Correlational Study of Labor Support, Lotus of Control and Birth Satisfaction for Parturient Women

• Main Authors: Hsi-Chuan Hung, 洪喜娟
• Other Authors: Meei-Ling Gau
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/28747393358955012790

碩士 === 國立台北護理學院 === 護理助產研究所 === 97 === This research investigated the degree of labor support perceived by new mothers and the correlation between a new mother’s lotus of control during labor and her overall satisfaction with the labor experience. The author employed a descriptive correlational approach and collected data using a retrospective method. Postpartum primapara women registered at the maternity wards of five hospitals were targeted by this research and were considered eligible for participation if 1) pregnancy and birth were free of comorbidities, and 2) delivery had been vaginal with the healthy newborn surviving to the first month. A total of 184 women met eligibility criteria and were recruited in this study. The questionnaires consisted of the Visual Analogue Scale for Pain (VASP), Bryanton Adaptation of the Nursing Supporting Labor Questionnaire (BANSILQ), Labour Agentry Scale (LAS), Mackey Childbirth Satisfaction Rating Scale, and selected demographic and obstetrical questions. Data were analyzed using SPSS 17.0 SOBEL software. In terms of one way analysis of variance (ANOVA), results showed significant correlations between “satisfaction with labor” and the following variables: “prenatal maternity self-care education” (p＜.05), “perineal shaving” (p＜.05), “labor support” (p＜.001) and “lotus of control during labor” (p＜.001). When identified correlations were then subjected to hierarchical multiple regression analysis, the two variables of “labor support” and “lotus of control during labor” were identified as able to diminish the influence of “prenatal maternity self-care education” and “perineal shaving” on “satisfaction with labor”. Next, a SOBEL test was conducted on each of these two variables to assess their mediating effect on the respective relationships of “prenatal maternity self-care education” and “perineal shaving” with “satisfaction with labor”. When “labor support” was introduced as the mediating variable, correlations failed to reach statistical significance. However, a significant correlation was found when “lotus of control” was introduced (p＜.05), with mediating effects registering 51.89% and 45.62%, respectively. Such indicates that the variable “lotus of control” is able to increase labor satisfaction in expectant mothers by 51.89% and 45.62% when, respectively, receiving prenatal maternity self-care education and perineal shaving. It is hoped that the results of this research will provide valuable information for physicians and nurses responsible for delivering effective maternity care. In providing interventions such as perineal shaving, it is important to first determine whether the expectant mother accepts such and then, after discussing intervention particulars, allowing her to decide whether or not to proceed. Results also highlight the important role of effective prenatal education courses in helping enhance the lotus of control of expectant mothers, which can enhance labor satisfaction and lay the foundations for a healthy mother-child relationship.