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Completed

NCT Number: NCT05520060

The Effect of Continuous Midwifery Care at Birth on Labor Pain, Comfort and Satisfaction

Introduction: Birth is a period in which biological, physical, emotional and social changes are experienced. Supportive care provided by the midwife ensures the adaptation of the woman to labor and improves her ability to cope with labor. Supportive care has positive effects on labor and maternal and infant health.

Purpose: This project aimed to determine the birth pain, comfort and satisfaction levels by considering the continuous midwifery care at birth with a holistic approach.

Method: The universe of this study, which will be conducted in randomized controlled experimental type, will consist of pregnant women who applied to Adana City Training and Research Hospital, Gynecology and Obstetrics Clinic, Delivery Room. The number of samples was calculated by G*power analysis, and it was aimed to carry out the research with 30 participants in the intervention group and 30 participants in the control group. Single-blind randomized assignment and block randomization will be performed to avoid selection bias. Data will be collected using face-to-face interview technique. The pre-test will be applied to pregnant women who apply to the delivery room in the latent phase. While the continuous midwifery care model will be applied to the intervention group, standard midwifery care will be applied to the control group. The final test will be done between 1-4 hours postpartum. The independent variable of the study is continuous midwifery care. The dependent variable is the introductory characteristics of women, labor pain, comfort and satisfaction levels. The data will be analyzed with appropriate analysis methods after performing normality tests.

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Key information

Conditions

Labor Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Cukurova University

Adana, Turkey (Türkiye)

About this study

During childbirth, women need someone's support. Providing continuous care to women with a supportive and holistic approach by midwives who care for women is seen as a potential that can improve labor pain management, birth comfort and satisfaction. The aim of this research is to determine the effect of continuous midwifery care at birth on labor pain, comfort and satisfaction levels.

For this purpose, the objectives are:

  • To apply the continuous midwifery care model,
  • To increase women's normal birth comfort and satisfaction,
  • To create social awareness that midwives play a key role in normal birth,
  • Reducing preventable maternal and infant and infant deaths due to care deficiencies,
  • To reduce cesarean rates.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Volunteering to participate
  • Knowing Turkish and being literate,
  • Don't be in the latent phase.

Exclusion criteria

  • high risk pregnancy
  • Multiple pregnancy
  • Breech presentation
  • Induction of labor
  • Emergency cesarean section indication

Treatment and study plan

Physical support

Other

Pharmacological and non-pharmacological methods in pain management, Mobilization, Position preferred by the woman, Fluid and nutritional support, Massage applications, Sacral pressure, Listening to music, Breathing and relaxation exercises

Other names: Supportive Care

Psychospiritual support

Other

Effective communication, Encouragement to speak up and express fears, Support for faith-oriented practices

Other names: Supportive Care

Environmental and sociocultural support

Other

egulating the temperature, light and sound of the room, Environment that promotes respect for privacy, Reducing environmental noise, Information, Social support, Talking about cultural practices, Social support

Other names: Supportive Care

Routine care

Other

Admission to the delivery room, preparation for birth, delivery, postpartum care, etc.

Other names: Health care

Primary outcomes

  1. Birth Comfort Scale

    Time frame: pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth. An increase in the score is interpreted as an increase in comfort level.

    Change from birth comfort between passive phase of childbirth and active phase of childbirth.

  2. Birth Satisfaction Scale

    Time frame: immediately after the intervention/1-4 hours postpartum. An increase in the score is interpreted as an increase in satisfaction level.

    Birth satisfaction in the early postpartum period.

  3. Scale of Pain Expression during Childbirth (ESVADOPA)

    Time frame: pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth.An increase in the score is interpreted as an increase in the expression of pain.

    Change from pain expression level between passive phase of childbirth and active phase. of childbirth.

  4. Visual Analog Scale

    Time frame: pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth. An increase in the score is interpreted as an increase in pain.

    Change from pain between passive phase of childbirth and active phase of childbirth.

Sponsors and collaborators

Lead sponsor

Cukurova University

Other

Registry information

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Aug 29, 2022
Registry last updated
Jan 28, 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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