Alexander Technique on Labor Pain and Anxiety

NCT06263894 | Recruiting

• 1 other identifier: MarmaraU-Ebe-ZDY-01
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

This study will examine the effect of the Alexander Technique on labor pain and anxiety during labor. This study is designed as a randomized controlled experimental study. The population of the study consists of primiparous pregnant women who applied to Istanbul Provincial Health Directorate Başakşehir Çam and Sakura City Hospital, D-Block Maternity Hospital between November 2023 and May 2024. In calculating the sample size, G\*Power (3.1.9.6) program was used to calculate the sample size with an error of 0.05, effect level of 0.5, power of 95%, and the required sample size for 2 groups was calculated as 34 people for each group with a total of 68 people.

Conditions

Labor Pain; Anxiety

Keywords

Anxiety; Alexander Technique; Midwifery; Labor Pain

Outcome Measures

Primary Outcomes (2)

• Decreasing labor pain

  Alexander Technique applied in labor pain management has a decreasing effect on labor pain.

  During labor, the first assessment will be performed when cervical dilatation is 0-4 cm, the second assessment when cervical dilatation is 5-7 cm and the third assessment when cervical dilatation is 8-10 cm.

• Decreasing anxiety

  The Alexander Technique applied in labor pain management has a reducing effect on anxiety during labor.

  During labor, the first assessment will be performed when cervical dilatation is 0-4 cm, the second assessment when cervical dilatation is 5-7 cm and the third assessment when cervical dilatation is 8-10 cm.

Study Arms (2)

Experimental group

EXPERIMENTAL

The application of the Alexander Technique to the women included in the experimental group will be created by providing body awareness by directing their current posture and movements in line with three principles. In this way, self-management of the birth process in primiparous women will be established. In order to develop the body awareness of the primiparous woman, the Alexander Technique will be applied with the training program created by the researcher in line with the three principles.

Other: Experimental group

Conventional group

OTHER

The conventional (control group) will receive routine midwifery care during the birth process. Routine midwifery care includes follow-up of the pregnant woman and the baby and uninterrupted midwife support during the birth process.

Other: Experimental group

Interventions

Experimental group OTHER

Alexander technique will be applied to the experimental group.

Conventional group; Experimental group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Volunteer to participate in the study,
• Between the ages of 18-35,
• Primiparous and singleton pregnant,
• Women at term (between 37 and 41 weeks of gestation) will be included in the study.

You may not qualify if:

• Risky pregnancies,
• Women who become pregnant as a result of assisted reproductive techniques,
• Delivery by caesarean section,
• Wanting to leave without working,
• Women undergoing analgesia at any stage of the labor process will be excluded from the study.

Sponsors & Collaborators

• Marmara University: lead
• The Scientific and Technological Research Council of Turkey: collaborator

Study Sites (1)

Başakşehir Çam and Sakura City Hospital

Istanbul, Turkey (Türkiye)

RECRUITING

Related Publications (3)

• Hanefeld N, Glover L, Jomeen J, Wadephul F. Women's experiences of using the Alexander Technique in the postpartum: '...in a way, it's just as beneficial as sleep'. Midwifery. 2021 Dec;103:103155. doi: 10.1016/j.midw.2021.103155. Epub 2021 Oct 1.

  PMID: 34655836 BACKGROUND

• Kinsey, D., Glover, L., & Wadephul, F. (2021). How does the Alexander Technique lead to psychological and non-physical outcomes? A realist review. European Journal of Integrative Medicine, 46, 101371.

  RESULT

• Klein SD, Bayard C, Wolf U. The Alexander Technique and musicians: a systematic review of controlled trials. BMC Complement Altern Med. 2014 Oct 24;14:414. doi: 10.1186/1472-6882-14-414.

  PMID: 25344325 RESULT

MeSH Terms

Conditions

Labor Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: In order to reduce selection bias in determining the experimental and control groups, a computer-assisted randomization program (https://www.randomizer.org) will be used for pregnant women who meet the inclusion criteria.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: One experimental group and one conventional (control) group

Study Record Dates

• First Submitted: February 9, 2024
• First Posted: February 16, 2024
• Study Start: February 5, 2024
• Primary Completion: June 1, 2024
• Study Completion: July 2, 2024
• Last Updated: February 20, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)