Completed

NCT Number: NCT06184087

Childbirth Education on Upright Positions Mobility During Labor

Background and study aims: A prospective quasi-experimental study will be conducted among nulliparous women from the ultra-orthodox Jewish community.

Study design: While the control group participated in routine childbirth education, the intervention group learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy.

Completed

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Key information

Conditions

Childbirth Classes

Age range

Up to 55 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Merkaz Shifra

Modi'in Illit, Israel

About this study

Background: Upright labor positions and movement during labor have a positive effect on childbirth, yet the predominant labor positions are still horizontal. Therefore, it is important to explore how it is possible to improve childbirth education, particularly its instructional design, to strengthen women's self-efficacy toward the use of upright positions and mobility during labor. The aim of the study was to evaluate the impact of an instructional approach based on a cognitive engagement ICAP (Interactive, Constructive, Active, Passive) framework on the development of knowledge, attitudes, and self-efficacy expectations toward upright positions and mobility during labor.

Methods: A prospective quasi-experimental study was conducted among nulliparous women from the ultra-orthodox Jewish community (n=74). While the control group (n = 34) participated in routine childbirth education, the intervention group (n = 36) learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Nulliparous women

Exclusion criteria

*High-risk pregnancy

Treatment and study plan

Educational/Instructional

Other

ICAP constructive-interactive engagement mode

Primary outcomes

Self-efficacy toward upright positions and mobility during labor

Time frame: The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course.

The Childbirth Self-Efficacy Inventory that was developed by Lowe (2000).The participants were asked to rank on a 1-10 Likert scale 18 listed behaviors for how much they can help to cope with labor.

Secondary outcomes

Attitudes towards upright positions and mobility during labor

Time frame: The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course.

Questionnaire that was constructed according to Ajzen (1991) which defines attitudes as the positive or negative evaluation of certain behavior. The questionnaire includes 6 items; the participants are asked to rank their attitudes on a seven-point Osgood differential semantic scale, where 1 represents negative attitudes, and 7 represents positive attitudes. Higher score means a stronger attitude toward upright positions and mobility during labor.
Knowledge about positions and mobility during labor

Time frame: The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course.

Knowledge questionnaire about labor positions and mobility was developed and validated by the authors.

Sponsors and collaborators

Lead sponsor

Tel Aviv University

Other

Collaborators

Hana Borrer

Registry information

Official study title

Childbirth Education on Upright Positions and Mobility During Labor

Important dates

Study start: 2020
Primary completion: 2022
Study completion: 2023
First posted: Dec 28, 2023
Registry last updated: Dec 28, 2023

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.