Farideh Akhlaghi; Saeed Ebrahimzadeh; Roya Baghani; Seddigheh Azhari; Javad Salehi Federdi
Volume 17, Issue 4 , January and February 2011, , Pages 248-255
Abstract
Background and Purpose: Self-efficacy is a modifiable psychological variable in sustained breastfeeding that is defined as a mother's confidence in her perceived ability for successful and exclusive breastfeeding. Therefore, the present study was conducted in order to compare the effectiveness of “Hands ...
Read More
Background and Purpose: Self-efficacy is a modifiable psychological variable in sustained breastfeeding that is defined as a mother's confidence in her perceived ability for successful and exclusive breastfeeding. Therefore, the present study was conducted in order to compare the effectiveness of “Hands on” and” Hands off” methods on breastfeeding self-efficacy in primiparous mothers. Materials and Methods: In this experimental single-blind study, 124 primiparous women were randomly assigned to one of the three groups. Participants in the experimental group received one of the structured one-on-one educational sessions (i.e., hands-off or hands-on) within the first two hours of giving birth to her child. Mothers in control group received usual postpartum care. Follow-up assessments were conducted one, four, and eight weeks after the birth. Data collection was done through interview forms, examination and observation, checklist of breastfeeding status, breastfeeding self-efficacy and daily-feeding form. The obtained data were analyzed in SPSS using one-way ANOVA, Kruskal Wallis and correlation coefficient (p
Maryam Kashanian; Mansoureh Ashghali Farahani; Maryam Shahnazari; Fereshteh Jahdi; Hamid Haghani
Volume 16, Issue 4 , January and February 2010, , Pages 189-195
Abstract
Background and Purpose: Perineal damage is one of the traumas most frequently suffered by women during delivery. There are several techniques aimed at reducing the perineal damage. The present study is aimed at determining and comparing the frequency and degree of perineal rupture in hands-off and hands-on ...
Read More
Background and Purpose: Perineal damage is one of the traumas most frequently suffered by women during delivery. There are several techniques aimed at reducing the perineal damage. The present study is aimed at determining and comparing the frequency and degree of perineal rupture in hands-off and hands-on techniques of protecting perinea during labor. Method and Materials: This blind clinical trial (with the CI of 95% and test power of 80%) involved 187 women who, after signing their informed consent, were divided into the hands-off (n= 98) and hands-on (n=89) groups through random allocation. In the experimental (hands-off) method, the midwife guides the parturient and observes the process of labor without touching the perineum or the head. In the control (hands-on) group, the midwife protects the infant's head using Ringen maneuver. The data were analyzed in SPSS using chi-square and Fisher's exact test. Results: The result showed that the undamaged perinea in the hands-off group was 44.9%, versus 10% in the hands-on group, where the difference was statistically significant (P < 0.0001). Perineal laceration was 51% in the hands-off group and 47.2% in the hands-on group but the difference between the two groups was not significant (p = 0.55). Most ruptures were of the first-degree type (50% in the hands-off and 64.3% in the hands-on group). In the hands-off group, 3.1% underwent episiotomy as compared with 75.3% in the hands-on group. Conclusion: The results suggest that a policy of hands-off technique in protecting perinea can be safe and efficient technique and can be an alternative method in perineal protection during labor