2023, Vol. 6, Issue 2, Part A

The WHO Framework for improving respectful Care for pregnant women has identified experience of care as being of equal importance to the delivery of standard clinical care. The Birth Preparedness package was developed to provide a sense of personal success and a positive experience of active involvement of women in decision-making during labour, even in cases where medical interventions are required or desired. Midwife-led care is a game-changer that can tackle many of the challenges our country is facing.

Problem statement: A study to assess the effectiveness of Midwife led Birth preparedness Package on Intrapartum Behaviour for a positive birth experience in a selected Tertiary Care Hospital in Western Maharashtra.

Objectives of the study: To assess the effectiveness of Midwife led Birth preparedness package on intrapartum behaviour

To find the association of Intrapartum behaviour score with maternal satisfaction assessment using Mother on Respect Index (MOR Index)

To find the association of intrapartum behaviour with selected demographic variables

Hypothesis: H 0 (1): There is no correlation between Intrapartum behaviour and maternal satisfaction.

H0 (2): There is no association between Intrapartum behaviour with selected demographic variables

Research approach: Quantitative Experimental

Research Design: Non Randomized Control Trial: One group post-test only design

Target Population: Antenatal women of Western Maharashtra

Study population: Antenatal women attending selected tertiary care hospital in Western Maharashtra

Sampling Technique: Purposive Sampling

Sample Size: 130

Tool: Structured Intrapartum behaviour rating scale

Mother on Respect Index

Major Findings: Intrapartum coping behaviour observed and recorded in rating scale. No mothers reported with 25-50 average coping behaviour. 7(5.4%) has shown good intrapartum behaviour. Majority of subjects 123(94.6%) shown excellent intrapartum behaviour. A statistically significant association of intrapartum behaviour score with gravida score & Parity score at a calculated p value 0.005 & 0.001 respectively. There was no evidence for association of Intrapartum coping behaviour score with age, educational qualification, occupation, type of family & Planning of pregnancy status at a p value >0.05.

Positive birth experience was assessed using Mother on Respect Index. No mother reported with low MOR index. 28(22%) reported medium MOR index and majority 102(78%) reported high MOR index. There is a moderate positive correlation between Intrapartum Coping behaviour score as with Mother on respect index score as calculated p value <0.0001 this finding is statistically highly significant.

Conclusion: Midwife Led Care to adhere international human rights law to make sure that women and teenage girls have the right to have a safe and healthy pregnancy and childbirth.