The Effect of Haptonomy Practice on Risk Perception, Distress and Attachment in Pregnant Women With Prenatal Loss

NCT07403240 | Completed

• 1 other identifier: 2023/4971
• Study Type: interventional
• Target: 126
• Locations: 1 country
• Sites: 1

Brief Summary

The research was conducted to determine the effects of haptonomy application given to pregnant women who experienced prenatal loss on risk perception, distress and attachment. The sample of this randomized controlled study consisted of 126 pregnant women, 63 in the experimental group and 63 in the control group, who applied to the Diyarbakır Ergani State Hospital Gynecology and Obstetrics Clinic and who had experienced at least one prenatal loss and were in the 24-32nd week of pregnancy. Data were obtained using the "Personal Introduction Form", "Perception of Pregnancy Risk Scale (PPRS)", "Tilburg Pregnancy Distress Scale (TPDS)" and "Prenatal Attachment Inventory (PAI)". Haptonomics were performed in 5 interviews at 7-10 day intervals with music determined by the researcher and the pregnant woman.

Conditions

Haptonomy; Prenatal Loss

Keywords

Distress; Midwife; Risk perception in pregnancy; Haptonomy; Prenatal attachment; Prenatal loss

Outcome Measures

Primary Outcomes (1)

• Analyses of the experimental group data included in the study were carried out using the SPSS 25 program.

  Following the haptonomy intervention applied within the scope of the study, the levels of risk perception during pregnancy, risk perception towards the baby, and risk perception towards the pregnant woman herself were examined. The pregnant woman's perception of risk to herself and her baby will be assessed using the Perception of Pregnancy Risk Scale. The scale consists of nine items and includes two subdimensions. Each item is rated on a 0-100 mm visual analogue scale, anchored by the statements "no risk at all" and "extremely high risk." The total scale score is calculated by summing the scores of all nine items and dividing the total by nine. Higher scores indicate greater perceived risk related to both the pregnant woman and her baby. The subdimensions assess risk perception related to the baby (items 2, 6, 7, 8, and 9) and risk perception related to the pregnant woman herself (items 1, 3, 4, and 5).

  Total evaluation of the experimental group data took five months from the date of registration.

Secondary Outcomes (1)

• Analyses of the experimental group data included in the study were carried out using the SPSS 25 program.

  Total collection and evaluation of control group data took five months from the date of patient registration.

Study Arms (2)

experimental group

EXPERIMENTAL

In this phase of the research, a midwifery intervention was implemented within the scope of "Haptonomy", consisting of a total of five stages, each lasting between 30 and 90 minutes.

Behavioral: Haptonomy

control group

NO INTERVENTION

The control group received no intervention and received routine care.

Interventions

Haptonomy BEHAVIORAL

Haptonomy intervention was conducted by the researcher and consisted of five sessions delivered at 7-10 day intervals. Sessions were performed with pregnant women who had experienced prenatal loss, accompanied by music selected collaboratively by the researcher and the participant.

experimental group

Eligibility Criteria

• Gender Eligibility Details: Since this study was conducted on pregnant women, it is mandatory for the individual to be female.
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Having a single and live pregnancy,
• Pregnant women between 24 and 32 weeks of gestation, which is considered a suitable period for the application of haptonomy,
• No maternal-fetal risks associated with pregnancy (preeclampsia, diabetes, heart disease, placenta previa, oligohydramnios, fetal anomaly, intrauterine growth retardation, etc.),
• Having previously experienced prenatal loss,
• Pregnant women who agreed to participate in the study were included in the study.

You may not qualify if:

• Getting pregnant with assisted reproductive techniques,
• Those with limited communication and perception skills,
• Pregnant women who were not between 24-32 weeks of gestation were excluded from the study.

Sponsors & Collaborators

• Inonu University: lead

Study Sites (1)

inönü UNIVERSITY

Malatya, Turkey (Türkiye)

Location

Related Links

• haptonomy

Study Officials

• ZEYNEP KALKAN, MİDWİFERY

  İnönü Üniversitesi

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: September 2, 2025
• First Posted: February 11, 2026
• Study Start: September 20, 2023
• Primary Completion: December 30, 2023
• Study Completion: June 30, 2024
• Last Updated: February 11, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)