Effects of Psychoeducation on Pregnant Women With Traumatic Birth Perception

NCT07189767 | Completed

• 1 other identifier: IUC-FNHF-BF-01
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to evaluate the effects of a prenatal psychoeducation program applied to pregnant women with a traumatic perception of birth on the perception of traumatic birth, maternal attachment, breastfeeding and postpartum depression.

Conditions

Perception of Traumatic Birth

Keywords

traumatic birth; psychoeducation; perception of birth

Outcome Measures

Primary Outcomes (1)

• Traumatic Birth Perception Scale (TBPS)

  The TBPS was developed in 2016 by Yalnız et al. to determine the level of perception of labor as trauma. The TPAS is used to determine the perceptions of birth among women aged 15-49, receiving preconception counseling, and attending delivery rooms, obstetrics, or postpartum services during pregnancy. The TPAS has a total of 13 items. Each item is rated from 0 (zero) to 10 (ten). The lowest score on the TPAS is 0 (zero), and the highest is 130. As the score on the scale increases, the extent to which women perceive birth as trauma increases. Women who score "0-26" on the scale have a very low perception of birth as traumatic, those who score "27-52" have a low perception, those who score "53-78" have a moderate perception, those who score "79-109" have a high perception, and those who score "105-130" have a very high perception of birth as traumatic. The Cronbach alpha coefficient of the original form of the scale is 0.895.

  4 months

Secondary Outcomes (3)

• Mother-to-Infant Bonding Scale (MIBS)

  4 months

• Breastfeeding Self-Efficacy Scale Short Form (BSES-SF)

  4 months

• Edinburgh Postnatal Depression Scale (EPDS)

  4 months

Study Arms (2)

Psychoeducation

EXPERIMENTAL

Pregnant women with a traumatic perception of birth who received psychoeducational intervention formed the experimental group.

Behavioral: psychoeducation

Control

NO INTERVENTION

Pregnant women with a traumatic birth perception who did not receive psychoeducation intervention and underwent routine prenatal follow-up constituted the control group.

Interventions

psychoeducation BEHAVIORAL

The nurse/midwife-led psychoeducation intervention aims to encourage pregnant women to express their feelings about childbirth. It also provides a counseling framework to help women identify and overcome the distressing elements of childbirth. Psychoeducation allows pregnant women to obtain complete, evidence-based information about labor and to discuss their feelings and thoughts about the method of delivery and birth. Providing evidence-based information by nurses/midwives during psychoeducation helps pregnant women make informed decisions about their birth preferences. In addition to evidence-based information, the psychoeducation intervention includes discussing myths and misconceptions, increasing social support, reinforcing positive coping strategies, and focusing on problem solutions. Nurses/midwives encourage pregnant women to develop a positive birth plan through psychoeducation.

Psychoeducation

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: pregnant women
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Primigravida
• Between 22 and 32 weeks gestation
• Experiencing a healthy pregnancy
• Spontaneously pregnant
• No psychiatric illness
• Scored 79 or higher on the Traumatic Birth Perception Scale were included in the study.

You may not qualify if:

• High-risk pregnant women
• Without a smartphone, tablet, computer or internet access

Sponsors & Collaborators

• Burcu Firat: lead

Study Sites (1)

Umraniye Education and Research Hospital

Istanbul, Umraniye, Turkey (Türkiye)

Location

Related Publications (14)

• Pandey Bista A, Shrama C, Shrestha U, Timalsina P, Devkota K, Piya K, Neupane B. Effect of Group Psycho-Educational Interventions on Child birth fear and Child birth Self-efficacy among Primiparous women. J Nepal Health Res Counc. 2023 Jul 20;20(4):846-851. doi: 10.33314/jnhrc.v20i4.4028.

  PMID: 37489666 BACKGROUND

• Fenwick J, Toohill J, Gamble J, Creedy DK, Buist A, Turkstra E, Sneddon A, Scuffham PA, Ryding EL. Effects of a midwife psycho-education intervention to reduce childbirth fear on women's birth outcomes and postpartum psychological wellbeing. BMC Pregnancy Childbirth. 2015 Oct 30;15:284. doi: 10.1186/s12884-015-0721-y.

  PMID: 26518597 RESULT

• Akgun M, Boz I, Ozer Z. The effect of psychoeducation on fear of childbirth and birth type: systematic review and meta-analysis. J Psychosom Obstet Gynaecol. 2020 Dec;41(4):253-265. doi: 10.1080/0167482X.2019.1689950. Epub 2019 Nov 13.

