Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment

Rehab Soliman Abd El Aliem; Afaf Mohamed Emam; Ahlam El Ahmady Sarhan

doi:doi:10.11648/j.ajns.20200903.25

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Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment

Rehab Soliman Abd El Aliem, Afaf Mohamed Emam, Ahlam El Ahmady Sarhan

Published in American Journal of Nursing Science (Volume 9, Issue 3)

Received: 21 April 2020 Accepted: 11 May 2020 Published: 27 May 2020

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Abstract

Background: The birth plan raises women’s knowledge, improves empowerment, and promotes childbirth outcomes. Aim of the study was to implement a birth plan and evaluate its effect on women childbirth outcomes and empowerment. Design: A quasi-experimental comparative design. Sampling: A purposive sample of 194 pregnant women was enrolled and equally allocated into two groups (the intervention group who engaged in a birth plan to receive planned care during childbirth, a control group who received routine hospital care) 97 women each. Setting: The study was conducted at the obstetrics outpatient clinic and in the delivery room of Benha University Hospital. Tools: four tools were used for data collection; A Structured Self-Administration Questionnaire, Birth plan fulfillment sheet, childbirth outcomes sheet, Childbirth related Empowerment Scale. Results: that there were highly significant difference in most items of designed birth plan care during 1st, 2nd and 3rd stage between control and study group (P ≤ 0.001) and there was a significant decrease in mean ± SD of 1st stage duration and the total duration of childbirth stages of the study group comparing to the control group (P ≤ 0.05). Before implementing the birth plan, there was no statistical significance difference between control and study group regarding childbirth-related empowerment scale as (p ˃ 0.05) while after implementation, there were highly statistically significant differences regarding most items of birth-related empowerment scale as (P ≤ 0.001). Conclusion: the birth plan has a higher implementation of designed childbirth care, a positive effect on maternal and fetal outcomes and there was a highly significant increase in the total women`s empowerment scores after implementing birth plan (p<0,001) compared to control group. Recommendation: Raising awareness of healthcare staff of the outpatient clinic, delivery ward to implement birth plan toward increasing childbirth empowerment.

Published in	American Journal of Nursing Science (Volume 9, Issue 3)
DOI	10.11648/j.ajns.20200903.25
Page(s)	155-165
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Birth Plan, Childbirth Outcomes, Empowerment

References

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APA Style

Rehab Soliman Abd El Aliem, Afaf Mohamed Emam, Ahlam El Ahmady Sarhan. (2020). Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. American Journal of Nursing Science, 9(3), 155-165. https://doi.org/10.11648/j.ajns.20200903.25

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ACS Style

Rehab Soliman Abd El Aliem; Afaf Mohamed Emam; Ahlam El Ahmady Sarhan. Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. Am. J. Nurs. Sci. 2020, 9(3), 155-165. doi: 10.11648/j.ajns.20200903.25

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AMA Style

Rehab Soliman Abd El Aliem, Afaf Mohamed Emam, Ahlam El Ahmady Sarhan. Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. Am J Nurs Sci. 2020;9(3):155-165. doi: 10.11648/j.ajns.20200903.25

