The relationship between midwifery problem solving skills and labor outcomes in primiparous women

The relationship between midwifery problem solving skills and labor outcomes in primiparous women
mina ghalenovi,^1,*
1. MSc in Midwifery Care, Departement of Midwifery, Scool of Nursing, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Introduction: : Pregnancy is a natural process in women's lives, but Midwifery skills play an important role in maternal health. Midwives are frightened and stressed by the injury and by unknown and ambiguous judgments and legal complaints. One of the causes of midwives' job stress is due to traumas that occur during delivery for clients. Stress, time constraints, concerns about poor performance, and lack of experience are factors that put pressure on midwives to refuse to act on evidence. Midwives need personal skills and develop coping skills to respond to stressful issues in order to respond to clients' needs. The purpose of this study was to determine the relationship between midwifery problem solving skills and labor outcomes in primiparous women.
Methods: This is a descriptive correlational study that was conducted in Mashhad maternity hospitals in 2016. The researcher first provided the midwife with the Bar On problem solving Questionnaire and collected their information, then collected information on 120 first-term births, headaches, unilateral and non-abnormalities delivered by the attending midwives. Did. Information on the outcome of childbirth was collected by a researcher-provided checklist. Data were analyzed by SPSS 16 software. Mann-Whitney nonparametric test was used because the two variables were not normal.
Results: : The results of the study showed that the score of problem solving in midwives was 85.1± 36.0 . Between midwives' problem solving skills and duration of first and second stage of labor (p = 0.086), abnormal heart rate pattern in first and second stage of labor (p = 0.075), use of oxytocin (p = 1), episiotomy There was no significant relationship between postpartum hemorrhage (p = 0.09) and excessive postpartum hemorrhage (p = 0.088). There was also no relationship between midwife problem solving skills and first minute Apgar score, need for resuscitation, dystocia and emergency cesarean section.
Conclusion: The present study showed that there was no significant relationship between midwifery problem solving skills and childbirth outcomes. Therefore, it is suggested that studies with more samples be conducted, examining other psychological skills, and even training them on midwives' performance
Keywords: labor Outcome, Midwife, problem solving skills, Primiparous