Single spontaneous delivery, unspecified. Spontaneous delivery NOS
Conditions
Interventions
Intervention 1: Case group: Performance of physiological delivery program including holding regular classes to prepare for labor with a vaginal delivery using a combination of non-drug methods
Interve
Prevention
Intervention 1: Case group: Performance of physiological delivery program including holding regular classes to prepare for labor with a vaginal delivery using a combination of non-drug methods
Interv
Sponsors
Vice chancellor for research, Mashhad University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: ? Low risk pregnant women (No risk factor such as: premature rupture of membranes, meconium, fetal bradycardia, vaginal bleeding, preterm and post-term pregnancy, preeclampsia) ? Age 35-18 years ? Primary literacy ? Singleton pregnancy ? Lack of medical contraindications for vaginal delivery ? Estimation of fetal weight between 2,500 and 4,000 grams ? Full participation in childbirth preparation classes for the intervention group ? Refer to physiological delivery unit for birth for intervention group ? Cervical dilatation 3-4 cm or less at baseline ? The presence of trained person at the time of delivery to the intervention group ? Consent to participate in the study Exclusion criteria : ? Presence of risk factors at any time of the delivery, such as severe bleeding, long-term drop in the fetal heart rate, arrest of delivery ? Unnecessary and routine medical interventions such as the use of drugs such as atropine to accelerate labor, induction of labor, fundal pressure
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Labor pain. Timepoint: Between contractions, each hour during the active phase and every half hour during the second stage until birth. Method of measurement: A visual rating scale.;The anxiety of childbirth. Timepoint: At baseline, dilatation of 7-8 cm and a half hours after birth. Method of measurement: Spielberger questionnaire.;During the active phase. Timepoint: End of the study. Method of measurement: Observation.;During the second stage of labor. Timepoint: End of the study. Method of measurement: Observation.;Episiotomy Percent. Timepoint: End of the study. Method of measurement: Observation.;The Percent of perineal tears. Timepoint: End of the study. Method of measurement: Observation.;Urethral rupture Percent. Timepoint: End of the study. Method of measurement: Observation.;Type of delivery. Timepoint: End of the study. Method of measurement: Observation.;Birth satisfaction rate. Timepoint: 2 hours after birth. Method of measurement: Mackey satisfaction questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Neonatal Apgar score at birth. Timepoint: 1 min after birth. Method of measurement: Observation.;5 min neonatal Apgar score. Timepoint: 5 min after birth. Method of measurement: Observation.;Neonatal outcome. Timepoint: From birth up to 24 hours. Method of measurement: Observation and interview. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSomayeh Makvandi
Mashhad University of Medical Sciences
Outcome results
None listed