Pregnancy Related
Conditions
Keywords
Pregnancy, Birth, oxytocin, postpartum, hypno-birthing
Brief summary
This study was conducted to determine the effects of hypnobirthing training and oxytocin massage on birth and postpartum period in primiparous pregnant women.
Detailed description
Hypnobirthing is a birth philosophy and method that prepares women physically and psychologically for giving birth. It is important to break the fear-tension-pain cycle in HypnoBirthing training. Because the continuity of the cycle increases the pain related to birth, and as the pain increases, the fear increases. In this case, the duration of labor is prolonged, birth success, shape, preference, course and satisfaction are negatively affected. Therefore, this training helps to reduce pain and fear related to labor and increase labor satisfaction. Similarly, it has been determined in the literature that oxytocin (back massage) massage during pregnancy increases uterine contractions, reduces labor pain and duration of labor, accelerates postpartum uterine involution, significantly increases the amount of breast milk, and increases mother-baby attachment. The pregnant education role of the health professional is an effective factor that shapes the birth experience of pregnant women. For this purpose, health professionals in the world and in our country are actively involved in pregnancy education programs in which different methods are applied. The most common ones are Lamaze, Bradly and HypnoBirthing. These trainings also serve to reduce pain and fear related to childbirth, increase labor and postpartum satisfaction, and meet the need for professional support and education of pregnant women. When the studies on HypnoBirthing training and oxytocin massage are examined in the literature, it is noteworthy that there is a very limited number of studies. Therefore, there is a need for well-designed randomized controlled trials that can create a level of evidence for HypnoBirthing training and oxytocin massage.
Interventions
OTHERHypnoBirthing training and oxytocin massage group
HypnoBirthing training and oxytocin massage were applied for a total of 12 hours for 4 weeks with the experimental group.
Sponsors
Giresun University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Pregnant women included in the study were randomly divided into two groups using the sealed envelope method.
Intervention model description
The research is an experimental study with a randomized control group.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women between the ages of 18 and 45, * Able to communicate verbally, * Being in the 36th week of pregnancy, * Having a single fetus, * Being nulliparous
Exclusion criteria
* Pregnant women at risk * Multiparous pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wijma Birth Anticipation/Experience Scale A (W-DEQ-A) | five weeks | The WDEQ A is a six-point Likert-type scale consisting of 33 items, scored 0-5, with 0 being completely and 5 being not at all. The pregnant woman is asked to indicate a number between 0 and 5 that suits her. W-DEQ-A scores were categorized into four subgroups. These are women with a low degree of fear of childbirth (W-DEQ-A score ≤37), women with moderate fear of childbirth (W-DEQ-A score between 38-65), women with severe fear of childbirth (W-DEQ-A score 66-84) and women with clinical fear of childbirth (W-DEQ-A score ≥ 85). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wijma Birth Expectancy/Expectation Scale B (W-DEQ-B) | Five weeks | The scale consists of 33 items. The responses in the scale are numbered from 0 to 5 and are in six-point Likert type. 0 means completely and 5 means not at all. The minimum score on the scale is 0, while the maximum score is 160. As the score increases, the fear of childbirth experienced by women increases. |
| Postpartum Breastfeeding Self-Efficacy Scale - Short Form | 5 weeks | The scale consists of 14 items. The scale is a 5-point Likert scale, ranging from never sure (1 point) to always sure (5 points). The minimum score is 14 and the maximum score is 70. The scale has no cut-off point and a higher score means higher breastfeeding self-efficacy. |
| Mother-Infant Attachment Scale (MICS) | 5 weeks | This scale, consisting of 8 items, is designed to be applied from the first day after birth and allows the mother to express her feelings towards her baby with a single word. It is a 4-point Likert scale. Responses consisting of four options are scored between 0-3, the lowest score that can be obtained from the scale is 0 and the highest score is 24. High scores indicate that mother-baby attachment is strong. |
| Birth satisfaction scale short form (BSS-SF) | 5 weeks | BSS-SF is a 10-item scale of 5-point Likert type. The lowest score from the scale is 0 and the highest score is 40, and as the score obtained from the scale increases, the level of satisfaction increases. |
Countries
Turkey (Türkiye)
Outcome results
None listed