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NCT Number: NCT07820904

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

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.

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Key information

Conditions

Childbirth

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Bitlis State Hospital

Bitlis, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

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.

Primary outcomes

  1. Change in Childbirth Fear Score

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

    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.

Secondary outcomes

  1. Change in Childbirth Self-Efficacy Score

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

    Childbirth self-efficacy will be assessed using the Childbirth Self-Efficacy Scale before randomization and within 24-48 hours after childbirth. The change in score will be compared between the study groups.

  2. Birth Satisfaction Score

    Time frame: Within 24-48 hours after childbirth

    Birth satisfaction will be assessed using the Birth Satisfaction Scale Short Form within 24-48 hours after childbirth.

  3. Perineal Trauma

    Time frame: Immediately after childbirth

    Perineal trauma will be assessed immediately after childbirth during routine clinical evaluation and classified according to the Sultan classification as intact perineum, episiotomy, or first-, second-, third-, or fourth-degree perineal laceration.

Interested in participating?

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Sponsors and collaborators

Lead sponsor

Bitlis Eren University

Other

Registry information

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Sep 15, 2026
Registry last updated
Sep 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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