Effect of Hypnobirthing Training on Fear, Pain, Satisfaction and, Birth Outcomes

NCT04838340 | Completed

• 1 other identifier: 01/GB
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Background and Purpose: Hypnobirthing is childbirth education model. This model aims for women to have a painless, calm and more comfortable birth. In this study is aimed to determine the effect of Hypnobirthing training on fear of childbirth, birth pain, birth satisfaction and birth outcomes. Materials and Methods: This randomized controlled experimental study was performed in Maternity Hospital (Bursa, Turkey) . The minimum required sample size to be included in the study will calculated with G\* power. The simple randomization method was use in the assignment of healthy and nulliparous pregnant women at 28-32 weeks of gestation to the groups. The assignment of the participants to the experimental group or control group was carried out with a computer-aided program. The nulliparous women was divided into two groups as the control group contained women who received the hospital's usual care, and the experimental group contained women who received the hypnobirthing training intervention. The fear of birth was measured with the Wijma Birth Expectancy/Experience Scale A and B (W-DEQ); labor pain was measured with Visual Analogue Scale (VAS); birth satisfaction was measured with Short Form of Birth Satisfaction Scale (BSS-R); birth outcomes will measure with postpartum Information form. The Statistical Package for the Social Sciences program (version 25.00) was use in data analysis.

Conditions

Prenatal Education; Pregnancy Related; Labor Pain

Keywords

Childbirth; Labor Pain; Fear of childbirth; Satisfaction; Prenatal education; Hypnobirthing

Outcome Measures

Primary Outcomes (5)

• Preinterventional Scores on the W-DEQ-A (the minimum values:0, maximum:165)

  Distribution of the scores of pregnant women on the W-DEQ-A before the intervention to the experimental and control groups. Higher scores are worse outcome.

  When the control and experimental groups were Enrollment in the study

• The VAS scores of the experimental and control groups (the minimum values:0, maximum=10)

  Distribution of the women on the VAS in the first stage of labor according to the experimental and control groups. Higher scores are worse outcome.

  in the process of labor (the first stage of labor: latent, active and transitional phases )

• W-DEQ-B Scores (the minimum values:0, maximum:160)

  Distribution of the scores of the women on the whole W-DEQ-B according to the control and experimental groups. Higher scores are worse outcome.

  within eight hours after birth

• The chilbirth scores of the experimental and control groups (questionnaire)

  Information about the childbirth of the experimental and control groups ( childbirth position, Intervention at birth, way of delivery, duration of delivery)

  within eight hours after birth

• BSS-R scores of experimental and control groups (the minimum values:0, maximum:40) • Low level of satisfaction ˂13 points, • Medium satisfaction level 14-27 points, • High satisfaction level ≥28

  Postpartum scores of the control and experimental groups on the BSS-R. Higher scores are better outcome.

  within eight hours after birth

Secondary Outcomes (1)

• Women and baby interaction

  within eight hours after birth

Study Arms (2)

Standart care

ACTIVE COMPARATOR

Standart care group will leave in the hospital's usual care and no intervention will be applied.

Other: Standart care

Hypnobirthing group

EXPERIMENTAL

Hypnobirthig training intervention will be applied to the Hypnobirthing group for 4 weeks and 3 hours a week and usual care will be provided by healthcare professionals.

Behavioral: Hypnobirthig training

Interventions

Standart care OTHER

This group will leave in the hospital's usual care and no intervention will be applied.

Standart care

Hypnobirthig training BEHAVIORAL

Hypnobirthing training of the Hypnobirthing group will carry out with its partner. Hypnobirthig training will be given in small groups of 5 or 6 couples for 4 weeks and 3 hours a week. In addition, the usual care will be provided by healthcare professionals to this group. Breathing, relaxation exercises, birth stories and birth videos will be used to reduce fears of chlildbirt women. Deepening and endorphin massage techniques will be given for labor pain. After the endorphin massage technique will be applied individually by the researcher, it will be applied by the couples and they will ask for repeating all exercises at home. In the last week of the training, there will be a birth rehearsal with Hynobirthing methods with the partners. The second meeting will take place when labor begins and after labor.

