The Effect of Training on Maternal-Fetal Attachment (MFA) in Nulliparous Women: A Randomized Clinical Trial

Objectives: The shortened duration of labor without creating major complications is considered ideal for the mother and infant while prolonged labor is accompanied by maternal and fetal consequences. Considering its importance, the purpose of this study was to compare the effects of acupressure at the Hugo point and hyoscine on the duration of labor stages and fetal-neonatal outcomes in nulliparous women. Methods: This controlled randomized clinical trial was conducted on 162 nulliparous women who referred to Ardabil Sabalan Hospital in 2017. Participants were divided into Hugo acupressure, hyoscine, and control groups by means of randomized blocks, each containing 54 nulliparous women. In the Hugo group, the pressure exerted on the Hugo point at 5 cm dilatation and in the hyoscine group, the hyoscine was injected intramuscularly at 5 cm dilatation. Data were analyzed using one-way ANOVA, KruskalWallis, Fisher exact, and chi-square tests. Results: The mean (SD) duration of the active phase of labor was 137.0 (15.1), 143.3 (172), and 187.7 (24.7) minutes in the Hugo, hyoscine, and control groups, respectively. In addition, the mean (SD) duration of the second stage of labor in the above-mentioned groups was 39.5 (8.5), 52.4 (15.0), and 58.3 (8.7) minutes, respectively (P<0.001). Conclusions: Overall, the implementation of acupressure at the Hugo point led to a greater reduction in the duration of labor stages compared to hyoscine infusion without imposing the side-effects on mother.

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Chewing Sugar-Free Gum Reduces Ileus After Cesarean Section in Nulliparous Women: A Randomized Clinical Trial

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.6458 ◽

2013 ◽

Vol 15 (4) ◽

pp. 330-4 ◽

Cited By ~ 13

Author(s):

Farideh Mohsenzadeh Ledari ◽

Shanaz Barat ◽

Mouloud Agajani Delavar ◽

Seyed Zahra Banihosini ◽

Soriya Khafri

Keyword(s):

Clinical Trial ◽

Cesarean Section ◽

Randomized Clinical Trial ◽

Nulliparous Women

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Impact of early versus late amniotomy on induction of labor in nulliparous women after vaginally administered misoprostol: A randomized clinical trial

Reproductive and Developmental Medicine ◽

10.4103/2096-2924.324223 ◽

2021 ◽

Vol 0 (0) ◽

pp. 0

Author(s):

MohamedElsibai Anter ◽

AymanAbd Elkader Shabbana ◽

AlaaEldin Fatahlla Elhalaby ◽

HagerAbd Elshafy Abd Elfattah Youssif ◽

NabihIbrahim Elkhouly

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Induction Of Labor ◽

Nulliparous Women

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The Effect of Acupressure at GB-21 and SP-6 Acupoints on Anxiety Level and Maternal-Fetal Attachment in Primiparous Women: a Randomized Controlled Clinical Trial

Nursing and Midwifery Studies ◽

10.17795/nmsjournal19948 ◽

2014 ◽

Vol 3 (3) ◽

Cited By ~ 8

Author(s):

Zahra Moradi ◽

Marzieh Akbarzadeh ◽

Parvin Moradi ◽

Monieh Toosi ◽

Mohammad Javad Hadianfard

Keyword(s):

Clinical Trial ◽

Anxiety Level ◽

Controlled Clinical Trial ◽

Randomized Controlled Clinical Trial ◽

Randomized Controlled ◽

Maternal Fetal Attachment ◽

Fetal Attachment ◽

Primiparous Women

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Effect of early amniotomy on dystocia risk and cesarean delivery in nulliparous women: a randomized clinical trial

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-015-3645-x ◽

2015 ◽

Vol 292 (2) ◽

pp. 321-325 ◽

Cited By ~ 16

Author(s):

Masoomeh Ghafarzadeh ◽

Samira Moeininasab ◽

Mehrdad Namdari

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Cesarean Delivery ◽

Nulliparous Women

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Comparison of the Effects of Attachment and Relaxation Instruction on the Third Trimester Depression and Post-partum Blues

