Maternal Perspective for Support and Control in Birth

Purpose: The feeling that women have control over their bodies during birth is important. During and after birth, providing good communication with the health care team helps ensure that postpartum periods are of good quality for mothers. We evaluated the parameters affecting pregnants during the delivery process. Methods: Our study was conducted between September 2019- January 2020 with the 230 patients who gave birth in Trakya Medical Faculty Hospital. Data from 2 scales were used; ’Support and Control in Birth Scale (SCIB)’ and ’Discomfort Intolerance Scale (DIS)’. Additional clinical information were recorded. Results: SCIB scores increased with an increase in the education level. Patients with higher DIS scores were more intolerant of discomfort. However, they also had high SCIB scores. Patients who had high SCIB scores didn’t lose control during labor. SCIB scores were found to be lower in patients who had additional interventions such as foley catheter, experiencing a painful vaginal examination. The scores of those who had normal vaginal delivery were higher than those who had cesarean section. There was a significant relationship between DIS, SCIB and labor duration. Conclusion: The sensitivity and tolerance factors of pregnants should be examined at structural level. During and after childbirth, suitable environments for the mother should be created and adaptation to the new situation should be ensured. The higher control detected during labor results with less severe pain, more intense positive emotions and less intense negative emotions. With more supportive care services; perceived control increases in patients and they experience a more comfortable delivery process.

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