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@article{10.11648/j.ajns.20200903.25,
  author = {Rehab Soliman Abd El Aliem and Afaf Mohamed Emam and Ahlam El Ahmady Sarhan},
  title = {Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {3},
  pages = {155-165},
  doi = {10.11648/j.ajns.20200903.25},
  url = {https://doi.org/10.11648/j.ajns.20200903.25},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200903.25},
  abstract = {Background: The birth plan raises women’s knowledge, improves empowerment, and promotes childbirth outcomes. Aim of the study was to implement a birth plan and evaluate its effect on women childbirth outcomes and empowerment. Design: A quasi-experimental comparative design. Sampling: A purposive sample of 194 pregnant women was enrolled and equally allocated into two groups (the intervention group who engaged in a birth plan to receive planned care during childbirth, a control group who received routine hospital care) 97 women each. Setting: The study was conducted at the obstetrics outpatient clinic and in the delivery room of Benha University Hospital. Tools: four tools were used for data collection; A Structured Self-Administration Questionnaire, Birth plan fulfillment sheet, childbirth outcomes sheet, Childbirth related Empowerment Scale. Results: that there were highly significant difference in most items of designed birth plan care during 1st, 2nd and 3rd stage between control and study group (P ≤ 0.001) and there was a significant decrease in mean ± SD of 1st stage duration and the total duration of childbirth stages of the study group comparing to the control group (P ≤ 0.05). Before implementing the birth plan, there was no statistical significance difference between control and study group regarding childbirth-related empowerment scale as (p ˃ 0.05) while after implementation, there were highly statistically significant differences regarding most items of birth-related empowerment scale as (P ≤ 0.001). Conclusion: the birth plan has a higher implementation of designed childbirth care, a positive effect on maternal and fetal outcomes and there was a highly significant increase in the total women`s empowerment scores after implementing birth plan (p<0,001) compared to control group. Recommendation: Raising awareness of healthcare staff of the outpatient clinic, delivery ward to implement birth plan toward increasing childbirth empowerment.},
 year = {2020}
}

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TY  - JOUR
T1  - Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment
AU  - Rehab Soliman Abd El Aliem
AU  - Afaf Mohamed Emam
AU  - Ahlam El Ahmady Sarhan
Y1  - 2020/05/27
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200903.25
DO  - 10.11648/j.ajns.20200903.25
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 155
EP  - 165
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200903.25
AB  - Background: The birth plan raises women’s knowledge, improves empowerment, and promotes childbirth outcomes. Aim of the study was to implement a birth plan and evaluate its effect on women childbirth outcomes and empowerment. Design: A quasi-experimental comparative design. Sampling: A purposive sample of 194 pregnant women was enrolled and equally allocated into two groups (the intervention group who engaged in a birth plan to receive planned care during childbirth, a control group who received routine hospital care) 97 women each. Setting: The study was conducted at the obstetrics outpatient clinic and in the delivery room of Benha University Hospital. Tools: four tools were used for data collection; A Structured Self-Administration Questionnaire, Birth plan fulfillment sheet, childbirth outcomes sheet, Childbirth related Empowerment Scale. Results: that there were highly significant difference in most items of designed birth plan care during 1st, 2nd and 3rd stage between control and study group (P ≤ 0.001) and there was a significant decrease in mean ± SD of 1st stage duration and the total duration of childbirth stages of the study group comparing to the control group (P ≤ 0.05). Before implementing the birth plan, there was no statistical significance difference between control and study group regarding childbirth-related empowerment scale as (p ˃ 0.05) while after implementation, there were highly statistically significant differences regarding most items of birth-related empowerment scale as (P ≤ 0.001). Conclusion: the birth plan has a higher implementation of designed childbirth care, a positive effect on maternal and fetal outcomes and there was a highly significant increase in the total women`s empowerment scores after implementing birth plan (p<0,001) compared to control group. Recommendation: Raising awareness of healthcare staff of the outpatient clinic, delivery ward to implement birth plan toward increasing childbirth empowerment.
VL  - 9
IS  - 3
ER  -

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Author Information

Rehab Soliman Abd El Aliem

Obstetrics and Woman Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Afaf Mohamed Emam

Obstetrics and Woman Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt
Ahlam El Ahmady Sarhan

Community Health Nursing, Faculty of Nursing, Benha University, Benha, Egypt

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Rehab Soliman Abd El Aliem, Afaf Mohamed Emam, Ahlam El Ahmady Sarhan. (2020). Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. American Journal of Nursing Science, 9(3), 155-165. https://doi.org/10.11648/j.ajns.20200903.25

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ACS Style

Rehab Soliman Abd El Aliem; Afaf Mohamed Emam; Ahlam El Ahmady Sarhan. Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. Am. J. Nurs. Sci. 2020, 9(3), 155-165. doi: 10.11648/j.ajns.20200903.25

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AMA Style

Rehab Soliman Abd El Aliem, Afaf Mohamed Emam, Ahlam El Ahmady Sarhan. Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment. Am J Nurs Sci. 2020;9(3):155-165. doi: 10.11648/j.ajns.20200903.25

