Effects of a labour and delivery simulated practice programme for elderly primigravidas
Chun Hee Seong1, Kyung Min Park1, Kyoung Ja Moon1
1Keimyung University Daegu South Korea.
Nursing Open
|April 8, 2020
Summary
A new simulated practice program for older primigravidas reduced labor anxiety and stress while improving knowledge and confidence. This intervention also led to shorter labor durations in the intervention group.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Nursing Education
Background:
- Rising numbers of older gravidas necessitate optimized labor management strategies.
- Older primigravidas may experience unique labor-related challenges requiring tailored support.
- Existing labor preparation programs may not fully address the needs of this demographic.
Purpose of the Study:
- To develop and evaluate a simulated practice program specifically designed for older primigravidas.
- To assess the program's impact on participants' psychological well-being and knowledge.
- To determine the program's effect on labor duration.
Main Methods:
- A non-equivalent control group pre- and post-test design was employed.
- The study included 49 community-dwelling primigravidas, divided into intervention (N=25) and control (N=24) groups.
- The intervention involved a realistic scenario-based practice and debriefing session covering labor stages.
Main Results:
- The intervention group showed significant decreases in anxiety and stress levels.
- Participants in the intervention group demonstrated increased knowledge and self-confidence regarding labor.
- Labor duration was shorter in the intervention group compared to the control group.
Conclusions:
- Simulated practice programs can effectively reduce anxiety and stress in older primigravidas.
- This type of intervention enhances knowledge and self-confidence, potentially improving labor outcomes.
- The program shows promise in shortening labor duration for older primigravidas.
