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NCT Number: NCT07175337

Effect of Maryam Plant and Surah on Birth Pain, Anxiety and Satisfaction

This randomized controlled trial was conducted to determine the effects of spiritual support provided by Virgin Mary's hand plant and Surah Maryam on labor anxiety, labor pain, and satisfaction.

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Key information

Conditions

Pregnancy Cervical Dilatation of 4-6 cm (Early Active Phase) Labor Pain Muslim Neurologic Manifestations No Pregnancy Complications Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Ataturk Universty

Erzurum, Yakutiye, 25240, Turkey (Türkiye)

About this study

No other study has been found investigating the effects of both the Maryam Surah and the Virgin Mary plant on labor anxiety, labor pain, and labor satisfaction. The effects of the parameters to be examined in this project have not yet been examined, and the effects of the Maryam Surah recited to pregnant women during labor and the Virgin Mary plant, believed to help open the birth canal, have not been tested. The study aims to contribute to the literature through a randomized controlled trial and to obtain data that will inform future studies.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • • Being literate
  • Being open to communication
  • Being at term (37-40 weeks)
  • Having a single, live fetus
  • Having no pregnancy complications
  • Having no conditions preventing labor
  • Having 4-6 cm cervical dilation (early active phase)
  • Planning a vaginal birth
  • Not having a diagnosed psychiatric illness
  • Volunteering to participate in the study
  • Being in cephalic presentation
  • Being Muslim

Exclusion criteria

  • Being illiterate
  • Having a high-risk pregnancy
  • Having a planned cesarean section
  • Developing complications during labor
  • Using pain-reducing methods such as narcotic analgesics or sedatives
  • Having a diagnosed psychiatric illness

Treatment and study plan

Surah Maryam group

Behavioral

Pregnant women who came for birth were taught Surah Maryam. They were monitored throughout the labor process, and in addition to routine midwifery care, Surah Maryam was played twice during labor to provide spiritual support.

Virgin Mary's Hand Plant Group

Behavioral

he pregnant woman was monitored throughout labor; in addition to routine midwifery care, she was given spiritual support by placing the Virgin Mary's Hand plant in water and watching the plant unfold, encouraging her to believe that the birth canal also opens in the same way.

Primary outcomes

  1. Visual Analog Scale

    Time frame: through study completion, an average of 1 year

    VAS is used to measure perceived pain. It consists of a 10 cm (100 mm) line with one end labeled "no pain" and the other "worst possible pain." The participant marks a point on the line corresponding to the intensity of their pain. The distance in millimeters from "no pain" to the mark is measured and recorded as the pain score. Cline et al. (1992) reported that vertical orientation was better understood by patients. The scale was originally developed by Price et al. (1983). Eti-Aslan (1998) found that VAS was more sensitive in the evaluation of postoperative (acute) pain

  2. Oxford Worry About Labour Scale (OWLS)

    Time frame: Through study completion, an average of 1 year

    Developed by Redshaw, Martin, Rowe, and Hockley (2009) to assess women's worries related to the childbirth process. The Turkish validity and reliability study was conducted by Erkal and Özentürk (2016). The scale consists of 10 items rated on a 4-point Likert scale: (1) Very worried, (2) Fairly worried, (3) Not very worried, (4) Not at all worried. Scores are calculated from the total (minimum = 10, maximum = 40). The scale has three subdimensions: Pain and Distress, Uncertainty Before Birth, and Interventions. The Cronbach's alpha reliability coefficient of the Turkish version was found to be 0.83 (Erkal Aksoy & Özentürk, 2016). In this study, the Cronbach's alpha value of the questionnaire was found to be 0.75.

  3. Birth Satisfaction Scale-Revised (BSS-R)

    Time frame: through study completion, an average of 1 year

    The original Birth Satisfaction Scale was developed by Martin and Fleming (2011) to assess women's satisfaction with childbirth. In 2013, Martin and Martin revised the scale by reducing the number of items, resulting in the Birth Satisfaction Scale-Revised (BSS-R). The BSS-R is a 10-item Likert-type scale rated as: Strongly agree (4 points), Agree (3 points), Neutral (2 points), Disagree (1 point), Strongly disagree (0 points). Items 2, 4, 7, and 8 are reverse-scored. The total score ranges from 0 to 40, with higher scores indicating greater satisfaction. The scale has three subdimensions: Quality of Care (communication, support from healthcare providers, and cleanliness of the delivery room), Women's Personal Attributes (sense of control and anxiety during childbirth), and Stress Experienced During Labor (perceived stress and duration of labor). The Cronbach's alpha reliability coefficient of the Turkish version was reported as 0.72 (Gökmen, 2017). In this study, the Cronbach's alpha

Sponsors and collaborators

Lead sponsor

Ataturk University

Other

Registry information

Important dates

Study start
2023
Primary completion
2024
Study completion
2025
First posted
Sep 16, 2025
Registry last updated
Sep 16, 2025

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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