A statistical survey has been conducted in 2017 by submitting a questionnaire to two groups of women. The two groups were homogeneous in Body Mass Index (BMI) and in age at the moment of child delivery:
- the first group (experimental group MM), composed of 115 mothers, has followed the Taddei Smart Birth athletic training program and has applied the Taddei Smart Birth delivery method during child delivery;
88% of women are Italian; 76,5% have a university Degree/Master’s/PhD; the average age is 34.6 ± 4.2; the average weight of the first pregnancy is kg 57.7 ± 9.4 and 68.4 ± 10 at the end of the pregnancy; the average height of the women we interviewed is 166 ± 5.8 cm; the Body Mass Index (BMI) is 20.8 ± 2.7.
- the second control group (control group CC), composed of 104 mothers, has, at least, followed the pre-delivery course offered by the national healthcare services (ASL).
The control sample is composed of women who have attended a prenatal course; 67% have a university Degree/Master’s/PhD; the average age is 34.4 ± 4.1; the average weight of the first pregnancy is kg 58.1 ± 8.3 and kg 67.7 ± 8.1 at the end of the pregnancy; the average height of the women we interviewed is 167 ± 5.6 cm; the Body Mass Index (BMI) is 20.8 ± 2.5.
The MM sample has a disadvantage due to 68,7% was made up of woman giving birth for the first time and only 43,3% of control group CC was made up of primiparae too.
Considering the fact that childbirth in primiparae is usually more difficult and longer and that there are many more women giving birth for the first time in experimental group MM, it can be hypothesized that if the two groups had been homogeneous regarding this parameter, there would have been a wider range of variation between the two groups in favour of experimental group MM.
All the women of both groups have given birth to their children in facility-based locations, mainly in Florence.
All the women belonging to both groups have not planned a caesarean section and the onset of labour was spontaneous or induced.
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Average labour duration:
Outcome is 3h 45’, with a 95% confidence interval from 3h 12’ to 4h 18’, if Taddei Smart Birth is applied, a much more better performance, almost 45% reduction, than 6h 45’, with a 95% confidence interval from 6h 10’ to 7h 22’, of the control group (pooled p-value<0.0001);
It’s important to remind that only 43.3% of control group CC was made up of primiparae instead of 68.7% of experimental group MM, that usually have a higher average labour duration. The outcomes of the NICE (National Institute for Health and Care Excellence) the average for a natural first delivery are 660 minutes (11 hours).
Within-subject average pain:
It was analysed only in the MM sample, and each woman evaluated the pain perceived by applying Taddei Smart Birth or by choosing the instinctive, free position or a position proposed by the obstetricians or learnt in other prenatal courses; each woman has evaluated the pain perceived in the consecutive contractions during labour.
The pain experienced is measured by the V.A.S. scale 0-10.
Results obtained through the full application of the TSB method, that is, by using the positions which require the technical help of the ‘Partner’:
Pain is 4.9, with a 95% confidence interval from 4.6 to 5.3, if Taddei Smart Birth is completely applied, a reduction of 46% compared to 9.1 if the method is not applied (p-value<0.0001);
In other words the average pain is reduced by 4.13 if Taddei Smart Birth is completely applied, with a 95% confidence interval from 3.78 to 4.47 (p-value<0.0001).
Newborn’s skull shape:
For this analysis, cesarean deliveries were excluded from the sample: two women from the MM sample and 7 from the control sample, since the foetus does not come from the natural birth canal.
At the moment of birth, the shape of the newborn’s skull is elongated or asymmetric only in 6.2% of the women who have applied Taddei Smart Birth, with a 95% confidence interval from 2.5% to 12.3%, a much lower percentage than 54.6% of the control group, with a 95% confidence interval from 44.2% to 64.8% (p-value<0.0001);
The analysis of data has shown that the problems connected to cephalo-pelvic disproportion have to be updated, since we believe it is possible to change the parameters of pelvic enlargement, through some delivery positions to be correctly implemented by the mother and others to be implemented with the partner, whose help allows to optimize such enlargement.
Delivery preparation degree:
The average delivery preparation degree of the women, measured by the Likert scale 1-5, before the Taddei Smart Birth lessons, is 1.7 with standard deviation by 0.8; and after the lessons is 4.4 with standard deviation by 0.6;
The average delivery preparation degree of the partner, measured by the Likert scale 1-5, before the Taddei Smart Birth lessons, is 1.7 with standard deviation by 0.8; and after the lessons is 4.0 with standard deviation by 0.8.