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@article{10.11648/j.ajns.20200903.25,
  author = {Rehab Soliman Abd El Aliem and Afaf Mohamed Emam and Ahlam El Ahmady Sarhan},
  title = {Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {3},
  pages = {155-165},
  doi = {10.11648/j.ajns.20200903.25},
  url = {https://doi.org/10.11648/j.ajns.20200903.25},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200903.25},
  abstract = {Background: The birth plan raises women’s knowledge, improves empowerment, and promotes childbirth outcomes. Aim of the study was to implement a birth plan and evaluate its effect on women childbirth outcomes and empowerment. Design: A quasi-experimental comparative design. Sampling: A purposive sample of 194 pregnant women was enrolled and equally allocated into two groups (the intervention group who engaged in a birth plan to receive planned care during childbirth, a control group who received routine hospital care) 97 women each. Setting: The study was conducted at the obstetrics outpatient clinic and in the delivery room of Benha University Hospital. Tools: four tools were used for data collection; A Structured Self-Administration Questionnaire, Birth plan fulfillment sheet, childbirth outcomes sheet, Childbirth related Empowerment Scale. Results: that there were highly significant difference in most items of designed birth plan care during 1st, 2nd and 3rd stage between control and study group (P ≤ 0.001) and there was a significant decrease in mean ± SD of 1st stage duration and the total duration of childbirth stages of the study group comparing to the control group (P ≤ 0.05). Before implementing the birth plan, there was no statistical significance difference between control and study group regarding childbirth-related empowerment scale as (p ˃ 0.05) while after implementation, there were highly statistically significant differences regarding most items of birth-related empowerment scale as (P ≤ 0.001). Conclusion: the birth plan has a higher implementation of designed childbirth care, a positive effect on maternal and fetal outcomes and there was a highly significant increase in the total women`s empowerment scores after implementing birth plan (p<0,001) compared to control group. Recommendation: Raising awareness of healthcare staff of the outpatient clinic, delivery ward to implement birth plan toward increasing childbirth empowerment.},
 year = {2020}
}

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TY  - JOUR
T1  - Effect of Implementing Birth Plan on Women Childbirth Outcomes and Empowerment
AU  - Rehab Soliman Abd El Aliem
AU  - Afaf Mohamed Emam
AU  - Ahlam El Ahmady Sarhan
Y1  - 2020/05/27
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200903.25
DO  - 10.11648/j.ajns.20200903.25
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 155
EP  - 165
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200903.25
AB  - Background: The birth plan raises women’s knowledge, improves empowerment, and promotes childbirth outcomes. Aim of the study was to implement a birth plan and evaluate its effect on women childbirth outcomes and empowerment. Design: A quasi-experimental comparative design. Sampling: A purposive sample of 194 pregnant women was enrolled and equally allocated into two groups (the intervention group who engaged in a birth plan to receive planned care during childbirth, a control group who received routine hospital care) 97 women each. Setting: The study was conducted at the obstetrics outpatient clinic and in the delivery room of Benha University Hospital. Tools: four tools were used for data collection; A Structured Self-Administration Questionnaire, Birth plan fulfillment sheet, childbirth outcomes sheet, Childbirth related Empowerment Scale. Results: that there were highly significant difference in most items of designed birth plan care during 1st, 2nd and 3rd stage between control and study group (P ≤ 0.001) and there was a significant decrease in mean ± SD of 1st stage duration and the total duration of childbirth stages of the study group comparing to the control group (P ≤ 0.05). Before implementing the birth plan, there was no statistical significance difference between control and study group regarding childbirth-related empowerment scale as (p ˃ 0.05) while after implementation, there were highly statistically significant differences regarding most items of birth-related empowerment scale as (P ≤ 0.001). Conclusion: the birth plan has a higher implementation of designed childbirth care, a positive effect on maternal and fetal outcomes and there was a highly significant increase in the total women`s empowerment scores after implementing birth plan (p<0,001) compared to control group. Recommendation: Raising awareness of healthcare staff of the outpatient clinic, delivery ward to implement birth plan toward increasing childbirth empowerment.
VL  - 9
IS  - 3
ER  -

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