Effect of Induction Admission of Shared Decision-Making on First Time Expectant Mothers', Self-efficacy, Anxiety, Birth Outcomes and Birth Satisfaction

N/AEnrolling By InvitationNCT07479524

Lee Wan130 enrolled

Overview

Women's childbirth is regarded as a natural, normal and healthy process, and no interventional measures are required unless medically necessary. However, the proportion of routine induction of labor among Taiwanese women is currently on the rise. This study intends to use the medical-patient shared decision-making program for induction of labor to explore the impact of this program on the delivery efficiency, anxiety, delivery results, and delivery satisfaction of first-time pregnant women. In addition, we also want to explore the feelings and thoughts of this group of women who underwent induced labor under the Shared Medical Decision-Making Program in the postpartum period after participating in this program. It can be used as an improvement reference for the future implementation of shared decision-making between doctors and clients. This research adopts a qualitative and quantitative mixed research method to conduct this research. The quantitative research will adopt an experimental research design. Those who meet the criteria will be randomly assigned to collect the experimental group and the control group. In addition to receiving general routine care, the experimental group also receive a shared decision-making plan for delaying admission to the hospital. The control group received regular care. The results of measurement include knowledge about birth scale, anxiety scale, birth outcomes and birth satisfaction scale. The qualitative study is the application of one-to-one and in-depth interviews and semi-structured interview guidelines will be used to collect data, and the application of content analysis to analyze the data.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

130

Conditions

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. The first pregnancy and the gestation period is more than 32 weeks, the fetus is a singleton, and the fetal position is cephalad. 2. There are no obstetric complications and the fetus is normal during prenatal examination. 3. Can communicate in Mandarin and Taiwanese 4. Natural delivery is expected 5. Complete the consent form to participate in this study Exclusion Criteria: 1. Those whose delivery method expected Cesarean Section 2. Early water breaker 3. Obstetric emergency 4. Newborns have abnormal conditions

Outcomes

Primary Outcomes

Childbirth Self-Efficacy Inventory

There are a total of 62 questions, and the scoring method is based on Likert 10 points.

Time frame: First pregnancy and the gestation period is more than 32 weeks to 3 days postpartum

State-Trait Anxiety Inventory; STAI

The Situational Anxiety Scale consists of 20 items; a higher score indicates a higher level of anxiety, and vice versa. This scale measures the subject's anxiety level using a 4-point scale: 1 point represents "not at all", 2 points represent "somewhat", 3 points represent "quite a bit", and 4 points represent "very much".