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v12i1.18976 ◽

2018 ◽

Vol 12 (1) ◽

pp. 17-21

Author(s):

Marzieh Akbarzade ◽

Bahare Rafiee ◽

Nasrin Asadi ◽

Azar Nematollahi ◽

Mina Taheri

Keyword(s):

Relaxation Training ◽

Post Partum ◽

Controlled Trial ◽

Control Group ◽

Third Trimester ◽

The Third ◽

Nulliparous Women ◽

Maternal Fetal Attachment ◽

Fetal Attachment ◽

And Control

Aims: This study was conducted to compare the effects of attachment and relaxation instruction on the third trimester depression and post-partum blues.Methods: Randomized controlled trial in three arms (teaching relaxation, maternal-fetal attachment skills and control) of 42 women each among 126 nulliparous women in a selected educational center (Hafez) affiliated to Shiraz University of Medical Sciences, Shiraz, Iran from January 2012 to February 2012. The patients filled out the demographic data sheet, Cranley maternal-fetal attachment test questionnaire, Beck depression questionnaire, Spilberger anxiety and written consent Questionnaires.Results: The mean and standard deviation of the Beck depression test scores after the intervention were 20.5±3/10, 21.1±3.8, and 23.2±3.8 for the attachment, relaxation, and control group, respectively. The changes were statistically significant according to the one-way ANOVA test (P= 0.002). The post-hoc test was statistically significant for the decrease in the depression groups after delivery in the attachment (P = 0.01) and relaxation group (P = 0.01).The reduction in the depression scores before, and after the intervention in the attachment (P=0.001) and relaxation group (P = 0.002) was significant based on paired-t-test results. However, the control group showed an increase in the depression scores which were statistically significant (P= 0.04).Conclusions: Prenatal educational program based on attachment and relaxation training can improve maternal identity role and reduce maternal depression. This study showed that preventing post-partum depression by simple, available and cost beneficial training programs skills.

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Effect of early amniotomy on labor outcome in nulliparous women: a randomized clinical trial

Current Issues in Pharmacy and Medical Sciences ◽

10.2478/cipms-2019-0033 ◽

2019 ◽

Vol 32 (4) ◽

pp. 189-192

Author(s):

Farnaz Zandvakili ◽

Sholeh Shahgheibi ◽

Fariba Farhadifar ◽

Fariba Seyedoshohadaei ◽

Ameneh Khalili

Keyword(s):

Clinical Trial ◽

Pregnant Women ◽

Randomized Clinical Trial ◽

Apgar Score ◽

Future Research ◽

Control Group ◽

P Value ◽

Nulliparous Women ◽

Second Phases ◽

Prolonged Labor

Abstract Early amniotomy is one of the main interventions to enhance the labor progress and prevent dystocia in pregnant women. However, the efficacy of amniotomy has not been approved via labor-related indices and outcomes and has remained a subject for debate and future research. The present study was conducted to evaluate the effect of early amniotomy on labor indices and outcomes in nulliparous women. This randomized clinical trial was performed on 151 singleton pregnant women who were referred to Besat Hospital in Sanandaj, Iran, from March 2016 to March 2018. Participants were randomly divided into an early amniotomy (EA) group and a control group. Duration of the first and second phases of labor, corioamionit, dystocia rate, Apgar score at the first and fifth minutes, prolonged labor and post-partum haemorrhage were evaluated and compared between the two groups. Data were recorded in a checklist and analysed using SPSS Version 23. The p value <0.05 was considered significant. Results showed that labor indices such as duration of the first and second phases, Apgar score one and five minutes after delivery and frequency of prolonged labor, foetal distress and postpartum haemorrhage were significantly improved in patients of the early amniotomy group, compared with the control group (p≤0.05). Early amniotomy significantly decreased the total labor duration without significant increase in the rate of maternal and neonatal complications.

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