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Nursing Diagnosis & Midwifery 2018
S e p t e m b e r 1 0 - 1 1 , 2 0 1 8
P r a g u e , C z e c h R e p u b l i c
Page 78
Journal of Nursing and Health Studies
ISSN: 2574-2825
E u r o S c i C o n E v e n t o n
Nursing Diagnosis &
Midwifery
C
hild bearing is a major transformative life event that is both physically and emotionally demanding. The emotional process of birth has
a major impact on the evolving mother-child relationship (wiklund, Edman 2009). A women centered approach to childbirth, services,
acknowledges and attends to the psychological and social components of child bearing. Attention to these components during labor and
birth is essential to a woman’s feelings of mastery and satisfaction with this pivotal life experience. It is documented through research that
social needs via therapeutic presence and continuous labor support improve maternal and infant health outcomes. Therapeutic presence
includes three elements: emotional support, including physical presence, encouragement, reassurance and sense of security, direct care and
comfort measures, knowledge support includes explanation, advice and information. A study was conducted to assess the effectiveness
of therapeutic presence and continuous labor support among mothers admitted to labor room. The methodology includes 30 mothers who
got admitted to labor room with true labor pain; developed a theoretical framework to describe relationships among nurse-midwifery care,
psychosocial outcomes and maternal psychosocial variables. Throughout the study, a constrict for the concept of therapeutic presence was
developed with “one on one personal attention and availability of the nurse-midwifery for the woman in labor”. The study demonstrated and
conducted that positive therapeutic presence by nurse-midwives increase a woman’s self-esteem and satisfaction with the labor experience.
The outcome benefits of one to one labor support were shorter labor, fever caesarian birth, less need for analgesia and anesthesia, reduced
use of synthetic oxytocin in labor, greater maternal satisfaction with child birth experience and enhanced coping skills during the experience.
The study also drew a curricular content in administration and education, positioning and movement, use of hot and cold therapy, relaxation
techniques using breathing, use of therapeutic touch, verbal support and encouragement, informational support, partner support and birth
environment management.
conadmin@mmm.originTherapeutic presence and continuous labor
support: midwifery model of care
Rosaline Rachel
MMM College of Nursing, India
J Nurs Health Stud 2018 Volume: 3
DOI: 10.21767/2574-2825-C4-012