The Effectiveness of Prenatal Intervention on Pain and Anxiety during the Process of Childbirth-Northern Iran: Clinical Trial Study.
BACKGROUND
Due to the painful nature of childbirth and its maternal and neonatal complications, the woman needs support in this phase of their life. Increased knowledge and skills during pregnancy prepares pregnant mothers for labor and leads to promoted health.


OBJECTIVE
This study was designed to evaluate the effectiveness of "prenatal education" on the process of childbirth.


METHODS
This clinical trial was conducted on 195 pregnant women, that is, control group (N = 132) and case group (N = 63) attending health centers in Amol-Iran from 20 weeks of gestation age during 2012. Case group members attended in "prenatal education" class and the control group only received routine care. Data were collected through demographic questionnaire, standard hospital anxiety questionnaire, and a checklist related to childbirth information, and intensity of pain based on visual analogue scale and McGill scales. The data were analyzed by Statistical Package for the Social Sciences software using t-test and Chi-square test.


RESULTS
The result of this study showed that the parent with a high level of education was more interested to participant in prenatal classes. The anxiety level in case group (who received education) was 14.47 (4.69) and in control group it was 16 (4.86), (P < 0.001) the pain intensity in case group was 85.68 (1.85) and in control group was 90.99 (14.72) (P = 0.03), intervention on labor such episiotomy was 39 %66.1 (39/63) in case group and 80 %72.8 (80/132) in control group (P = 0.01) and cesarean section was 13 %17.1 (13/63) in case group and 58 %32.2 (58/132) in control group (P = 0.01).


CONCLUSIONS
According to findings of this study, the prenatal education and psychological support are beneficial for mothers during pregnancy and labor. Therefore, it is recommended for educating all the pregnant women.
Department of Midwifery, Islamic Azad university, Babol Branch, Babol, Tehran, Iran ; Department of Social Determinant of Health, Babol University Medical Science, Tehran, Iran.
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Firouzbakht
Department of Social Determinant of Health, Babol University Medical Science, Tehran, Iran ; Department of Midwifery, Babol University Medical Science, Tehran, Iran.
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Nikpour
Department of Science, Babol University Medical Science, Tehran, Iran.
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Khefri
Department of Midwifery, Islamic Azad university, Babol Branch, Babol, Tehran, Iran.
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B
Jamali
Department of Midwifery, Islamic Azad university, Babol Branch, Babol, Tehran, Iran.
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Kazeminavaee
Department of Psychology, Elicit and Researchers Club, Tehran, Iran.
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Didehdar
Delivery; Obstetric; Pregnancy training classes; Prenatal care; Prenatal education