Effect of Maryam Plant and Surah on Birth Pain, Anxiety and Satisfaction

NCT07175337 | Completed

• 1 other identifier: AtaturkU-SBF-ES-02
• Study Type: interventional
• Target: 125
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial was conducted to determine the effects of spiritual support provided by Virgin Mary's hand plant and Surah Maryam on labor anxiety, labor pain, and satisfaction.

Conditions

Pregnancy; No Pregnancy Complications; Cervical Dilatation of 4-6 cm (Early Active Phase); Muslim

Keywords

Virgin Mary's Hand Plant; Surah Maryam; Labor Pain; Birth Anxiety; Birth Satisfaction

Outcome Measures

Primary Outcomes (3)

• Visual Analog Scale

  VAS is used to measure perceived pain. It consists of a 10 cm (100 mm) line with one end labeled "no pain" and the other "worst possible pain." The participant marks a point on the line corresponding to the intensity of their pain. The distance in millimeters from "no pain" to the mark is measured and recorded as the pain score. Cline et al. (1992) reported that vertical orientation was better understood by patients. The scale was originally developed by Price et al. (1983). Eti-Aslan (1998) found that VAS was more sensitive in the evaluation of postoperative (acute) pain

  through study completion, an average of 1 year

• Oxford Worry About Labour Scale (OWLS)

  Developed by Redshaw, Martin, Rowe, and Hockley (2009) to assess women's worries related to the childbirth process. The Turkish validity and reliability study was conducted by Erkal and Özentürk (2016). The scale consists of 10 items rated on a 4-point Likert scale: (1) Very worried, (2) Fairly worried, (3) Not very worried, (4) Not at all worried. Scores are calculated from the total (minimum = 10, maximum = 40). The scale has three subdimensions: Pain and Distress, Uncertainty Before Birth, and Interventions. The Cronbach's alpha reliability coefficient of the Turkish version was found to be 0.83 (Erkal Aksoy \& Özentürk, 2016). In this study, the Cronbach's alpha value of the questionnaire was found to be 0.75.

  Through study completion, an average of 1 year

• Birth Satisfaction Scale-Revised (BSS-R)

  The original Birth Satisfaction Scale was developed by Martin and Fleming (2011) to assess women's satisfaction with childbirth. In 2013, Martin and Martin revised the scale by reducing the number of items, resulting in the Birth Satisfaction Scale-Revised (BSS-R). The BSS-R is a 10-item Likert-type scale rated as: Strongly agree (4 points), Agree (3 points), Neutral (2 points), Disagree (1 point), Strongly disagree (0 points). Items 2, 4, 7, and 8 are reverse-scored. The total score ranges from 0 to 40, with higher scores indicating greater satisfaction. The scale has three subdimensions: Quality of Care (communication, support from healthcare providers, and cleanliness of the delivery room), Women's Personal Attributes (sense of control and anxiety during childbirth), and Stress Experienced During Labor (perceived stress and duration of labor). The Cronbach's alpha reliability coefficient of the Turkish version was reported as 0.72 (Gökmen, 2017). In this study, the Cronbach's alpha

  through study completion, an average of 1 year

Study Arms (3)

Surah Maryam group

EXPERIMENTAL

Pregnants who came for birth were taught the Surah Maryam. They were monitored throughout the labor process, and in addition to routine midwifery care, the Surah Maryam was recited twice during labor to provide spiritual support.

Behavioral: Surah Maryam group

Virgin Mary's Hand Plant group

EXPERIMENTAL

By monitoring the labor throughout the process, in addition to routine midwifery care, the pregnant was provided with moral support by placing the Virgin Mary's Hand plant in water and watching the plant unfold, guiding her to the idea that the birth canal would also open in the same way.

Behavioral: Virgin Mary's Hand Plant Group

Control Group

NO INTERVENTION

Routine midwifery care was provided at birth

Interventions

Surah Maryam group BEHAVIORAL

Pregnant women who came for birth were taught Surah Maryam. They were monitored throughout the labor process, and in addition to routine midwifery care, Surah Maryam was played twice during labor to provide spiritual support.

Surah Maryam group

Virgin Mary's Hand Plant Group BEHAVIORAL

he pregnant woman was monitored throughout labor; in addition to routine midwifery care, she was given spiritual support by placing the Virgin Mary's Hand plant in water and watching the plant unfold, encouraging her to believe that the birth canal also opens in the same way.

Virgin Mary's Hand Plant group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Gender Eligibility Details: Pregnancy
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being literate
• Being open to communication
• Being at term (37-40 weeks)
• Having a single, live fetus
• Having no pregnancy complications
• Having no conditions preventing labor
• Having 4-6 cm cervical dilation (early active phase)
• Planning a vaginal birth
• Not having a diagnosed psychiatric illness
• Volunteering to participate in the study
• Being in cephalic presentation
• Being Muslim

You may not qualify if:

• Being illiterate
• Having a high-risk pregnancy
• Having a planned cesarean section
• Developing complications during labor
• Using pain-reducing methods such as narcotic analgesics or sedatives
• Having a diagnosed psychiatric illness

Sponsors & Collaborators

• Ataturk University: lead

Study Sites (1)

Ataturk Universty

Erzurum, Yakutiye, 25240, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Labor Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• WHO

  World Health Organization

  STUDY DIRECTOR

• ICMJE ICMJE

  ICMJE

  STUDY DIRECTOR

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: Principal Investigator

Model Details: The research was conducted in a randomized controlled experimental design.

Study Record Dates

• First Submitted: August 21, 2025
• First Posted: September 16, 2025
• Study Start: September 6, 2023
• Primary Completion: September 7, 2024
• Study Completion: August 20, 2025
• Last Updated: September 16, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Individual participant data will be available beginning 6 months after publication and ending 5 years\] following publication.
• Access Criteria: Access to de-identified individual participant data will be granted to researchers with a methodologically sound proposal. Requests must include a clear research question and analysis plan. Approval will be required from the study's principal investigator before data are released.

Locations

TU (1)