The Effect of Maternal Relaxation by Benson Technique on Neonate’s Umbilical Arterial Blood Gases

Document Type : Original Article (s)

Authors

1 Department of Medical Surgical Nursing AND Student Research Committee, School of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran

2 Assistant Professor, Department of Midwifery, School of Medicine AND Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

3 Associate Professor, Department of Medical-Surgical Nursing, School of Nursing and Midwifery AND Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran

Abstract

Background: Performing Benson relaxation technique by the mother improves the labor and affects neonate. This research investigated the effect of Benson relaxation technique for mothers on infant’s umbilical arterial blood gases.Methods: In this randomized clinical trial study, 60 eligible pregnant women were selected through convenient sampling, and randomly assigned to experimental and control groups. Data collection instruments were mother’s demographic information form and neonatal information form. Benson relaxation technique were instructed to the experimental group using videos and slide presentations, and after admitting to hospital, they were encouraged to implement the noted technique. Benson relaxation technique will not be instructed to the control group. After delivery, umbilical cord of neonate was clamped at two sites, and 0.5 ml of umbilical arterial blood was collected by a trained nurse in a syringe containing heparin (< 0.1 ml), kept in an icebox, and sent to the laboratory for testing partial pressure of oxygen (PO2) and carbon dioxide (PCO2). Statistical analysis were performed using SPSS software.Findings: There was a statistically significant difference in terms of mean oxygen (P < 0.001) and carbon dioxide (P < 0.001) pressure in the umbilical artery between the control and intervention groups; the markers of the umbilical arteries of the neonate were improved in intervention group.Conclusion: Using Benson’s relaxation technique by mothers improves neonate’s arterial blood gases; and can be recommended to the healthcare system as an effective method to improve neonatal outcomes.

Keywords

References

  1. Gardner DS, Giussani DA. Enhanced umbilical blood flow during acute hypoxemia after chronic umbilical cord compression: A role for nitric oxide. Circulation 2003; 108(3): 331-5.
  2. Boskabadi H, Afshari J, Ghayour-Mobarhan M, Maamouri G, Shakeri M, Sahebkar A, et al. Association between serum interleukin-6 levels and severity of perinatal asphyxia. Asian Biomed 2010; 4(1): 79-85.
  3. Aly H, Hassanein S, Nada A, Mohamed MH, Atef SH, Atiea W. Vascular endothelial growth factor in neonates with perinatal asphyxia. Brain Dev 2009; 31(8): 600-4.
  4. Brouillette RT, Waxman DH. Evaluation of the newborn's blood gas status. National Academy of Clinical Biochemistry. Clin Chem 1997; 43(1): 215-21.
  5. Kugu N, Akyuz G. Psychological state in pregnancy. Journal of the Faculty of Medicine Cumhuriyet University 2001; 23(1): 61-4. [In Turkish].
  6. Kennedy MB, Ruth DJ, Martin EJ. Intrapartum management modules: A perinatal education program. Philadelphia, PA: Lippincott Williams and Wilkins; 2009.
  7. Warren SL, Racu C, Gregg V, Simmens SJ. Maternal panic disorder: Infant prematurity and low birth weight. J Anxiety Disord 2006; 20(3): 342-52.
  8. Punamaki RL, Repokari L, Vilska S, Poikkeus P, Tiitinen A, Sinkkonen J, et al. Maternal mental health and medical predictors of infant developmental and health problems from pregnancy to one year: Does former infertility matter? Infant Behav Dev 2006; 29(2): 230-42.
  9. Teixeira JM, Fisk NM, Glover V. Association between maternal anxiety in pregnancy and increased uterine artery resistance index: Cohort based study. BMJ 1999; 318(7177): 153-7.
  10. Bazrafshan M, Ghorbani Z. The effect of slow stroke back massages on anxiety among primigravid women. Hayat 2010; 16(1): 34-40. [In Persian].
  11. Elali E S, mahdavi A, jannati Y, Yazdani J, Setareh J. Effect of benson relaxation response on stress among in hemodialysis patients. J Mazandaran Univ Med Sci. 2012; 22 (91): 61-68. [In Persian].
  12. Knight WE, Rickard PhD NS. Relaxing music prevents stress-induced increases in subjective anxiety, systolic blood pressure, and heart rate in healthy males and females. J Music Ther 2001; 38(4): 254-72.
  13. Urell C, Emtner M, Hedenstrom H, Tenling A, Breidenskog M, Westerdahl E. Deep breathing exercises with positive expiratory pressure at a higher rate improve oxygenation in the early period after cardiac surgery--a randomised controlled trial. Eur J Cardiothorac Surg 2011; 40(1): 162-7.
  14. Fink NS, Urech C, Cavelti M, Alder J. Relaxation during pregnancy: what are the benefits for mother, fetus, and the newborn? A systematic review of the literature. J Perinat Neonatal Nurs 2012; 26(4): 296-306.
  15. Pence S, Kocoglu H, Balat O, Balat A. The effect of delivery on umbilical arterial cord blood gases and lipid peroxides: Comparison of vaginal delivery and cesarean section. Clin Exp Obstet Gynecol 2002; 29(3): 212-4.
  16. Thorp JA, Dildy GA, Yeomans ER, Meyer BA, Parisi VM. Umbilical cord blood gas analysis at delivery. Am J Obstet Gynecol 1996; 175(3 Pt 1): 517-22.
  17. Bolandhemmat M, Vahdat S, Saadati Z, Tolide-ie H, Bahri N. Relationship between obstetrical interventions during labor with the umbilical cord blood gases. J North Khorasan Univ Med Sci 2011; 3 (2): 13-6. [In Persian].
Journal of Isfahan Medical School
Volume 37, Issue 536 - Serial Number 536
May and June 2019
Pages 864-868

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History

  • Receive Date: 19 June 2019
  • Revise Date: 29 May 2024
  • Accept Date: 06 April 2022

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