Birth, First, Intrapartum Fetal Distress, Maternity, Traumatic Birth
Conditions
Keywords
Respectful maternity care scale, Birth experience scale, Traumatic birth perception scale, WHO Intrapartum Care Recommendations
Brief summary
The effect of the ıntrapartum care model given in line with the world health organization (WHO) recommendations on women's perception of respectful maternity care, birth experiences and perception of traumatic birth
Detailed description
The research is a randomized controlled trial. The research will 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 will given the intrapartum care model in line with WHO recommendations after cervical dilation reached 5 cm. The control group will received only the standard intrapartum care in the hospital. Data will be collected using the personal information form, birth follow-up form, respectful maternal care scale, birth experience scale, and traumatic birth perception scale.
Interventions
Pregnant women who apply to the hospital for delivery, have cervical dilatation of 5 cm and above, agree to participate in the study and are assigned to the intervention group; A Personal Information form will be applied at the first clinic admission. All primiparous pregnant women assigned to the intervention group will be applied the intrapartum care model by the research midwife during the labor process and after birth in line with the WHO positive birth recommendations. The labor process of the pregnant woman will be recorded on the birth experience follow-up form. After birth, the Respectful maternity care scale, Birth experience scale, Traumatic birth perception scale will be 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 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Those who are 18 years of age or older, * Those who are in term pregnancy (38-41 weeks), * Those who are primiparous, * Those who have a single, healthy, vertex positioned fetus, * Those who have cervical dilatation of 5 cm or more, * Those who can speak and understand Turkish, * Those who voluntarily agree to participate in the research.
Exclusion criteria
* Those with chronic diseases (hypertension, diabetes, etc.), * Those with a diagnosed mental illness (depression, anxiety or other psychotic disorder, etc.), * 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, cord prolapse, etc.), * Those with any complications that prevent vaginal birth (cephalopelvic disproportion, etc.), * Elective cesarean section, * Those who became pregnant with assisted reproductive techniques, * Those who received childbirth preparation training.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of sociodemographic characteristics of pregnant women before the intervention with the questionnaire | 6 months | Sociodemographic of pregnant women will be collected through surveys and compared and reported |
| Comparison of pre-intervention obstetric characteristics of pregnant women with a questionnaire | 6 months | Obstetric of pregnant women will be collected through surveys and compared and reported |
| Comparison of the delivery times of pregnant women through a survey | 6 months | The duration of labor of the groups will be collected through surveys and compared and reported |
| Comparison of the means of the respectful birth care scale among pregnant women by group | 6 months | The respectful maternity care scale will be applied to pregnant women. The respectful maternity care scale is 19-95 points (min-max), and as the score increases, women's respectful maternity care increases. |
| Comparison of the means of the birth experience scale among pregnant women by group | 6 months | The birth experience scale will be applied to pregnant women. The birth experience scale is 22-88 points (min-max), and as the score increases, it indicates that the expectant mother has a good birth experience. |
| Comparison of the means of the traumatic birth perception scale among pregnant women by group | 6 months | The traumatic birth perception scale will be applied to pregnant women. The traumatic birth perception scale is 0-130 points (min-max). The scale shows that the 0-26 point range is very low, the 27-52 point range is low, the 53-78 point range is medium, the 79-104 point range is high, and the 105-130 point range is very high traumatic birth perception level. |
Countries
Turkey (Türkiye)
Outcome results
None listed