Birth Comfort, Birth Outcomes, Birth Period, Fear of Birth, Labor Pain and to Reduce Pain, Oxytocin Deficiency, Perception of Midwifery Care, WHO Intrapartum Care Recommendations
Conditions
Keywords
WHO intrapartum care recommendations, Labor pain and to reduce pain, fear of birth, birth comfort, perception of midwifery care, Birth period, Oxytocin Deficiency
Brief summary
This study aimed to evaluate the effects of the intrapartum care model provided in line with the World Health Organization (WHO) recommendations on labor pain, fear, comfort, duration, oxytocin use and perception of midwifery care.
Detailed description
The research is a randomized controlled trial. The research was conducted with 124 primiparous pregnant women (intervention group n=62, control group n=62) who were hospitalized in the delivery unit of Aksaray Training and Research Hospital between September 2023 and January 2024. The pregnant women in the intervention group were given the intrapartum care model in line with WHO recommendations after cervical dilation reached 5 cm. The control group received only the standard intrapartum care in the hospital. Data were collected using the personal information form, labor and postpartum follow-up form, Visual Analog Scale (VAS), Labor Comfort Scale (DKS), Intrapartum Fear of Labor Scale, and Women's Perception of Supportive Care Given During Childbirth Scale. VAS, DKS, and Fear of Childbirth scale were applied to women in both groups when cervical dilation was 5 cm and 9 cm. After birth, the Women's Perception of Supportive Care Given During Childbirth scale was applied.
Interventions
In pregnant women with cervical dilatation of 5 cm, the Personal Information Form was completed at the initial clinic admission. •The Intrapartum Care Model was implemented for all primiparous pregnant women assigned to the intervention group during labor and after delivery by the researcher midwife, in accordance with the World Health Organization's positive birth recommendations. Data were collected using the Personal Information Form, Labor and Postpartum Follow-up Form, Visual Analog Scale (VAS), Labor Comfort Scale (CSC), Intrapartum Fear of Labor Scale, and Women's Perception of Supportive Care Given During Labor Scale. VAS, CSC, and Fear of Labor Scale were applied to women when cervical dilation was 5 cm and 9 cm. After delivery, the Women's Perception of Supportive Care Given During Labor Scale was applied.
Sponsors
Selcuk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Being 18 years of age or older, * History of term pregnancy (38-42 weeks), * Having a primiparous, * Single, healthy, vertex positioned fetus, * Having no complications that may cause dystocia in labor (such as contraction anomalies, birth object, * Birth canal dystocia, dystocia related to the mother's psychology), * Having a partner/husband, * History of cervical dilatation of 5 cm or more, * Being able to speak and understand Turkish
Exclusion criteria
* Those with maternal and fetal complications (oligohydramnios and polyhydramnios, placenta previa, preeclampsia, premature membrane rupture, presentation anomalies, intrauterine growth retardation, fetal anomalies, intrauterine death, macrosomic baby, etc.), * Those with any complications that prevent vaginal delivery, * Elective caesarean section, those who became pregnant with assisted reproductive techniques, * Those who are multiparous, * Those who have chronic diseases (such as hypertension, diabetes, heart disease).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of pre-intervention sociodemographic of pregnant women | 6 months | Sociodemographic of pregnant women will be collected through surveys and compared and reported |
| Comparison of pre-intervention obstetric features of pregnant women | 6 months | Obstetric of pregnant women will be collected through surveys and compared and reported. |
| Comparison of labor characteristics of pregnant women before intervention | 6 months | Labor Characteristics of pregnant women will be collected through questionnaires and compared and reported. |
| Comparison of postpartum characteristics of pregnant women | 6 months | Postpartum characteristics of pregnant women will be collected through surveys and compared and reported. |
| Comparison of duration of labor of groups | 6 months | The duration of labor of the groups will be collected through surveys and compared and reported. |
| Comparison of pregnant women's VAS (pain perception) mean scores by groups | 6 months | VAS (pain perception) scale will be applied to pregnant women. The pain scale (VAS) is 1-10 points (min-max), and as the score increases, women's pain perception also increases. |
| Comparison of pregnant women's fear of childbirth average scores by groups | 6 months | A fear of childbirth scale will be applied to pregnant women. The fear of childbirth scale is 10-100 points (min-max), and as the score increases, women's fear of childbirth increases. |
| Comparison of pregnant women's birth comfort score averages by groups | 6 months | A birth comfort scale will be applied to pregnant women. The birth comfort scale is 9-45 points (min-max), and as the score increases, women's birth comfort increases. |
| Comparison of mean scores of the scale of women's perception of supportive care given during childbirth by groups | 6 months | A scale of women's perception of supportive care given during childbirth will be applied to pregnant women. The scale of women's perception of supportive care given during childbirth is 33-132 points (min-max), and as the score increases, women's perception of care increases. |
| Comparison of oxytocin use by groups | 6 months | Oxytocin use by groups will be collected via survey and reported by comparison. |
Countries
Turkey (Türkiye)
Outcome results
None listed