Volume 30, Issue 3 (Summer 2022)
Avicenna J Nurs Midwifery Care 2022, 30(3): 200-210 |
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Aazadi Moghtader A, Masoumi S Z, Khodakarami B, Roshanaei G, Parsa P. The effect of counseling based on the model of continuous care led- midwife on nausea and vomiting during pregnancy in patient referred to comprehensive health centers in Hamadan, 2020. Avicenna J Nurs Midwifery Care 2022; 30 (3) :200-210
URL: http://nmj.umsha.ac.ir/article-1-2380-en.html
URL: http://nmj.umsha.ac.ir/article-1-2380-en.html
Azadeh Aazadi Moghtader1 
, Seyedeh Zahra Masoumi * 2, Batul Khodakarami3 , Ghodratollah Roshanaei4 , Parisa Parsa5
, Seyedeh Zahra Masoumi * 2, Batul Khodakarami3 , Ghodratollah Roshanaei4 , Parisa Parsa5
1- Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Mother and Child Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , zahramid2001@gmail.com
3- Mother and Child Care Research Center, Midwifery Department, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Biostatistics, School pf public health, Hamadan University of Medical Sciences, Hamadan, Iran
5- School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
2- Mother and Child Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran , zahramid2001@gmail.com
3- Mother and Child Care Research Center, Midwifery Department, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Biostatistics, School pf public health, Hamadan University of Medical Sciences, Hamadan, Iran
5- School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract: (1325 Views)
Background and Objective: Nausea and vomiting during pregnancy are one of the most common complaints of pregnant women. The present study aimed to assess the effect of counseling based on the model of continuous midwife-led care on nausea and vomiting during pregnancy.
Materials and Methods: This two-group clinical trial study was performed on 60 pregnant women aged 8-12 weeks in 2020. Participants in the intervention group received three face-to-face counseling sessions based on the continuous midwife-led care model, while the control group received routine prenatal care. The severity of nausea and vomiting was assessed using the Pregnancy-Unique Quantification of Emesis (PUQE) questionnaire three days before the commencement of the study and two weeks during the study. Data analysis was performed in SPSS software (version 22) using the Chi-square test, one-way analysis of variance, and analysis of covariance. A p-value less than 0.05 was considered statistically significant.
Results: In the intervention group, after the midwife-led consultation, compared to before, the mean scores of nausea and vomiting, as well as the overall severity of nausea and vomiting, decreased during two weeks (P<0.001). Although this decrease was not significant in the first week of the intervention compared to the control group (P>0.05), the difference between the two groups in the second week of the study was significant in terms of overall severity of nausea and vomiting based on the overall score of the PUQE questionnaire (P <0.05).
Conclusion: As evidenced by the obtained results, the use of the model of continuous midwife-led care is recommended to reduce nausea and vomiting during pregnancy.
Materials and Methods: This two-group clinical trial study was performed on 60 pregnant women aged 8-12 weeks in 2020. Participants in the intervention group received three face-to-face counseling sessions based on the continuous midwife-led care model, while the control group received routine prenatal care. The severity of nausea and vomiting was assessed using the Pregnancy-Unique Quantification of Emesis (PUQE) questionnaire three days before the commencement of the study and two weeks during the study. Data analysis was performed in SPSS software (version 22) using the Chi-square test, one-way analysis of variance, and analysis of covariance. A p-value less than 0.05 was considered statistically significant.
Results: In the intervention group, after the midwife-led consultation, compared to before, the mean scores of nausea and vomiting, as well as the overall severity of nausea and vomiting, decreased during two weeks (P<0.001). Although this decrease was not significant in the first week of the intervention compared to the control group (P>0.05), the difference between the two groups in the second week of the study was significant in terms of overall severity of nausea and vomiting based on the overall score of the PUQE questionnaire (P <0.05).
Conclusion: As evidenced by the obtained results, the use of the model of continuous midwife-led care is recommended to reduce nausea and vomiting during pregnancy.
Type of Study: Original Research |
Subject:
Midwifery
Received: 2021/09/11 | Accepted: 2022/03/16 | Published: 2022/09/5
Received: 2021/09/11 | Accepted: 2022/03/16 | Published: 2022/09/5
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