Effect of supportive midwifery care in primiparous women on posttraumatic stress disorder and fear of childbirth in labour

Aim: The research was carried out to determine the effect of midwifery support on primiparous labor in postpartum posttraumatic stress disorder and birth fear. Methods: The research was carried out in maternity and lohusa services in Beydağı campus of Malatya education and Research Hospital (MEAH). When power analysis was performed, the sample size was calculated as at least 82 pregnant for each group (experiment 82, control 82). Data were collected between January - November 2018. In the first interview, personal data form and W-DEQ a version were applied to the experimental and control groups. Experimental and control group pre-test Personal Information Form and the W-DEQ version A was administered. The experimental group was also given midwifery support throughout the trauma. The W-DEQ B version and the effect scale of the events were applied as a final test after 6-8 hours of gestation to the pregnant women in both groups. The number in the analysis of the data, percentage, average, standard deviation, chi-square, t tests for independent groups were used. Results: Postnatal W-DEQ version B in the experimental group the average score 37.20 ± 23.50, in the control group (62.38 ± 27.04 and in terms of the mean score between the groups was statistically significant difference (p<0.001). The effect of end-of-pregnancy events was determined as 12.09 ± 12.67, 18.30 ± 11.96 in the control group and statistically significant difference was found in the mean score scale (p=0.001). Conclusion: It was determined that the midwifery support in the trauma reduced the fear of birth and the symptoms of posttraumatic stress disorder. Keywords: Fear of childbirth, Midwifery, Midwifery Support, Posttraumatic Stress Disorder, Vaginal Delivery