Comparing the effect of in-person and virtual childbirth preparation trainings on the fear of childbirth (FOC) and pregnancy experience of pregnant women: protocol for a quasi-experimental feasibility study

Background Childbirth preparation trainings are an important component of prenatal education, and pregnant women are increasingly interested in seeking information from online sources. The aim of this study is to compare the feasibility and the effects of in-person and virtual childbirth preparation training courses on the pregnancy experience, fear of childbirth (FOC), birth preference, and type of delivery among pregnant women. Methods In total, 165 primiparous women referring to a prenatal clinic at Milad Hospital in Tehran, will be included in this study. The subjects will be selected using the convenience sampling method and will be divided into three groups of study A, study B, and control. The study groups A and B will receive virtual and in-person childbirth training with similar content, respectively. The control group will receive only routine prenatal care. In the 18th and 20th weeks of pregnancy, the demographic information, pregnancy experience scale (PES), and version A of the Wijma delivery expectancy/experience questionnaire (WDEQ-A) will be completed, and in the 36th and 38th weeks of pregnancy, the PES and WDEQ-A questionnaires, as well as birth preference form will be completed. The type of delivery will be recorded in the first few days of postpartum. Conclusion This quasi-experimental clinical trial will investigate the effect of virtual childbirth preparation training on primiparous women. The expected outcomes will include the difference in pregnancy experience measured by the brief version of PES, the difference in FOC measured by WDEQ-A, the birth preference, and the type of delivery. Trial registration IRCT.ir: IRCT20180427039436N2;

THE RELATIONSHIP BETWEEN AGE, PARITY, AND BIRTH WEIGHT WITH THE DEGREE OF PERINEAL RUPTURE IN THE RSUD JAYAPURA

Background: Perineal rupture is a condition in which the perineum is torn as a result of vaginal delivery either by action or not, which affects the health status of women. Age, parity, and birth weight are influencing factors for perineal rupture.The aim of this study was to analyze the relationship between age, parity, and birth weight with the degree of perineal rupture. Methods: Observational analytic research with a case control approach. The sample used in this study were the patients who get diagnostic of perineal rupture during April – December 2019 in the RSUD Jayapura as many as 654 patients. The sampling technique used is total sampling. The independent variables used were age, parity, and birth weight, while the dependent variable was perineal rupture. Bivariate analysis test using Spearman rank correlation. Multivariate analysis test using multiple logistic regression with backward method. Results: The results of the bivariate analysis in this study was showing that the younger mother's age, lower paratity values and higher birth weight related with the degree of perineal rupture, then the multivariate results obtained birth weight had a dominant effect of degree perineal rupture. This is because the heavy of birth weight make the perineum more strecthcing, so the perineum gets more thinner and easier to rupture. Conclusion: There is a relationship between age, parity, and birth weight with the degree of perineal rupture. Birth weight is the most dominant independent factor on the degree of perineal rupture. So, it is necessary to give education about childbirth preparation and preconception counseling to mothers.

Evaluating the Effectiveness of Childbirth Preparation Courses on Women’s Self-Efficacy among Ultra-Orthodox Jewish Religious Women in Israel

Background: This study examined the effectiveness of a birth preparation course on coping with childbirth among primigravid ultra-orthodox Jewish women in Israel. Methods: In total, 130 ultra-orthodox 25–35-week primigravid women were divided into a study (n = 100, participated in birth preparation courses) and a control (n = 30, did not participate in the courses) group. A questionnaire was delivered three times: T1—before the course/delivery, T2—two–three days after delivery, and T3—a month after delivery. Results: At T3, self-efficacy among the study group was higher than in the control group. Differences in self-efficacy were found over time regardless of the group (F(2,246) = 12.83, p < 0.001), as a time–group interaction effect (F(2,246) = 10.20, p < 0.01). Self-efficacy in the study group (Mean, M = 3.40, Standard deviation, SD = 0.63 at T1) dropped to M = 3.06, SD = 0.76 at T2 and rose to M = 3.34, SD = 0.64 at T3. In the control group, self-efficacy (M = 3.53, SD = 0.56 at T1) dropped to M = 3.26, SD = 0.63 at T2 and to M = 2.95, SD = 0.76 at T3. Discussion: The childbirth preparation course was found to be effective in raising self-efficacy among primigravid ultra-orthodox religious women when compared to the control group.

MATERNAL PSYCHOLOGICAL CHANGES DURING PREGNANCY AND PREGNANCY SERVICE PROCEDURES DURING THE COVID-19 PANDEMIC IN KERTOSARI VILLAGE

In general, a mother who is experiencing pregnancy for the first time will feel happy and will be more curious about self-change and fetal development. However, at the same time, pregnant women also feel anxious. Research conducted in Naples, Italy, March 15-April 1, 2020, shows that the Covid-19 pandemic has a severe psychological impact on 53% of pregnant women. During pregnancy, women may experience stress and anxiety, this can cause detrimental effects such as fetal death or fetal abnormalities. Antenatal Care is a pregnancy check that aims to improve the physical and mental health of pregnant women optimally so that they are able to face childbirth, childbirth, preparation for exclusive breastfeeding, and the return to reproductive health properly. The solution to this community service is to provide counselling about psychological changes in pregnant women and how to get pregnancy services during the Covid-19 pandemic, which in fact has changed a lot compared to before the Covid-10 pandemic, so it is hoped that it can reduce the anxiety faced by mothers during this period. pregnancy and still want to carry out pregnancy checks at a health worker or midwife accompanied by a health cadre, during which during the Covid-19 pandemic, pregnant women continue to carry out their pregnancy checks according to the minimum standard, which is 4 times during pregnancy. The implementation of this counselling activity is carried out for pregnant women and health cadres in Kertosari Village in a gradual period of time and does not leave the health protocol determined by the Government. The results obtained are the enthusiasm of pregnant women and health cadres who will accompany them during the process of pregnancy examinations.