Hypnobirthing group

Eligibility Criteria

• Age: 18 Years - 42 Years
• Gender Eligibility Details: Pregnant women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Primiparas
• Ages between 18-42
• In gestational week 28-32
• Being literate in Turkish
• Pregnant with a single child
• Minimum a primary school graduate (since the questionnaires would be filled out by self-reporting)

You may not qualify if:

• High-risk pregnancy (on the basis of the criteria of the Ministry of Health)
• Attended other prenatal training sessions (pregnancy pilates and yoga)
• High-risk pregnancy

Sponsors & Collaborators

• Aydin Adnan Menderes University: lead

Study Sites (1)

Gonca Buran

Bursa, 16059, Turkey (Türkiye)

Location

Related Publications (11)

• Varner CA. Comparison of the Bradley Method and HypnoBirthing Childbirth Education Classes. J Perinat Educ. 2015;24(2):128-36. doi: 10.1891/1946-6560.24.2.128.

  PMID: 26957896 BACKGROUND

• Wijma K, Wijma B, Zar M. Psychometric aspects of the W-DEQ; a new questionnaire for the measurement of fear of childbirth. J Psychosom Obstet Gynaecol. 1998 Jun;19(2):84-97. doi: 10.3109/01674829809048501.

  PMID: 9638601 BACKGROUND

• Saisto T, Halmesmaki E. Fear of childbirth: a neglected dilemma. Acta Obstet Gynecol Scand. 2003 Mar;82(3):201-8.

  PMID: 12694113 BACKGROUND

• Korukcu O, Kukulu K, Firat MZ. The reliability and validity of the Turkish version of the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ) with pregnant women. J Psychiatr Ment Health Nurs. 2012 Apr;19(3):193-202. doi: 10.1111/j.1365-2850.2011.01694.x. Epub 2012 Jan 20.

  PMID: 22260727 BACKGROUND

• Hollins Martin CJ, Martin CR. Development and psychometric properties of the Birth Satisfaction Scale-Revised (BSS-R). Midwifery. 2014 Jun;30(6):610-9. doi: 10.1016/j.midw.2013.10.006. Epub 2013 Oct 24.

  PMID: 24252712 BACKGROUND

• Goncu Serhatlioglu S, Karahan N, Hollins Martin CJ, Martin CR. Construct and content validity of the Turkish Birth Satisfaction Scale - Revised (T-BSS-R). J Reprod Infant Psychol. 2018 Jul;36(3):235-245. doi: 10.1080/02646838.2018.1443322. Epub 2018 Mar 19.

  PMID: 29553295 BACKGROUND

• Sercekus P, Okumus H. Fears associated with childbirth among nulliparous women in Turkey. Midwifery. 2009 Apr;25(2):155-62. doi: 10.1016/j.midw.2007.02.005. Epub 2007 Jun 27.

  PMID: 17600599 BACKGROUND

• Fenwick J, Toohill J, Gamble J, Creedy DK, Buist A, Turkstra E, Sneddon A, Scuffham PA, Ryding EL. Effects of a midwife psycho-education intervention to reduce childbirth fear on women's birth outcomes and postpartum psychological wellbeing. BMC Pregnancy Childbirth. 2015 Oct 30;15:284. doi: 10.1186/s12884-015-0721-y.

  PMID: 26518597 RESULT

• Phillips-Moore J. HypnoBirthing. Aust J Holist Nurs. 2005 Apr;12(1):41-2. No abstract available.

  PMID: 19175270 RESULT

• Kobayashi S, Hanada N, Matsuzaki M, Takehara K, Ota E, Sasaki H, Nagata C, Mori R. Assessment and support during early labour for improving birth outcomes. Cochrane Database Syst Rev. 2017 Apr 20;4(4):CD011516. doi: 10.1002/14651858.CD011516.pub2.

  PMID: 28426160 RESULT

• Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev. 2013 Jul 15;7:CD003766. doi: 10.1002/14651858.CD003766.pub5.

  PMID: 23857334 RESULT

MeSH Terms

Conditions

Labor Pain; Personal Satisfaction

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Gonca Buran, PhD

  Uludag Üniversity

  PRINCIPAL INVESTIGATOR

• Hilmiye Aksu, Professor

  Adnan Menderes Üniversity

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 5, 2021
• First Posted: April 9, 2021
• Study Start: May 4, 2019
• Primary Completion: March 6, 2020
• Study Completion: March 6, 2021
• Last Updated: May 6, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)