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NCT Number: NCT07112495

Maternal Burnout, Breastfeeding Self-Efficacy and Attachment Level

Labor pain causes women to be afraid of vaginal delivery and to be anxious about delivery and therefore to prefer cesarean delivery (Ali Alahmari et al., 2020). The World Health Organization (WHO) has set the safe cesarean section rate for countries at 15% (World Health Organization, 2015). However, many countries are well above this rate (Betran et al., 2021). An important factor in the preference for cesarean deliveries is the fear of vaginal delivery (Zhao et al., 2021). Vaginal delivery with epidural anesthesia in primiparous women is a very good opportunity to prevent the preference of cesarean deliveries due to fear of vaginal delivery. Unless contraindicated, epidural analgesia should be offered to women to alleviate the pain felt with contractions during labor (Callahan et al., 2023).

Recently, women frequently prefer epidural anesthesia to avoid pain during vaginal delivery. Vaginal delivery with epidural anesthesia aims to minimize the pain of women during the trauma process and is the most effective pain method among pharmacological and nonpharmacological interventions (Antonakou, & Papoutsis, 2016). The reason why vaginal delivery with epidural anesthesia is not widespread enough is that women are not given enough information about epidural anesthesia (Shishido et al., 2020).

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Key information

Conditions

Pregnancy Behavior Behavioral Symptoms Breast Feeding Burnout, Psychological Feeding Behavior Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Stress, Psychological

Age range

19 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Sakarya University

Sakarya, Turkey (Türkiye)

About this study

Purpose: The aim of this study is to emphasize the importance of vaginal birth with epidural anesthesia in primiparous women (who will have their first birth) in order to reduce the effect of fear of vaginal birth on the choice of cesarean section and to evaluate the effect of increasing the level of knowledge about epidural anesthesia on birth preferences.

Objectives:

To determine the level of fear and anxiety of women regarding childbirth.

To examine the effect of fear of vaginal birth on the preference for cesarean section.

To evaluate the effectiveness of vaginal birth with epidural anesthesia in pain management.

To determine the level of knowledge of women about epidural anesthesia.

To increase the rate of preference for vaginal birth by providing information about epidural anesthesia.

To reveal the role of widespread use of epidural anesthesia in reducing cesarean section rates.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Having a normal vaginal delivery in the delivery room,
  • 19 to 45 years old
  • To be transferred to the Puerperium service after delivery,
  • The baby's APGAR score is 7 and above
  • 37 and above weeks of gestation
  • No complications in the baby and mother due to childbirth
  • Postnatal care by the mother's side
  • Mother and baby sharing the same room after birth until discharge,
  • The mother is breastfeeding her baby,
  • Mother's voluntary participation in the study.

Exclusion criteria

  • Separation of mother and baby for any reason while the mother is with the baby
  • Transfer of the baby to the NICU
  • Wanting to get out of the study.
  • Being a single parent
  • Those who cannot speak and write Turkish

Treatment and study plan

pregnant women with

Other

pregnant women with

Primary outcomes

  1. To determine the breastfeeding self-efficacy levels of mothers.

    Time frame: 1 year

    Assessed using the Breastfeeding Self-Efficacy Scale The minimum possible score on the scale is 14, and the maximum is 70. There is no cutoff point for the scale, and a higher score indicates higher breastfeeding self-efficacy.

  2. To evaluate maternal attachment levels.

    Time frame: 1 year

    Measured with a validated maternal attachment scale. The lowest possible score on the scale is 26, and the highest is 104. A higher score indicates a higher level of maternal attachment.

  3. To examine the breastfeeding status of infants during the first six months of life.

    Time frame: 1 year

    Including exclusive breastfeeding, partial breastfeeding, and formula supplementation

  4. To monitor infant growth and development through percentile tracking during the first six months.

    Time frame: 1 year

    Based on weight, height, and head circumference measurements compared with growth charts

Sponsors and collaborators

Lead sponsor

Sakarya University

Other

Registry information

Official study title

Evaluation of the Effect of Vaginal Delivery With Labor Analgesia on Maternal Burnout, Breastfeeding Self-Efficacy and Attachment Level

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 8, 2025
Registry last updated
Jan 2, 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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