Objective:

To evaluate the association between a doula delivery program based on self-efficacy theory combined with stage-focused nursing and delivery outcomes, including postpartum hemorrhage, perineal tears, and neonatal Apgar scores, as well as labor duration and pain.

Approach:

Key Findings:

• The study group had a significantly shorter total labor duration (562.76 vs. 608.59 min, p < 0.001).
• Lower labor pain scores (VAS) were reported in the study group.
• The study group had higher neonatal Apgar scores (9.26 vs. 8.74, p < 0.001).
• Improved psychological outcomes were observed in the study group.

Interpretation:

The self-efficacy theory-based doula program combined with stage-focused nursing was associated with improved delivery outcomes and enhanced psychological wellbeing, but caution is warranted in interpreting these results due to the observational nature of the study.

Limitations:

• Observational design limits causal inferences.
• Potential selection bias due to non-randomized group allocation.
• Limited generalizability due to the specific population studied.

Conclusion:

The observed associations need to be confirmed through prospective randomized controlled trials.

Attribution Notice

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.