Participant Characteristics

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Participant Characteristics Enhancing Childbirth Satisfaction through a Brief, Targeted Educational Intervention Dyan Thompson, BSN, RN, DNP Candidate, Diane Boyle, PhD, RN, FAAN Introduction A woman’s experience during childbirth should be positive and meaningful, yet a large body of literature reports maternal dissatisfaction with labor and childbirth experiences. Purpose The purpose of this descriptive, comparative study is to explore the effects of a brief targeted educational intervention on childbirth satisfaction, using a family medicine setting. Specific Aims Test the feasibility of implementing a brief (1/2 hour), targeted educational intervention with women in their 3rd trimester of pregnancy as an added service to a routinely scheduled office visit. Compare postpartum childbirth satisfaction (two weeks postpartum) of obstetrical patients who receive the brief, targeted education session in their 3rd trimester of care to a group of similar patients who receive routine obstetrical care. Methods Participants Pregnant women in their 3rd trimester of pregnancy Did not taken childbirth classes during this pregnancy Did not receive additional specialty care because of high risk Age 18-34 First time or previous pregnancy Able to understand and read English Intervention Group Received a brief, targeted education session in their 3rd trimester of pregnancy and completed a childbirth satisfaction survey at two weeks postpartum. Comparison Group Received usual care only. Completed a childbirth satisfaction survey at two weeks postpartum. Childbirth Satisfaction Survey Intervention Group: *21 question survey using a 5-level Likert Scale Comparison Group: 17 question survey using a 5-level Likert Scale *The last 4 questions in the intervention group survey focus on the feasibility of the intervention. Preliminary Results *Data is pending on three subjects in the intervention group. Participant Characteristics Satisfaction with Childbirth Experience Feasibility Questions Q1 A ½ hr educational session fits my schedule Q2 A ½ hr educational session was adequate for my educational needs Q3 The information given at the educational session was beneficial to my overall childbirth experience Q4 I would recommend the additional education session to family or friends Mean Scores for Feasibility Questions Strongly agree = 4, Agree = 3, Disagree = 2, Strongly disagree = 1 Lessons Learned Some participants were eliminated from the intervention group due to their desire to attend childbirth class when this subject was brought up (these participants were signed up for classes) Limitations Small sample size Convenience sample Demographic data does not show ethnic diversity and higher education Potential bias to survey results due to participants completing survey in doctors office Conclusion A brief, targeted educational session provided to women in their 3rd trimester of pregnancy shows promising effectiveness in enhancing childbirth satisfaction. The added service of providing a brief, targeted education session to a routinely scheduled office visit shows potential as being feasible. Continued research using a larger, more diverse sample is needed on this subject to show whether a brief, targeted educational session aids in childbirth satisfaction. Participant Characteristics Intervention Group Comparison Group Age Education Ethnicity First Delivery Previous Childbirth Class Mean = 26.1 years Some College Hispanic 28.6% White 71.4% Yes = 71.4% No = 86% Mean = 27.4 years Hispanic 10% Asian 10% White 80% Yes = 90% No = 80% Group Mean (SD) F p Intervention Group (n=7) Comparison Group (n=10) Total (n=17) 60.57 (0.98) 57.40 (5.91) 58.71 (4.75) 1.94 .18