Effects of Yoga and Meditation on The Birth Process

NCT04883541 | Completed Results DMC

• 1 other identifier: Uskudar
• Study Type: interventional
• Target: 153
• Locations: 0 countries
• Sites: N/A

Brief Summary

Introduction: Today it is seen that women lose their birthing strength, give the control to healthcare personnel during labour and the rate of c-section or interventional labour is increasing. For this reason, the importance of yoga, meditation and breath awareness practices increases during pregnancy and birth. The study was carried out as a randomized control trial with the purpose of examining the impact of yoga and meditation during pregnancy and labour on the labour process. Methods: The study was completed with 90 primiparous pregnant women in total, 30 in experimental group and 60 in control group. The data was collected using State Trait Anxiety Inventory, Wijma Delivery Expectancy/Experience Questionnaire A, The Childbirth Self-Efficacy Scale Short Form, Wijma Delivery Expectancy/Experience Questionnaire Version B and Visual Analogue Scale. Pregnant women in experimental group did yoga and meditation for 60 minutes 2 times a week for 10 weeks. Innatal period yoga and meditation practices were continued in experimental group during labour.

Conditions

Birth, First; Labor Pain; State Anxiety; Self Efficacy

Keywords

Labour Preparation Class; Labour Support; Meditation; Pregnancy Yoga

Outcome Measures

Primary Outcomes (2)

• Characteristics of Labor (Pregnant)

  The Introductory Information Form, which consisted of 8 questions (socio-demographic data) and pregnancy characteristics (12 questions) of pregnant women, and which was prepared in line with the sources, was used.

  16 hours

• Comparison of Visual Analog Scale (Pain) Scores of Pregnant Women in Study and Control Group

  The Visual Analog Scale (VAS) consists of a line, often 10 cm long, with verbal anchors at either end, (e.g.,"no pain" on the far left and "the most intense pain imaginable" on the far right). The scale takes a minimum of 0 and a maximum of 10, and higher scores mean a worse result. Visual Analogue Scale (VAS) was used to assess the pains during the birth process of the pregnant women in both the study and control groups.Two ends of the parameter to be evaluated at the two ends of a 100 mm line in VAS the definition is written and the pregnant woman is asked to indicate on this line where her condition is appropriate by drawing a line or putting a dot or pointing. For example, I have no pain at all at one end for pain, very severe pain is written on the other end, and the patient marks his current state on this line. The length of the distance from the place where there is no pain to the place marked by the patient indicates the patient's pain.

  the 4th hour on average after the birth

Secondary Outcomes (2)

• Comparison of WIJMAA and WIJMAB Average Scores of Pregnant Women in the Study and Control Groups

  the 4th hour on average after the birth

• Comparison of Average Self-sufficiency Scores of Pregnant Women in the Study and Control Groups

  the 4th hour on average after the birth

Study Arms (2)

The Study Group

EXPERIMENTAL

Pregnant women participated in the applications, which lasted two days a week, for ten weeks, and for 60 minutes a day.

Behavioral: yoga and meditation

Control Group

PLACEBO COMPARATOR

The control group was only given delivery preparation training for 6 weeks, and the birth processes were followed by routine follow-ups.

Behavioral: Birth preparation training

Interventions

yoga and meditation BEHAVIORAL

The pregnant women in the study group were given yoga and meditation classes, which included a total of twenty 10-week lessons, which were done by the researchers as 6-week birth preparation training, and with the onset of the birth action, birth processes were followed in the course of labour period yoga and meditation.

The Study Group

Birth preparation training BEHAVIORAL

The control group was only given delivery preparation training for 6 weeks, and the birth processes were followed by routine follow-ups.

Control Group

Eligibility Criteria

• Age: 21 Years - 35 Years
• Gender Eligibility Details: Pregnant women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Pregnant women,
• Primiparous and between 20-36 gestational weeks,
• Single fetuses, expected to give birth normally and spontaneously,
• No pregnancy complications and systemic disease,
• Speak Turkish

You may not qualify if:

• Being unable to speak Turkish
• Having a history of serious illness that threatens life or because of these reasons.
• Currently or previously due to a serious mental weakness or illness
• Being diagnosed with a psychiatric diagnosis and being treated for this reason,
• Being multiparous,
• Multiple pregnancies, being in the gestational week less than 20 weeks and greater than 36 weeks,
• Having a diagnosis that constitutes an obstacle to physical activity

Sponsors & Collaborators

• Uskudar University: lead
• Biruni University: collaborator

Related Publications (31)

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• Gönenç İM, Çakırer-Çalbayram N. Contributions of pregnancy school program, opinions of women on the education and their post-education experiences. Journal of Human Sciences 2017; 14(2), 1609-1620. doi:10.14687/jhs.v14i2.4424.

