The Effect of Lamaze Practices on the Outcome of Pregnancyand Labor in Primpara Women

Abstract

BACKGROUND: The present study discussed the effect of Lamaze practices on the outcome of pregnancy and labor in
primpara women referring to selected hospital of Tehran university of medical sciences in 2005.
METHODS: This study was a controlled semi-experimental clinical trial. Samples included 70 selected women referring
to selected hospitals in Tehran. The subjects were divided into control and study group. Study group received Lamaze
technique included a training program for the study group containing 6 sessions. In each session, various subjects based
on educational program were taught. Subjects were followed from 24-26 weeks of pregnancy to 24 hours after delivery.
A checklist and a questionnaire were used for collecting the data. Data was analyzed by SPSS software.
RESULTS: The findings showed the subjects were the same regarding demographic characteristics and level of knowledge
concerning various methods of labor and Lamaze technique. There was no significant difference between two
groups regarding the type of delivery, longitude of the first stage of delivery and the first and fifth minute APGAR score
as well as mean gestational age. But, a significant difference in frequency of normal vaginal delivery and forceps or
vacuum usage between two groups was mentioned (p<0.05). The duration of the second stage of delivery in study group
was less while the mean weight of the newborns was more than the controls (p<0.05). The study group was more satisfied
with their labor (p<0.05).
DISCUSSION: The findings showed Lamaze practices can increase satisfaction of labor process. It can decrease the
length of second stage of delivery. Inclusion of Lamaze technique in maternal care programs is highly suggested.
KEY WORDS: Lamaze practices, pregnancy outcome, pregnancy, satisfaction.