Investigate parturient women's self- reported measures compared with nurses compliance with supportive measures during labour

Abstract

This study aimed to investigate parturient women's self- reported measures compared with nurses compliance with supportive measures during labour. Setting: This study was conducted at  labour and delivery units in the Mansoura University Hospitals, Egypt. Design: A comparative descriptive study. Subjects: Two sampling were used (18 nurses) that had direct worked with parturient women in labor and delivery unit, sample type was convenient sample and a ninety parturient woman who had given birth in Mansoura university hospital, sample type was purposive sample. Tools: For parturient women, an interviewing questionnaire schedule, labor supportive measures questionnaire, and woman's satisfaction questionnaire, for nurses, observational checklist of labor support measures and barriers questionnaire sheet. Results: The study findings showed that based on the parturient women's self report,the most supportive measures received were physical followed by emotional supportive measures during second, third and fourth stage of labour (64.6 ± 25.21, 60.3 ± 25.67, respectively) and received less emotional and physical support during first stage (38.1 ± 27.92, 32.5 ± 14.16, respectively). The overall total score of labor supportive measures were (46.4 ± 11.16) based on a self report by parturient women. Also, the majorty of nurses did not comply with providing labor supportive measures and the overall total score of labor supportive measures were low (31.1 ± 10.30). Else, there was a highly a statistically significant relation between women's self-reported supportive measures and nurses compliance with supportive measures in all domains (P<0.001) except physical supportive measures during first stage of labor (P = 0.247). Too much emergency situation and administrative work were the main barrier that prevents nurses to comply with providing supportive measures. Most of  parturient women were unsatisfied with the perceived supportive measures. Conclusion: The results of the study concluded that there was a highly statistically significant relationship between parturient women's self- reported measures and nurses, compliance with supportive measures in all domains except physical supportive measures during first stage of labor. Recommendation: Designed and implemented program for enhancing  nurses, compliance with supportive  measures  during  labour by woman health and midwifery nursing department staff.