  PMID: 31718369 RESULT

• Boz I, Akgun M, Duman F. A feasibility study of a psychoeducation intervention based on Human Caring Theory in nulliparous women with fear of childbirth. J Psychosom Obstet Gynaecol. 2021 Dec;42(4):300-312. doi: 10.1080/0167482X.2020.1752173. Epub 2020 Apr 22.

  PMID: 32319341 RESULT

• Gultekin, N. (2018). Does Psychoeducation Encourage Pregnant Women and Positively Influence the Relation between Mother and Baby: a Case-Control Study. Int J Gynecol Clin Pract, 5(143), 2

  RESULT

• Jiao N, Zhu L, Chong YS, Chan WS, Luo N, Wang W, Hu R, Chan YH, He HG. Web-based versus home-based postnatal psychoeducational interventions for first-time mothers: A randomised controlled trial. Int J Nurs Stud. 2019 Nov;99:103385. doi: 10.1016/j.ijnurstu.2019.07.002. Epub 2019 Jul 21.

  PMID: 31442783 RESULT

• Kordi, M., Bakhshi, M., Masoudi, S., & Esmaily, H. (2017). Effect of a childbirth psychoeducation program on the level of fear of childbirth in primigravid women. Evidence Based Care, 7(3), 26-34.

  RESULT

• Lawrence CG, Breau G, Yang L, Hellerstein OS, Hippman C, Kennedy AL, Ryan D, Shulman B, Brotto LA. Effectiveness of a web-enabled psychoeducational resource for postpartum depression and anxiety among women in British Columbia. Arch Womens Ment Health. 2024 Dec;27(6):995-1010. doi: 10.1007/s00737-024-01468-8. Epub 2024 May 6.

  PMID: 38709329 RESULT

• Maharani Dewi, U., Windarti, Y., & Hayani, H. (2023). The Effect of Lactation Psychoeducation Using a Video-Based Comprehensive Model on the Level of Anxiety of Mothers in Breastfeeding. Health Education and Health Promotion, 11(3), 1001-1013.

  RESULT

• Hollander MH, van Hastenberg E, van Dillen J, van Pampus MG, de Miranda E, Stramrood CAI. Preventing traumatic childbirth experiences: 2192 women's perceptions and views. Arch Womens Ment Health. 2017 Aug;20(4):515-523. doi: 10.1007/s00737-017-0729-6. Epub 2017 May 29.

  PMID: 28553692 RESULT

• Firouzan L, Kharaghani R, Zenoozian S, Moloodi R, Jafari E. The effect of midwifery led counseling based on Gamble's approach on childbirth fear and self-efficacy in nulligravida women. BMC Pregnancy Childbirth. 2020 Sep 9;20(1):522. doi: 10.1186/s12884-020-03230-1.

  PMID: 32907547 RESULT

• Fenwick J, Toohill J, Slavin V, Creedy DK, Gamble J. Improving psychoeducation for women fearful of childbirth: Evaluation of a research translation project. Women Birth. 2018 Feb;31(1):1-9. doi: 10.1016/j.wombi.2017.06.004. Epub 2017 Jul 3.

  PMID: 28684046 RESULT

• Kuipers YJ, Thomson G, Goberna-Tricas J, Zurera A, Hresanova E, Temesgenova N, Waldner I, Leinweber J. The social conception of space of birth narrated by women with negative and traumatic birth experiences. Women Birth. 2023 Feb;36(1):e78-e85. doi: 10.1016/j.wombi.2022.04.013. Epub 2022 May 2.

  PMID: 35514007 RESULT

• Nagle U, Naughton S, Ayers S, Cooley S, Duffy RM, Dikmen-Yildiz P. A survey of perceived traumatic birth experiences in an Irish maternity sample - prevalence, risk factors and follow up. Midwifery. 2022 Oct;113:103419. doi: 10.1016/j.midw.2022.103419. Epub 2022 Jul 9.

  PMID: 35930929 RESULT

MeSH Terms

Conditions

Birth Injuries

Condition Hierarchy (Ancestors)

Infant, Newborn, Diseases; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant Professor

Model Details: psychoeducation and control

Study Record Dates

• First Submitted: August 14, 2025
• First Posted: September 24, 2025
• Study Start: April 6, 2023
• Primary Completion: April 26, 2024
• Study Completion: October 7, 2024
• Last Updated: September 24, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)