The Effect of Ideal Birth Environment on Birth Pain, Fear of Childbirth, Mode of Delivery and Duration of Delivery

NCT06754111 | Enrolling By Invitation

• 1 other identifier: GO 2024/510
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to investigate whether the ideal birth environment is related to fear of childbirth, labor pain, duration of labor, and mode of delivery. on the impact of the study. The main questions it aims to answer are Does the ideal birth environment reduce fear of childbirth? Does the ideal birth environment reduce labor pain? does the ideal birth environment affect the duration of labor? In order to evaluate the effect of the ideal birth environment on fear, pain and duration of labor, the researchers will compare the standard delivery room and women who will give birth in a room customized for women, where they have their own sheets, pillows, items that make them feel special, where medical devices are reduced, in a room where they have photos with their partner, in a room where they listen to the music they want, where they have freedom of movement. both in the experimental and control groups: In the last trimester, the Wijma birth experience A version will be applied and in the postpartum period, the Wijma B Birth experience scale will be applied again and the fear of childbirth will be evaluated. Pain in labor will also be assessed using VAS (Visceral Visual Analgesic Scale) during the latent and active phase of labor.

Conditions

Pregnant; Fear of Childbirth; Ideal Birth Environment

Keywords

labor pain; ideal birth environment; fear of childbirth

Outcome Measures

Primary Outcomes (3)

• Wijma Birth Expectancy/Expectation Questionnaire (W-DEQ) A Version

  Wijma Birth Expectancy/Expectation Scale A Version (W-DEQ A), W-DEQ consists of 33 items and is a six-point Likert-type scale. Item responses are numbered from 0 to 5, with 0 indicating "completely" and 5 indicating "not at all". is expressed. The minimum score is 0 and the maximum score is 165. The cut-off value is 85 points and a score of 85 and above is expressed as clinical fear. is also analyzed. The higher the total score of the scale, the higher the degree of fear experienced. is high. * W-DEQ score? 37 mild, * W-DEQ score = 38-65 moderate, * W-DEQ score = 66-84 in severe degree, * A W-DEQ score of ? 85 indicates a clinical degree of fear. Scale 2, Questions 3, 6, 7, 8, 11, 12, 15, 19, 20, 24, 25, 27 and 31 are negatively loaded and there is no agreement in the measurement. The alpha value of the scale is calculated by inverting the scale in the opposite direction. Cronbach's alpha value of the scale 0.89 (Korukcu et al., 2012) Wijma Birth Anticipation/Experience Sc

  28-36 weeks of gestation

• VASA Pain Assessment Scale

  Quantitative pain rating scale (QPRS) is used to assess the severity of pain. is used. On a numerical rating scale, pain ranges from 0 (no pain) to 10 (unbearable pain) score (Price et al., 1983).

  during the latent phase of labor when the cervical opening is 1-3 cm and during the active phase of labor when the cervical opening is 5-7 cm

• WIJMA BIRTH EXPECTANCY/EXPERIENCE SCALE B VERSION

  he W-DEQ consists of 33 items and is a six-point Likert-type questionnaire. Item responses are numbered from 0 to 5, with 0 indicating "completely" and 5 indicating "not at all". is expressed. The minimum score is 0 and the maximum score is 165. The cut-off value is 85 points and a score of 85 and above is expressed as clinical fear. is also analyzed. The higher the total score of the scale, the higher the degree of fear experienced. is high. * W-DEQ score? 37 mild, * W-DEQ score = 38-65 moderate, * W-DEQ score = 66-84 in severe degree, * A W-DEQ score of ? 85 indicates a clinical degree of fear. Scale 2, Questions 3, 6, 7, 8, 11, 12, 15, 19, 20, 24, 25, 27 and 31 are negatively loaded and there is no agreement in the measurement. is calculated by inverting it in the opposite direction in order to provide Translated with www.DeepL.com/Translator (free version)

  up to the first 12 hours after birth

Study Arms (2)

control group

NO INTERVENTION

will receive standard care, no intervention will be performed

ideal birth environment

ACTIVE COMPARATOR

ideal birth room While designing a single room without unnecessary medical equipment, your own bed linen, bed linen, It will be a pillow case, a photo frame, he will be able to listen to the music he wants, he will be able to make a photo of his own choice. There will be a companion, a birthing ball and chair, and the room will allow freedom of movement. It will be designed to allow

Behavioral: ideal birth environment

Interventions

ideal birth environment BEHAVIORAL

ideal birth room While designing a single room without unnecessary medical equipment, your own bed linen, bed linen, It will be a pillow case, a photo frame, he will be able to listen to the music he wants, he will be able to make a photo of his own choice. There will be a companion, a birthing ball and chair, and the room will allow freedom of movement. It will be designed to allow

ideal birth environment

Eligibility Criteria

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

You may qualify if:

• years old pregnant primiparous literate

You may not qualify if:

• Medium and high-risk pregnant women (oligohydramnios, pre-eclampsia, heart disease, diabetes, placenta previa)
• Psychiatric illness such as anxiety and depression
• Communication barrier

Sponsors & Collaborators

• Mehmet Akif Ersoy University: lead

Study Sites (1)

Mehmet Akif Ersoy Üniversitesi

Burdur, Bucak, 15300, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Labor Pain

Condition Hierarchy (Ancestors)

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

Study Design

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

Study Record Dates

• First Submitted: December 10, 2024
• First Posted: December 31, 2024
• Study Start: October 1, 2024
• Primary Completion: April 1, 2025
• Study Completion: July 1, 2025
• Last Updated: December 31, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)