Influence of Integrating Childbirth Preparation Program on Birth Outcomes among Pregnant Women in Western Kenya

Authors

DOI:

https://doi.org/10.51867/ajernet.5.2.20

Keywords:

Expectant Women, Childbirth Preparation Program, Maternal Outcomes, Neonatal Outcomes

Abstract

Childbirth education and preparation has been fronted as key element in enhancing maternal and neonatal health and preventing some adverse outcomes. There is paucity of literature in Kenyan setting linking maternal childbirth education and maternal and neonatal outcomes. The study aimed to assess the effect of an educational intervention in childbirth and its influence on maternal and neonatal outcomes among expectant women in western Kenya. A Quasi-experimental design was utilised. The health facilities were selected by simple random sampling. Expectant women were enrolled at antenatal care services and allocated to either the control group or the intervention group. Those in the intervention group went through 2 hourly sessions of childbirth preparation teaching twice in the course of the 32nd–35th weeks of gestation.  Investigation and assessment on specific maternal and neonatal outcomes was done within 48 hours following delivery. Chi-square and independent t tests were used to determine the statistical difference. More mothers in the control experienced prolonged labour 12% compared to 2.2% in the intervention (P<0.001). Progression failure was high in the control 8.9% compared to 1.1% in the intervention (P=0.001). The control had more cases of augmentation   11% compared to 2.7% in the intervention (P=0.004).  Higher APGAR scores were recorded in the intervention group at 1 and 5 minutes compared to the control (P<0.001).  Few cases of birth asphyxia were in the intervention 1.6% compared to 5.8% in the control (P<0.001). The intervention program aimed at enhancing childbirth knowledge and improving   self- efficacy offered prior to birth was successful in reducing adverse birth outcomes in mothers and their neonates in the intervention group. A  program aimed at  enhancing women’s’ self- efficacy and improving their knowledge on childbirth  should be  structured and incorporated in the routine antenatal care to reduce some  adverse maternal and neonatal health outcomes associated with fear anxiety and uncertainty related to inadequate childbirth knowledge.

References

AlSomali, Z., Bajamal, E., Esheaba, O., & AlSomali, Z. A. (2023). The Effect of Structured Antenatal Education on Childbirth Self-Efficacy. Cureus, 15(5), e39285. https://doi.org/10.7759/cureus.39285 DOI: https://doi.org/10.7759/cureus.39285

Bakhteh, A., Jaberghaderi, N., Rezaei, M., Naghibzadeh, Z. A. S., Kolivand, M., & Motaghi, Z. (2022). The effect of interventions in alleviating fear of childbirth in pregnant women: a systematic review. Journal of Reproductive and Infant Psychology, 42(1), 5-21. https://doi.org/10.1080/02646838.2022.2059458 DOI: https://doi.org/10.1080/02646838.2022.2059458

Bandura, A. (1977). Self-efficacy: Toward a Unifying Theory of Behavioral Change. Journal of Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191 DOI: https://doi.org/10.1037//0033-295X.84.2.191

Buran, G., & Aksu, H. (2022). Effect of hypnobirthing training on fear, pain, and satisfaction related to birth, and birth outcomes: A randomized controlled trial. Clinical Nursing Research, 31(5), 918-930. https://doi.org/10.1177/10547738211073394 DOI: https://doi.org/10.1177/10547738211073394

Cabral, B. T. V., Rocha, M. C. D. S., Almeida, V. R. D. M., Petrônio, C. C. A. D., Azevedo, I. C. D., Martins, Q. C. S., & Cunha, Y. D. A. (2023). Non-pharmacological measures for pain relief in childbirth: a systematic review. Brazilian Journal of Maternal and Child Health, 23, e20210439, 4489-4497. https://doi.org/10.1590/1806-9304202300000439-en DOI: https://doi.org/10.1590/1806-9304202300000439-en

Çankaya, S., & Şimşek, B. (2021). Effects of antenatal education on fear of birth, depression, anxiety, childbirth self-efficacy, and mode of delivery in primiparous pregnant women: A prospective randomized controlled study. Clinical Nursing Research, 30(6), 818-829. https://doi.org/10.1177/1054773820916984 DOI: https://doi.org/10.1177/1054773820916984

Hashemi, Z., Zaboli, R., Khalesi, N., & Fakhr-Movahedi, A. (2020). Designing a Model for Effective Implementation of Promoting Natural Childbirth Program: A Mixed Study. Medical-Surgical Nursing Journal, 9, e113127. https://doi.org/10.5812/msnj.113127 DOI: https://doi.org/10.5812/msnj.113127

Hatamleh, R., Abujilban, S., AbuAbed, A. S. A., & Abuhammad, S. (2019). The effects of a childbirth preparation course on birth outcomes among nulliparous Jordanian women. Midwifery, 72, 23-29. https://doi.org/10.1016/j.midw.2019.02.002. DOI: https://doi.org/10.1016/j.midw.2019.02.002

Hildingsson, I., Rubertsson, C. J. B. p., & childbirth. (2022). Postpartum bonding and association with depressive symptoms and prenatal attachment in women with fear of birth. BMC Pregnancy Childbirth 22, 66. https://doi.org/10.1186/s12884-021-04367-3 DOI: https://doi.org/10.1186/s12884-021-04367-3

Hong, K., Hwang, H., Han, H., Chae, J., Choi, J., Jeong, Y., & Lee, K. J. (2021). Perspectives on antenatal education associated with pregnancy outcomes: Systematic review and meta-analysis. Women and Birth, 34(3), 219-230. https://doi.org/10.1016/j.wombi.2020.04.002 DOI: https://doi.org/10.1016/j.wombi.2020.04.002

