Published online Dec 19, 2023. doi: 10.5498/wjp.v13.i12.1053
Peer-review started: September 21, 2023
First decision: October 9, 2023
Revised: October 18, 2023
Accepted: December 2, 2023
Article in press: December 2, 2023
Published online: December 19, 2023
The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth, presenting a major public health concern. Some studies have shown that cognitive behavioral therapy (CBT) has a positive effect on maternal psychology during delivery, reducing stress and shortening labor time. Thus, CBT training for mothers and delivery room staff may be beneficial in minimizing complications and adverse effects during natural birth.
To investigate the clinical effects of CBT training and psychological care during delivery, and their therapeutic effects on women in labor.
This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023. The study subjects were randomized into two groups: control (n = 70) and observation (n = 70). Routine care, CBT training, and psychological care were provided to mothers in both groups. Psychological status scores, delivery time, and satisfaction with care pre- and post-delivery were compared, and the incidence of complications after receiving care was analyzed between the two groups.
Although the psychological state of both groups improved significantly in the late stages of labor, the psychological state scores of the mothers in the observation group were significantly lower than those of the mothers in the control group (P < 0.05). The duration of labor and incidence of complications in the observation group were significantly lower than those in the control group (P < 0.05). The mothers in the observation group were significantly more satisfied with nursing care during the course of labor than those in the control group (P < 0.05).
CBT training and psychological care for mothers in the midwifery process can effectively improve anxiety and depression, shorten labor duration, reduce postnatal complications, and improve nursing satisfaction and nurse-patient relationships. Its clinical application is effective and has popularization value, providing a new way to protect maternal mental health.
Core Tip: The application of cognitive behavior therapy training and psychological care in the delivery process can effectively improve the psychological condition of mothers, shorten labor duration, reduce the incidence of complications, and improve nurse-patient relationships and nursing satisfaction. Compared to either approach alone, the effect of the combined intervention was more significant.