Pregnancy
Conditions
Keywords
Birth environment, oxytocin, epidural, analgesia, home-like
Brief summary
The main purpose of this study is to explore the impact of the birth environment on women's birth experience and relevant birth outcomes in the experimental Labour room compared to a standard Labour room.
Detailed description
In the last decade, there has been an increased interest in exploring the impact of the birth environment on midwifery practice and the women's birth experiences. Results from these studies show that a home-like birth environment has positive effects on both midwifery practice and the birth experience. The hormone oxytocin that causes contractions during labour may play an important role in this context. The hormone is released when being in a safe, secure and confident environment. Therefore, it is a reasonable assumption that the birth environment also has an impact on birth outcomes. To investigate this assumption one traditional labour room was transformed to an experimental labour room. The design of the room is inspired by knowledge from evidence-based healthcare design, which describes bringing nature into the room. Furthermore, it is possible for the parents to design their own birth setting by choosing atmosphere through sound, light and nature scenes.
Interventions
OTHERSupportive care in a specially designed labour room
Light and sound effects, homelike design in furniture and wall paper, sound insulation of walls, covering medical devices in walls, apparatus, and cupboards
Sponsors
Herning Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* primiparas with a singleton pregnancy * Gestational age 37-42 * speaks and understands Danish
Exclusion criteria
* Inducted delivery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| No. of women receiving oxytocin stimulation during Labour | From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes | No of women augmented with oxytocin drip. The intervention is registered in the electronic patient journal. The duration in time (date,hours,minutes) of oxytocin treatment is registered in the electronic journal log |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of labour | From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes | Minutes of stay in labour room until delivery is registered in separate data sheet with time of arrival and time of delivery |
| Pain relieving interventions | From allocation at delivery ward (date, hour and minute) to delivery (date, hour, minute). Duration is recorded time in hours and minutes | Interventions with epidural and pudendal analgesia are registered in the electronic patient journal |
Other
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of woman-centred care during labour and childbirth | Six weeks after delivery a questionaire is e-mailed to the women | Woman-centred care during labour and childbirth questionnaire |
| Paternal evaluation of the labour room environment | Two weeks after delivery a questionnaire is e-mailed to the father | Questionaire in process of making |
Countries
Denmark
Outcome results
None listed