Implementation of Virtual and Face-to-Face Childbirth Preparation Training for the Spouses of the Primiparous Women to Reduce the Fear of Childbirth, Improve the Pregnancy Experience, and Enhance Mother- and Father-Infant Attachment: Protocol for a Quasiexperimental Clinical Trial

Background. Men have a special role to play in promoting maternal and child health during pregnancy, childbirth, and postpartum period. The health of women also requires the participation and cooperation of men. The aim of this study is to compare the effect of virtual and face-to-face childbirth preparation training for spouses of the primiparous women on the pregnancy experience, fear of childbirth (FOC), and mother- and father-infant attachment. Methods. The primiparous women attending the prenatal clinics of Lolagar Hospital and Azadi and Tehransar health centers of Tehran along with their husbands will be studied. The inclusion criteria for the women’s husbands are the first experience of becoming a father, being at least 18 years of age, and the ability to read and write. The exclusion criteria for women’s husbands are the history of physical/mental illness; being a smoker; and consuming alcohol, drugs, or psychotropic substances. The participants will be selected by the convenience sampling method and will be divided into three groups of study A, study B, and control. Spouses in study groups A and B will receive childbirth training through virtual and face-to-face methods with similar content, respectively. The control group only receives ordinary prenatal care. At the 18–20 weeks of gestation, demographic information, pregnancy experience scale (PES), and version A of Wijma delivery expectancy/experience questionnaire (WDEQ-A) will be completed. At 37-38 weeks of gestation, the PES and WDEQ-A questionnaires will be completed again and maternal postnatal attachment scale (MPAS) and postnatal paternal-infant attachment questionnaire (PPAQ) will be completed by the parents 12 weeks after the delivery. Discussion. Improving the experience of pregnancy, especially reducing the FOC and creating a positive attitude towards it, is a vital strategy to promote vaginal childbirth and reduce the number of cesarean sections requested by women. Achieving this will reduce the cost of health care and improve the quality of life during pregnancy, after childbirth, and during the growth and development of infants. Ethics and Dissemination. This research has been funded by the Iran University of Medical Sciences, approved by the Thailand Registry of Clinical Trials, and will commence in May 2020. Results will be disseminated through peer-reviewed journals and shared with the academic and medical community to pregnancy and childbirth outcomes. This trial is registered with TCTR20200515011.

EDUKASI BUKU KIA DAN AJARAN ISLAM TENTANG PERSIAPAN MENGHADAPI PERSALINAN

ABSTRAK Kehamilan dan persalinan adalah proses yang normal, tetapi tidak menutup kemungkinan akan timbul berbagai masalah. Oleh karena itu, dibutuhkan pemantauan kesejahteraan janin, serta persiapan persalinan dan kelahiran yang matang. Orang–orang disekitarnya seperti bidan dan terutama keluarga harus turut serta menjaga kesejahteraannya. Salah satu persiapan tersebut dapat dilakukan melalui pendekatan islami untuk mempersiapkan proses persalinan yang berhasil dengan baik. Kegiatan pengabdian masyarakat ini bertujuan untuk mempersiapkan ibu hamil secara fisik, psikologis dan mengamalkan ajaran islam pada proses persiapan persalinan. Tempat pengabdian ini dilakukan di Desa Fajar Agung Kecamatan Pringsewu dengan peserta pengabdian masyarakat sebanyak 12 orang ibu – ibu hamil. Hasil dari pengabdian masyarakat ini seluruh peserta pengabdian yaitu para ibu hamil dapat mengikuti kegiatan persiapan persalinan, indikator keberhasilan pada pengabdian ini adalah ibu – ibu hamil dapat mempraktikkan cara mengamalkan ajaran islam seperti membaca doa, surat pendek al-qur’an untuk proses persalinan. Dalam proses persiapan ini dengan dibantu oleh bidan desa dengan menggunakan buku kontrol atau kendali persiapan persalinan, buku kendali ini berisi tentang beberapa kegiatan yang harus dilakukan oleh ibu hami dari periksa kehamilan, senam hamil, membaca doa atau surat al - qur’an atau dzikir serta sholat wajib dan sunnah, dan tidak lupa menabung . Ibu – ibu hamil yang mengikuti pengabdian masyarakat ini bersedia dan paham dalam mengikuti serta mengisi kegiatan persiapan persalinan dengan baik. Kata Kunci : Edukasi KIA, Ajaran Islam, Persalinan ABSTRACT The pregnancy and childbirth are normal processes, but it does not rule out various problems. Therefore, it is necessary to monitor the well – being of the fetus, as well as the proper preparationfor labor and delivery. The People around them, such as midwives and especially families, must take part in maintaining their welfare. One of these preparations can be done through an islmaic approach to prepare for asuccessful labor. This community service activity aims to prepare pregnant women physically, psychologically and to practice Islamic teachings in the process of preparing for childbirth. This service was carried out in Fajar Agung Village, Pringsewu District, with 12 pregnant womwn participatingin community service. The results of this community service of all community service participants, namely pregnant women can take part in childbirth preparation activities, an indicator of success in this serviceis that pregnant women can practice Islamic teaching such as reading prayes, short letters al – quran for childbirth. In this preparation process with the assistance of a village midwife using a control book for labor preparation, this control book contains several activities that must be carried out by pregnant women from pregnancy exercise, reading prayers or surah al – quran or dzikir as well as obligatory prayers and sunnah, and don’t forget to save money. Pregnant women who participate in this community serviceare willing and understanding to participate in and fill in the labor preparation activities properly. Keywords :KIA Education, Islamic teachings, childbirth