THE EFFECT OF 360° VIDEO-ASSISTED TRAINING ON VERTICAL BIRTH POSITIONS IN PRIMIPAROUS WOMEN ON FEAR OF CHILDBIRTH, SELF-EFFICACY IN CHILDBIRTH, SATISFACTION WITH CHILDBIRTH, AND PERINEAL TRAUMA: A RANDOMIZED CONTROLLED TRIAL

NCT07820904 | Not Yet Recruiting

• 1 other identifier: BEU-MIDWIFERY-VIRTUAL-BIRTH-20
• Study Type: interventional
• Target: 92
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aims to evaluate the effects of 360-degree video-supported upright birth position education on fear of childbirth, childbirth self-efficacy, birth satisfaction, and perineal trauma among primiparous pregnant women. Eligible participants will be randomly assigned to one of three intervention groups or a control group. In addition to routine antenatal care, participants in the intervention groups will receive 360-degree video-supported education on one of three upright birth positions: use of a Pilates ball, birth dance, or squatting. Participants in the control group will receive routine antenatal care only. The study will examine whether 360-degree video-supported education can help primiparous women prepare for childbirth, reduce fear of childbirth, improve childbirth self-efficacy and birth satisfaction, and reduce the occurrence of perineal trauma. The outcomes of the three intervention groups will also be explored to determine whether the effects differ according to the type of upright birth position.

Conditions

Childbirth

Keywords

primiparous pregnancy, childbirth fear, childbirth self-efficacy, birth satisfaction, perineal trauma, 360-degree video

Outcome Measures

Primary Outcomes (1)

• Change in Childbirth Fear Score

  Childbirth fear will be assessed using the Wijma Delivery Expectancy/Experience Questionnaire-A (W-DEQ-A) before randomization and the W-DEQ-B after childbirth. The change in childbirth fear score will be compared between the study groups.

  From baseline (before randomization) to 24-48 hours after childbirth

Secondary Outcomes (3)

• Change in Childbirth Self-Efficacy Score

  From baseline (before randomization) to 24-48 hours after childbirth

• Birth Satisfaction Score

  Within 24-48 hours after childbirth

• Perineal Trauma

  Immediately after childbirth

Study Arms (4)

Pilates Ball Group

EXPERIMENTAL

Participants will receive 360° video-supported education on upright birth positions using a Pilates ball.

Behavioral: 360° Video-Supported Upright Birth Positions Education

Birth Dance Group

EXPERIMENTAL

Participants will receive 360° video-supported education on upright birth positions using birth dance.

Behavioral: 360° Video-Supported Upright Birth Positions Education

Squatting Group

EXPERIMENTAL

Participants will receive 360° video-supported education on upright birth positions using supported squatting.

Behavioral: 360° Video-Supported Upright Birth Positions Education

Control Group

NO INTERVENTION

Participants will receive routine antenatal care without the 360° video-supported upright birth positions education during the study period.

Interventions

360° Video-Supported Upright Birth Positions Education BEHAVIORAL

Participants will receive standardized 360° video-supported education on upright birth positions. The education will include Pilates ball exercises, birth dance, and supported squatting techniques. Each video will demonstrate the relevant birth position and provide information on its proper use, body movements, weight transfer, and position changes. Each video will be approximately 12 minutes (±30 seconds) in duration and will be viewed using a smartphone or tablet.

Birth Dance Group; Pilates Ball Group; Squatting Group

Eligibility Criteria

• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Having signed the Informed Consent Form.
• Being able to speak and understand Turkish.
• Being literate.
• Having no impairment that would interfere with auditory, visual, or cognitive communication.
• Being primiparous.
• Having a singleton live fetus.
• Being between 28 and 32 weeks of gestation.
• Having a fetus in cephalic presentation.
• Planning a vaginal birth.
• Being enrolled and randomized before the onset of labor.
• Being able to use a smartphone or tablet.
• Having sufficient physical and cognitive ability to watch the 360° video education.
• Having moderate fear of childbirth, defined as a score of 38 or higher on the W-DEQ-A.

You may not qualify if:

• Refusal to participate in the study or withdrawal from the study.
• Development of a serious maternal or fetal complication during labor that prevents continuation of the study intervention.
• Giving birth by elective or emergency cesarean section.
• Loss of study data during the research process.
• Giving birth outside Bitlis State Hospital.

Sponsors & Collaborators

• Bitlis Eren University: lead

Study Sites (1)

Bitlis State Hospital

Bitlis, Bitlis, Turkey (Türkiye)

Location

Central Study Contacts

Rozerin Balcı

CONTACT

+905398339950; rbalci@beu.edu.tr

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, Department of Midwifery

Model Details: Participants will be randomly assigned to one of four parallel groups: Pilates ball, birth dance, squatting, or control. Each group will include 23 participants. The three intervention groups will receive 360-degree video-supported education on the assigned upright birth position in addition to routine antenatal care, while the control group will receive routine antenatal care only. Outcomes will be compared between the four groups.

Study Record Dates

• First Submitted: September 10, 2026
• First Posted: September 15, 2026
• Study Start: October 1, 2026
• Primary Completion (Estimated): February 28, 2027
• Study Completion (Estimated): March 1, 2027
• Last Updated: September 15, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)