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20191217093000.0 |
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170220s2017 my eng |
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|a RG973
|b .Z35 2017
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|a RG973
|b .Z35 2017
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|a Zainab Mohd Shafie ,
|e author
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|a The effectiveness of the 'husband as a birth partner module' in managing childbirth pain and anxiety among Muslim wives
|c by Zainab Mohd Shafie
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|c 2017
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|a xx, 197 leaves :
|b ill. (some col.) ;
|c 30 cm.
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|a text
|2 rdacontent
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|a unmediated
|2 rdamedia
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|a volume
|2 rdacarrier
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|a Thesis (Degree of Doctor of Philosophy) - Universiti Sains Malaysia, 2017
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|a Includes bibliographical references (leaves 181-197)
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|a 1. Introduction -- 2. Literature Review -- 3. Methodology -- 4. Results -- 5. Discussion and recommendations
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|a Background: The presence of a husband as a birth partner during childbirth is anticipated by the spouse. Most pregnant mothers prefer their husband to be by their side during the labour process. The objectives of this study are to measure the effectiveness of the 'Husband as A Birth Partner Module' (HBPM) in managing childbirth pain and anxiety among Muslim wives. Mehthods: Phase one was a HBPM DEVELOPMENT, an ADDIE model was applied. The second phase was an intervention study (intervention group n=124 and control group n=122) is to measure the effectiveness of the HBPM. Both approaches used purposive sampling and inference for means for the sample calculation. The data were analysed by thematic analysis and SPSS using the t-test, Chi Square test, Mann-Whitney test, and Repeated Measures ANOVA. The results: Themes identified of needs analysis in phase one of the study were: - 1) support from the husband, 2) roles of the husband, 3) care in pregnancy and childbirth, and 4) comforting measure to manage childbirth pain and anxiety. In phase two of the study, the mean score of knowledge (husband) of the intervention groups was 9.62 ± 0.56, while the control group was 4.46 ± 1.24 and the p = .001. Repeated measures of ANOVA show that anxiety among wives pre and post intervention between the intervention and control group was significant (F (1, 244) = 249.06, p = .001). The HBPM teaching effectively increased the husband's practice among the intervention group with a mean score of 43.06 ± 7.11, whereas among the control group was 33.02 ± 6.70 (t (243) = 11.58, p = .001. The mean score of childbirth pain was significantly decreased among the intervention group (4.85 ± 1.48) compared to the control group (7.08 ± 1.78) with t (234) = 10.70, p = .001. The median was determined using the Mann-Whitney test of the lenght of the childbirth process, the intervention group median = 4.00, while the control group median = 5.00 (U = 5988, p = .004, r = .12). The use of pain relief medication was less in the intervention group (17.7%) compared to in the control group (37.7%) (p = .001) and the caesarean rate was significantly lower in the intervention group (2.4%) than the control group (9.8%) (p = .009). Conclusions: The knowledge of the HBPM in husbands was deemed significant in managing labour pain and anxiety of the spouse. The study also imparts knowledge pertaining to pregnancy and childbirth, roles and support of the husband, and methods in managing pain and anxiety during the childbirth process. Promoting childbirth knowledge is an important health programme to enhance the quality of a safe and natural childbirth.
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|a Universiti Sains Malaysia
|v Faculty of Science
|x Dissertations
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| 650 |
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|a Childbirth education
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| 650 |
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|a Expectant parents' classes
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|a Universiti Sains Malaysia .
|b Faculty of Science
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|a 1000167795
|b Thesis
|c Reference
|e Gong Badak Campus
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