Liu LM, He HY, Lu JX. Effects of ADIET communication and delivery rehearsal on anxiety, labor process, and outcomes in vaginal trial delivery. World J Psychiatry 2025; 15(3): 99509 [DOI: 10.5498/wjp.v15.i3.99509]
Corresponding Author of This Article
Jing-Xian Lu, Department of Nursing, Liyang People’s Hospital, No. 70 Jianshe West Road, Liyang 213300, Jiangsu Province, China. 51868243@qq.com
Research Domain of This Article
Psychology, Applied
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Mar 19, 2025; 15(3): 99509 Published online Mar 19, 2025. doi: 10.5498/wjp.v15.i3.99509
Effects of ADIET communication and delivery rehearsal on anxiety, labor process, and outcomes in vaginal trial delivery
Ling-Mei Liu, Hao-Yu He, Jing-Xian Lu
Ling-Mei Liu, Department of Obstetrical, Liyang People’s Hospital, Liyang 213300, Jiangsu Province, China
Hao-Yu He, Department of Neurology, Liyang People’s Hospital, Liyang 213300, Jiangsu Province, China
Jing-Xian Lu, Department of Nursing, Liyang People’s Hospital, Liyang 213300, Jiangsu Province, China
Author contributions: Liu LM designed the study; Liu LM, He HY, and Lu JX analyzed the data; Liu LM and Lu JX were involved in the data and writing of this article. All authors have read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Liyang People’s Hospital (No. 2024025).
Clinical trial registration statement: The study was registered at the Clinical Trial Center (http://www.researchregistry.com) with registration number: Researchregistry10877.
Informed consent statement: All the individuals who participated in this study provided their written informed consent prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing-Xian Lu, Department of Nursing, Liyang People’s Hospital, No. 70 Jianshe West Road, Liyang 213300, Jiangsu Province, China. 51868243@qq.com
Received: October 31, 2024 Revised: November 29, 2024 Accepted: January 6, 2025 Published online: March 19, 2025 Processing time: 117 Days and 20.4 Hours
Abstract
BACKGROUND
In recent years, the obstetrics department has advocated vaginal delivery to reduce the rate of cesarean sections. However, in clinical practice, pregnant women are prone to anxiety before childbirth, making it difficult to perform a vaginal trial delivery smoothly. The combined approach of ADIET communication and delivery rehearsal for vaginal trial delivery can provide a reference for reducing prenatal anxiety, shortening labor duration, facilitating a smooth delivery, and ensuring the safety of both mothers and babies.
AIM
To analyze the effect of AIDET communication combined with labor rehearsal on vaginal trial delivery.
METHODS
A study conducted between January 2023 and December 2023 included 200 vaginal trials. Women were randomly assigned to an observation group (100 women), which received ADIET communication plus delivery intervention, and a control group (100 women), which received routine communication plus delivery intervention. This study aimed to compare antenatal anxiety status as measured using the Maternal Anxiety Scale, labor duration, delivery efficacy as assessed using the simplified Chinese version of the Childbirth Self-Efficacy Inventory, and delivery outcomes.
RESULTS
After the intervention, the observation group had a lower Maternal Anxiety Scale score and higher Childbirth Self-Efficacy Inventory score (P < 0.05) than the control group (P < 0.05), whereas the observation group had higher natural delivery, cesarean delivery, vaginal delivery, and neonatal asphyxia rates (P < 0.05).
CONCLUSION
For women undergoing vaginal trial delivery, a combination of AIDET communication and delivery rehearsal can relieve prenatal anxiety, enhance delivery efficiency, shorten labor duration, and somewhat improve delivery outcomes.
Core Tip: ADIET communication combined with delivery rehearsal can help reduce prenatal anxiety, enhance delivery efficacy, encourage women to actively cooperate with midwives, shorten labor duration, further improve the rate of natural delivery, and prevent and control the occurrence of neonatal asphyxia and other adverse events, especially for primiparas.
