[Satisfaction rate of normal vaginal delivery and its relative factors among childbearing women in [Mahdiye, Tehran] and [Shaheed Chamran, Boroujerd] Hospitals, 1385]

Patient's satisfaction is one of the most important health indicators in health care system which is used for care qualification and providing health services. Hence, a descriptive correlative study is carried out to determine the satisfaction degree of normal delivery and its relative factors in childbearing women at [Shaheed Chamran, Borujerd] and [Madiye, Tehran] Hospitals in 1385. In this study, 360 literate Iranian childbearing mothers were chosen via a non-probable quar to sampling. Data gathered by a questionnaire consisting of 4 parts [pain severity, personal control, environmental satisfaction, childbirth satisfaction] and two checklists of demographic features and past obstetric records. Respectively, the pain ruler was used to estimate the pain severity, the questionnaire of labors Agentry Scale to personal control, 17-question Likert scale to environmental contentment and 18 questions derived from 34-item questionnaire of Mackey Childbirth satisfaction to childbirth content. Using SPSS 13, Mann-Whitney and Cruskal- Wallis non-parametric tests, Spearman's Correlation coefficiency, one-way Anova [variance Analysis] and regression test were applied to analyze the information. Among the studied women, 72.2% were contented with their childbirth, whereas 8.4% of them were unsatisfied with their childbirth. There was a meaningful relationship among pain severity, environmental satisfaction, personal control, childbirth factor, reserved length of the first phase of labor, pregnancy age, the conformity of newborn's gender with father's and with mother's will [P<0.001], lack of problem in their second and third delivery [P=0.01],mother's degree of education [P=0.009], economical situation [P=0.02], and spouse's occupation [P=0.03] with childbirth gratification in [Shaheed Chamran] hospital. There was a significant relationship between pain severity, personal control, the reserved length of the first and second phase[P<0.001] in [Mahdiye] hospital. Based on regression test, the personal control variables [P<0.001] and environmental content [P=0.005] were achieved to be the predictors of childbirth gratification. It is outstanding that the contentment with childbirth is multi-dimensinal issue and in order to increase the mothers' positive experiences and prevent them from side-effects of their negative experiences, all the espects must be comprehensively, simultaneously, considered.

Effect of massage therapy on severity of pain and outcome of labor in primipara

Labor pain is the most severe pain a woman experience in her life. The severity and duration of labor pain is more, in primiparous women and may lead to undesirable psychological effects, lowered self-confidence and anxiety. New supportive methods like massage therapy could change the labor into a pleasant and desirable experience. Regarding this, the current study was fulfilled to evaluate the effect of massage therapy on severity of labor pain. It is a clinical trial on sixty women undergoing delivery in selected hospitals of Tehran. Target population was all the women admitted in Mahdieh and Hedayat hospitals, Tehran, for delivery. The cases were primiparous women with single fetus in the age range of 20 to 34 with cervical dilatation of four centimeters and less and gestational age of 38 to 42 weeks. They were divided into massage therapy and control groups, randomly. Severity of pain was measured in visual analogue scale [VAS] and the questionnaires were filled at the cervical dilatation of 4, 8 and 10 centimeters. Massage therapy was done using effleurage method as a type of Swedish massage technique. The data was analyzed using descriptive [frequency distribution, mean and standard deviation] and analytical [independent t-test and chi square] statistical methods by SPSS software. The results demonstrated that the mean of pain severity at the first stage of labor was significantly different between the experiment group and the control group, at the start of active phase [p= 0.009], end of transitional phase [p= 0.014] and end of the first stage [p=0.01]. Also, the duration of the first stage of the labor was different in experiment and control group. Massage therapy could be introduced as a new useful method during delivery; regarding its supportive role. It is supposed that the results of the study would introduce massage therapy as a non-pharmacological intervention during delivery to reduce the labor pain and causes a decrease in the number of cesarean sections, done to avoid the fear and anxiety, induced by normal vaginal deliveries in young mothers