The Effectiveness of the Applications Made in Line With the Algorithm for Coping With Labor Pain

NCT04883047 | Completed DMC

• 1 other identifier: laborpain
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Although labor pain is a physiological and natural process, when the woman cannot cope with labor pain, the health of the mother and fetus is negatively affected. These negative effects mostly focus on the respiratory system, cardiovascular system, neuroendocrine and limbic system. During birth, the mother becomes exhausted due to pain and has to use all her energy to cope with the pain.When the mother can effectively cope with the pain of labor, she starts motherhood with a positive experience, experiences the happiness of actively participating in the birth of the baby, can participate in practices with health professionals, and the problems that can be seen in the newborn are reduced because there is no need for medication. In this respect, it is extremely important for the mother, baby and family to end the birth process in the best possible way. For this reason, nursing care includes emotional, physical, spiritual and psychosocial continuous birth support and coping with the pain of labor. In this direction, the "algorithm for coping with labor pain" developed includes the interventions that should be done to cope with the pain in labor.

Conditions

Labor Pain

Keywords

coping with labor pain; birth satisfaction; fear of birth

Outcome Measures

Primary Outcomes (2)

• Birth satisfaction as assessed by the Birth Satisfaction Scale

  Measurements will be made using the Birth Satisfaction Scale.The total number of points to be obtained from the scale varies between 30 and 150 points, but the scale does not have a cut-off point. As the scores obtained from the scale increase, the level of birth satisfaction increases.

  will be measured in the first 6 hours postpartum

• Fear of childbirth as assessed by the Wijma Birth Expectation/Experience Scale-Version B

  Measurements will be made using the Wijma Birth Expectancy / Experience Scale Version B. While the minimum score on the scale is 33, the maximum score is 198. The high scores indicate that the fear of childbirth experienced by women is high.

  will be measured in the first 6 hours postpartum

Study Arms (2)

experiment

EXPERIMENTAL

Women in the experimental group will be given care at the first stage of labor (will start in the latent phase) using Integrated Birth Support Strategies created in line with the Algorithm for Coping with Birth Pain. Among the interventions made into a checklist, the interventions applied to the woman will be marked by the midwives and nurses working in the delivery room. The Scale for Coping with Birth Pain (DABS), which will be applied once in each phase (latent phase, active phase and transition phase), will guide the delivery of care; Care practices will differ depending on the woman's ability to cope with labor pain.At least 3 of each sub-heading of the physical comfort parameter, at least 1 of each sub-heading of the parameter of providing emotional comfort, at least 2 of each sub-heading of informative support and advocacy sub-parameters will be applied to pregnant women by midwives / nurses working in the delivery room.

Other: holistic birth support strategies

control

NO INTERVENTION

Pregnant women assigned to the control group will be followed up with the routine care applied in the delivery room.

Interventions

holistic birth support strategies OTHER

Holistic Birth Support Strategies are composed of birth-supporting practices that were created by Horn and D'Angelo (2017) within the scope of the "Algorithm for Coping with Birth Pain" and recommended for coping with labor pain. Holistic Birth Support Strategies; It includes four parameters: physical comfort, emotional comfort, informative support and advocacy.

experiment

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being in the latent phase of labor
• Not being a risky pregnant (gestational diabetes, hypertension, preeclampsia etc.)
• Not having any communication problems (mental, auditory, visual, etc.)

You may not qualify if:

• Pregnancy does not do the post-test applications
• Not wanting to participate in interventions applied in line with the algorithm for coping with labor pain
• Willing to leave the research
• Delivery by cesarean section

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Karabük Training and Research Hospital

Karabük, 78050, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Labor Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Şengül YAMAN SÖZBİR, PhD

  Gazi Universty

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Expert Nurse, Doctoral student

Model Details: The study was planned as a single center stratified block parallel group randomized controlled experimental study.

Study Record Dates

• First Submitted: April 26, 2021
• First Posted: May 12, 2021
• Study Start: May 25, 2021
• Primary Completion: June 25, 2021
• Study Completion: June 25, 2021
• Last Updated: July 8, 2021

Record last verified: 2021-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR

Locations

TU (1)