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• Çiçek Ö, Okumuş H. Doğumda öz-yeterlilik algisi: önemi ve etkileyen faktörler, Self-Efficacy perception at birth: its importance and effective factors. International Refereed Journal Ofgynaecological Diseases And Maternal Child Health 2017; 35-49.

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• Greathouse, K. The Nightmare of childbirth: the prevalence and predominant predictor variables for tokophobia in American women of childbearing age [PhD dissertation],. The School of Professional Psychology, Chicago; 2014.

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• Maharana S, Nagarathna R, Padmalatha V, Nagendra HR, Hankey A. The Effect of Integrated Yoga on Labor Outcome: A Randomized Controlled Study. International Journal of Childbirth 2013;(3):165-77. DOI: 10.1891 / 2156-5287.3.3.165.

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• Karakuş A, Şahin NH. The attitudes of women toward mode delivery after childbirth. International Journal of Nursing and Midwifery 2011; 3(5): 60-65. https://doi.org/10.5897/IJNM.9000042.

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• 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.

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• Esencan TY, Karabulut Ö, Yıldırım AD, Abbasoğlu DE, Külek H. et. al. Type of delivery, time of ınitial breastfeeding, and skin-to-skin contact of pregnant women participating in childbirth preparation education. Florence Nightingale Journal of Nursing 2018; 26(1), 31-43. https://doi.org/10.26650/FNJN.387192.

  RESULT

• Kjergaard H, Wijma K, Dykes AK, Alehagen S. Fear of childbirth in obstetrically low-risk nulliparous women in Sweden and Denmark. Journal of Reproductive and Infant Psychology 2008; 26(4): 340-50.

  RESULT

Related Links

• Akarsu RH. The effect of pregnancy yoga on the psychosocial health level of pregnant women and prenatal attachment \[PhD dissertation\],. T.C. Istanbul University, Institute of Health Sciences, Department of Women's Health and Diseases Nursing, Women
• Esencan TY, Karabulut Ö, Yıldırım AD, Abbasoğlu DE, Külek H. et. al. Type of delivery, time of ınitial breastfeeding, and skin-to-skin contact of pregnant women participating in childbirth preparation education. Florence Nightingale Journal of Nursi

MeSH Terms

Conditions

Labor Pain; Anxiety Disorders

Interventions

Yoga; Meditation

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Spiritual Therapies; Exercise Movement Techniques; Physical Therapy Modalities; Relaxation Therapy; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Limitations and Caveats

The study's being conducted on pregnant women admitted to a training and research hospital on the Anatolian side of Istanbul, high education levels of the pregnant women, and the fact that the participants were determined only in this group were among the limitations of the study. In addition, the results of the study cannot be generalized to the entire population because it was conducted with pregnant women who were healthy and it was their first birth.

Results Point of Contact

• Title: Assistant Professor Tuğba YILMAZ ESENCAN
• Organization: Üsküdar Üniversitesi

tugba.yilmazesencan@uskudar.edu.tr

+905057084946

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: For Randomization, when the experiment and control group were created, support was received from pregnancy school instructors and groups, and pregnant women were determined by using the method of envelope selection. Pregnancy school instructors asked the group volunteering to participate in the study to independently choose one of two blue or red colored envelopes. Those who chose the blue envelope formed the experiment group, and those that chose the red envelope were taken into the control group. The envelope selection process continued until the desired numbers were reached. The researcher was told advised of the groups to which subjects were included by the pregnancy school instructor only after the subjects were chosen.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: The present study was conducted as a randomized controlled study.

Study Record Dates

• First Submitted: April 17, 2021
• First Posted: May 12, 2021
• Study Start: January 1, 2016
• Primary Completion: January 1, 2017
• Study Completion: January 30, 2018
• Last Updated: August 9, 2021
• Results First Posted: August 9, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: starting 6 months after publication
• Access Criteria: JOURNAL EDITOR AND REFEREES TO BE PUBLISHED