Main Article Content
This participatory action research aimed to develop potential of village health volunteers for continuous labor support and to study the outcome of the model by investigating the satisfaction level of the parturients and nurses, and the problems and barriers for using this model.
The subjects included the 60 parturients, 25 village health volunteers, and 14 nurses. Instruments were the interview guideline questions for collecting qualitative data and satisfaction of the parturients and nurses for quantitative data. The reliabilities of the satisfaction questionnaire were 0.92 and 0.85 respectively. Quantitative data were analyzed with descriptive statistics, and the qualitative data were analyzed with analytic inductive statistics.
The results showed that developing potential of village health volunteers for continuous labor support were the operational workshops, demonstrations and practices. The parturients and nurses reported the satisfaction on the continuous labor support from village health volunteers at the highest level (M=4.29, SD=0.47 and M=4.42, SD=0.33 respectively, Likert rating of 5). The problems and barriers in using this model were the village health volunteers’ large amount of work load and inconvenience to give continuous labor support, and less cooperation of the parturients.
Developing potential of village health volunteers for continuous labor support is an efficient type of continuous labor support and it should be widely promoted.
Suppasri, P. Natural childbirth: humanized health care. The Journal of Faculty of Nursing Burapha University 2007; 15(4): 16-26. Thai.
Belanger-Levesque M-N, Pasquier M, Roy-Matton N, et al. Maternal and paternal satisfaction in the delivery room: a cross-sectional comparative study. [Internet]. BMJ Open; 2014 [cited 2016 Mar 25] Available from: http://bmjopen.bmj.com/content/4/2/e004013.full.pdf+html.
Iliadou M. Supporting women in labour. Health Science Journal 2012; 6(3):385-91.
Hodnett ED, Gates S, Hofmeyr GJ, et al. Continuous support for women during childbirth (Review) [Internet]. San Francisco: John Wiley & Sons; 2013 [cited 2016 Mar 25]. Available from: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003766.pub5/epdf.
Amorim MMR, Katz L. Continuous support for women during childbirth [Internet]. Geneva: World Health Organization; 2012 [cited 2016 Mar 31]. Available from: http://apps.who.int/rhl/pregnancy_childbirth/childbirth/routine_care/cd0003766_amorimm_com/en/.
Safarzadeh A, Beigi M, Salehian T, et al. Effect of doula support on labour pain and outcomes in primiparous women in Zahedan, Southeastern Iran: A randomized controlled trial. J Pain Relief 2012; 1(5): 1-4.
Kozhimannil KB, Attanasio LB, Jou J, et al. Potential benefits of increase access to doula support during childbirth. Am J Manag Care 2014; 20(8): e340-52.
Chapple W, Gilliland A, Li D, et al. An economic model of the benefits of professional doula labor support in Wisconsin Births. WMJ 2013; 112(2): 58-64.
Kungwimba E, Malata A, Maluwa A, et al. Experiences of women with the support they received from their birth companions during labour and delivery in Malawi. Health 2013; 5(1): 45-52.
Steel A, Frawley J, Adams J, et al. Trained or professional doulas in the support and care of pregnant and birthing women: a critical integrative review. Health Soc Care Community 2015; 23(3): 225-41.
Chunuan S, Somsap Y, Pinjaroen S, et al. Effect of the presence of family members, during the first stage of labor, on childbirth outcomes in a provincial hospital in Songkhla Province, Thailand. Thai J Nurs Res 2009; 13(1): 16-27.
Yuenyong S, Jirapaet V, O’Brien BA. Support from a close female relative in labour: The ideal maternity nursing intervention in Thailand. J Med Assoc Thai 2008; 91(2): 253-9.
Lundgren I. Swedish women’s experiences of doula support during childbirth. Midwifery 2010; 26(2):173-80.
Stevens J, Dahlen H, Peters K, et al. Midwives’ and doulas’ perspectives of the role of the doula in Australia: A qualitative study. Midwifery 2011; 27(4): 509-16.
Barrett SJ, Stark MA. Factors associated with labor support behaviors of nurses. J Perinat Educ 2010; 19(1): 12-8.
Yuenyong S, O’Brien B, Jirapeet V. Effect of labor support from close female relative on labor and maternal satisfaction in a Thai setting. J Obstet Gynecol Neonatal Nurs 2012; 41(1): 45-56.
Small R, Taft AJ, Brown SJ. The power of social connection and support in improving health: lessons from social support interventions with childbearing women. [Internet]. BMC Public Health; 2011 [cited 2016 Mar 25]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247027/pdf/1471-2458-11-S5-S4.pdf.
Oboro VO, Oyeniran AO, Akinola SE, et al. Attitudes of Nigerian women toward the presence of their husband or partner as a support person during labor. Int J Gynaecol Obstet International 2011; 112(1): 56-8.
Kritcharoen S, Chuntharapat S, Phol-In K, et al. Development of Natural Childbirth Services Model. Songkla Med J 2011; 29(5): 215-24. Thai.
Kemmis S, McTagart R. The action research planner. 3 rd ed. Victoria: Deakin University; 1998.
Akhavan S, Lundgren I. Midwives’ experiences of doula support for immigrant women in Sweden-A qualitative study. Midwifery 2012; 28(1): 80-5.
Martin CH, Fleming V. The birth satisfaction scale. Int J Health Care Qual Assur 2011; 24(2): 124-35.
Hunter C. Intimate space within institutionalized birth: women’s experiences birthing with doulas. Anthropol Med 2012; 19(3): 315-26.
Gilliland AL. After praise and encouragement: Emotional support strategies used by birth doulas in the USA and Canada. Midwifery 2011; 27(4): 525-31.
Campbell D, Scott KD, Klaus MH, et al. Female relatives or friends trained as labor doulas: Outcomes at 6 to 8 weeks postpartum. Birth 2007; 34(3): 220-7.
Bahri N, Vafaee-Najar A, Ebrahimipour H, et al. Quality of labor support during labor. Patient Saf Qual Improv 2014; 2(1): 58-64.
Hosseni SF, Pilevarzadeh M, Vazirinasab H. Non-phamacologic strategies on pain relief during labor. Biosci Biotechnol Res Asia 2016; 13(2): 701-6.
Naghian K, Sokhangoei Y, Alikhah H. The effect of massage on reduction of labor pain and duration of labor in primiparas women. Int J Curr Res Aca Rev 2016; 4(6): 150-55.
Mortazavi SH, Khaki S, Moradi R, et al. Effects of massage therapy and presence of attendant on pain, anxiety and satisfaction during labor. Arch Gynecol Obstet 2012; 286(1): 19-23.
Eftekhary S, Klein MC, Xu SY. The life if the Canadian doula: successes, confusion, and conflict. J Obstet Gynaecol Can 2010; 32(7): 642-9.
Munoz EG, Collins M. Establishing a volunteer doula program within a nurse-midwifery education program: A winning situation for both clients and students. J Midwifery Womens Health 2015; 60(3): 274-7.
Kritcharoen S, Phon-In K, Pongpaiboon P. The effects of caring for natural childbirth versus caring for normal labor pain in primiparous women. Songkla Med J 2012; 30(2): 75-85.