بررسي عوامل استرس زاي بخش زايمان و رتبه بندي آنها از ديدگاه زنان نخست زاي مراجعه كننده به زايشگاه 22 بهمن شهرستان گناباد

The survey and grading stressor factors of delivery unit from the view of primigravida women in 22- Bahman hospital of Gonabad.

Background and Aim : Delivery is potentially with stress . Encreasing of stressor factors can have undesirable effects on psychologic health of the mother and society . The purpose of this study was determination and grading stressor factors of delivery unit from the view of primigravida women in 22 -Bahman hospital ofGonabad . Materials and Methods : This research is an analytic descriptive study that in delivery unit ,110 primigravida women that had inclusion criteria were selected by purposive sampling method.Data were gathered in recovery room by a questionnaire contains:Personal characteristic ^environmental stressor factors and practical stressor factors . Each factor was graded form none , low , moderate and high and each of them were scored from 0 to 3. Results : Data analysis indicated that the most environmental stressor factors from the view of women Loneliness , alone of the mother (mean=2.29) and unfamiliar environment (M=2.16) and the least stressor factors were the color of the walls (M= 1.01) and dirtiness of delivery unit (M=1.05). Also the most practical stressor factors were vaginal examination (M=2.76) and pressure on the abdomen (M=2.29) and incission of perinea (M=2.29) and the least stressor factors were midwifery behavior (M=1.25) and difference between private patients and non privated (M=1.40) . The total score of practical stressor factors were higher from environmental stressor factors (23.91 Vs 16.07) and there was a significant difference between them (P=0.017) Conclusion : According to the results unfamiliar environment , mother loneliness and practical procedures without relation with age and education are stressor, since these stresses can have undesirable effects on process of labour,outcome of delivery and relationship between mother and baby therefore recognition of the stressor factors and deletion of them is suggested for mothers welfare and rest.