Doctor of Nursing Practice (DNP) Projects
Access Control
Open Access
Degree Program
Doctor of Nursing Practice
Degree Track
Public Health Nurse Leader
Year Degree Awarded
2021
DOI
https://doi.org/10.7275/22713329
Month Degree Awarded
May
Keywords
childbirth education, poor maternal outcomes, maternal morbidity, mindfulness training
Advisor
Judith Urgo
DNP Project Chair
Mary Ellen Burke
Abstract
Abstract
Background: United States maternal mortality and morbidity rates continue to rise, and the rates in New Jersey are a public health issue that must be addressed to improve patient outcomes and lower healthcare costs. Current New Jersey mortality rates are 37.3 per 100,000. Access to quality childbirth education classes along with mindfulness training have been linked to better outcomes for both mother and infants and should be made available to all patients despite economic conditions. Purpose: This DNP project addressed these disparities by showing the need for quality prenatal education for all patients and families. Prenatal education and mindfulness training can decrease anxiety, alleviate fear and lead to better birth outcomes. Methods: Evidence-based childbirth education classes, along with added mindfulness training during the antenatal period were developed. The State-Trait Anxiety index (STAI) was used to assess anxiety both before and after the education, and Nulliparous, Term, Singleton, Vertex (NTSV) rates from the previous year were compared to participants in the prenatal and mindfulness classes. Implementation Procedure: Childbirth education classes to nulliparous patients and their significant others were provided through an online forum that consisted of four (120) minute classes held weekly. Each class ended with information and training in mindfulness exercises to promote relaxation and reduce anxiety. Results: The project resulted in a 20% and 16% decrease in both state and trait anxiety scores respectively, shown by pre- and post-course survey, and a 23% decrease in the NTSV rate. Conclusion: Providing cost efficient childbirth education to all patients can reduce anxiety and adverse birth outcomes including cesarean sections.
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