Ip, H. Y., Abrishami, A., Peng, P. W., Wong, J., & Chung, F. (2009). Predictors of postoperative pain and analgesic consumption: a qualitative systematic review. Anesthesiology, 111(3), 657-677. https://doi.org/10.1097/ALN.0b013e3181aae87a DOI: https://doi.org/10.1097/ALN.0b013e3181aae87a

Karkada, S. R., Noronha, J. A., Bhat, S. K., Bhat, P., & Nayak, B. S. (2023). Effectiveness of antepartum breathing exercises on the outcome of labour: A randomized controlled trial. F1000Research, 11, 159. https://doi.org/10.12688/f1000research.75960.3 DOI: https://doi.org/10.12688/f1000research.75960.3

Khamehchian, M., Adib-Hajbaghery, M., HeydariKhayat, N., Rezaei, M., & Sabery, M. (2020). Primiparous women's experiences of normal vaginal delivery in Iran: a qualitative study. BMC Pregnancy and Childbirth, 20(259), 1-8. https://doi.org/10.1186/s12884-020-02954-4 DOI: https://doi.org/10.1186/s12884-020-02954-4

Leutenegger, V., Grylka-Baeschlin, S., Wieber, F., Daly, D., Pehlke-Milde, J. J. B. P., & childbirth. (2022). The effectiveness of skilled breathing and relaxation techniques during antenatal education on maternal and neonatal outcomes: a systematic review. BMC Pregnancy Childbirth, 22, 856. https://doi.org/10.1186/s12884-022-05178-w DOI: https://doi.org/10.1186/s12884-022-05178-w

Mohaghegh, Z., Javadnoori, M., Najafian, M., Abedi, P., Kazemnejad Leyli, E., Montazeri, S., & Bakhtiari, S. (2023). Effect of birth plans integrated into childbirth preparation classes on maternal and neonatal outcomes of Iranian women: A randomized controlled trial. Frontiers in Global Women's Health, 6(4), 1120335. https://doi.org/10.3389/fgwh.2023.1120335 DOI: https://doi.org/10.3389/fgwh.2023.1120335

Movahedi, M., Ebrahimian, M., Saeedy, M., & Tavoosi, N. (2022). Comparative study of transcutaneous electrical nerve stimulation, the aromatherapy of Lavandula and physiologic delivery without medication on the neonatal and maternal outcome of patients. International Journal of Physiology, Pathophysiology and Pharmacology, 14(3), 206. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301182/

Nguyen, L. D., Nguyen, A. D., Farber, M. K., Phan, C. T., Khuat, L. T., Nguyen, H. T., Dang, T. M., & Doan, H. T. N. (2021). Sociodemographic Factors Associated with Request for Labor Epidural Analgesia in a Tertiary Obstetric Hospital in Vietnam. BioMed research international, 2021, 8843390. https://doi.org/10.1155/2021/8843390 DOI: https://doi.org/10.1155/2021/8843390

Ramie, A., & Mahdalena, M. (2023). Mothers' Self-Control and Self-Efficacy and Childbirth Complications: A Study at an Indonesian General Hospital. Indonesian Journal of Multidisciplinary Science, 2(6), 2550-2558. https://doi.org/10.55324/ijoms.v2i6.455 DOI: https://doi.org/10.55324/ijoms.v2i6.455

Rasool, M. F., Akhtar, S., Hussain, I., Majeed, A., Imran, I., Saeed, H., & Alqhtani, H. (2021). A cross-sectional study to assess the frequency and risk factors associated with cesarean section in Southern Punjab, Pakistan. International Journal of Environmental Research and Public Health, 18(16), 8812. https://doi.org/10.3390/ijerph18168812 DOI: https://doi.org/10.3390/ijerph18168812

Rúger-Navarrete, A., Vázquez-Lara, J. M., Antúnez-Calvente, I., Rodríguez-Díaz, L., Riesco-González, F. J., Palomo-Gómez, R., Gómez-Salgado, J., & Fernández-Carrasco, F. J. (2023). Antenatal Fear of Childbirth as a Risk Factor for a Bad Childbirth Experience. Healthcare (Basel, Switzerland), 11(3), 297. https://doi.org/10.3390/healthcare11030297 DOI: https://doi.org/10.3390/healthcare11030297

Shimpuku, Y., Madeni, F. E., Horiuchi, S., Kubota, K., & Leshabari, S. C. (2019). A family-oriented antenatal education program to improve birth preparedness and maternal-infant birth outcomes: A cross sectional evaluation study. Reproductive Health, 16, 1-10. https://doi.org/10.1186/s12978-019-0776-8 DOI: https://doi.org/10.1186/s12978-019-0776-8

Veringa-Skiba, I. K., de Bruin, E. I., van Steensel, F. J., & Bögels, S. M. (2022). Fear of childbirth, nonurgent obstetric interventions, and newborn outcomes: A randomized controlled trial comparing mindfulness‐based childbirth and parenting with enhanced care as usual. Birth, 49(1), 40-51. https://doi.org/10.1111/birt.12571 DOI: https://doi.org/10.1111/birt.12571

Downloads

Published

2024-05-01

How to Cite

Wanyonyi, M., Wanzala, M., Kipmerewo, M., & Raballah, E. (2024). Influence of Integrating Childbirth Preparation Program on Birth Outcomes among Pregnant Women in Western Kenya. African Journal of Empirical Research, 5(2), 218–228. https://doi.org/10.51867/ajernet.5.2.20