the parturients and check its influence on the satisfaction of companions and women during vaginal delivery. Method: pilot study of a randomized controlled clinical trial with 65 companions and puerperal women (intervention = 21 and control = 44). The previous knowledge of the companions was evaluated at baseline. The Evaluation Form for Companions in the Delivery Room was used to measure the actions provided and the satisfaction with the experience, and the Questionnaire for Evaluation of the Experience and Satisfaction of Puerperal Women with Labor and Delivery was used to evaluate the satisfaction of women with childbirth. The Student’s t-test or Wilcoxon, chi-square or Fisher’s exact test, risk ratios and 95% confidence intervals were used. Results: the companions in the intervention group performed a greater number of support actions (7.2 vs 4.6, p: 0.001) and had higher satisfaction scores (72.4 vs 64.2; p = 0.00). Puerperal women in the intervention group had higher satisfaction with childbirth (119.6 vs 107.9; p: 0.000). Conclusion: the manual was effective for the instrumentalization of companions, contributed to support actions to the parturients and had repercussions on the satisfaction of companions and women with the birthing process. RBR-776d9s
Highlights
Childbirth is one of the most remarkable experiences in a woman’s life
A total of 65 companions and puerperae participated in the study, 21 in Intervention Group (IG) and 44 in Control Group (CG)
There was no difference between Unit of Origin and allocation group (Fisher: 0.353)
Summary
Childbirth is one of the most remarkable experiences in a woman’s life It involves a mixture of sensations, feelings, desires, overcomings, and challenges that make it a complex, multidimensional process involving physiological and cognitive aspects. Evidence shows that the continuous support from a companion who does not belong to the hospital’s professional team during the delivery provides several benefits for the woman and the newborn[2,3,4] It is necessary, to develop and evaluate educational technologies for those who intend to participate in childbirth as companions, with the purpose of disseminating and expanding the knowledge about the physiology and care involved in the process of childbirth and techniques to support parturients. The lack of preparation of companions has been highlighted as one of the reasons for health institutions to prevent their presence[5]
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