Missed Abortion
Conditions
Keywords
Missed Abortion, Mandala Coloring, Pregnancy Loss, Stress, Pain, Anxiety
Brief summary
This randomized controlled study aims to evaluate the effects of mandala coloring activity on stress, anxiety, pain, and physiological parameters in women diagnosed with missed abortion. Participants will be randomly assigned to either a mandala coloring group or a control group receiving standard care. Outcomes will be measured at hospital admission and after completion of the mandala coloring session.
Detailed description
Missed abortion is a distressing pregnancy loss experience that may lead to increased anxiety, stress, and emotional burden in affected women. In addition to psychological distress, acute stress responses may also influence physiological parameters such as heart rate, blood pressure, oxygen saturation, and body temperature. Supportive, non-pharmacological interventions may help reduce emotional and physical discomfort during hospitalization. Mandala coloring is a structured, repetitive art-based activity that may promote relaxation and emotional regulation. It is considered a simple, low-cost, and non-invasive supportive intervention that can be easily implemented in clinical settings. This randomized controlled trial is designed to evaluate the effectiveness of mandala coloring activity in women diagnosed with missed abortion. Participants are randomly assigned to either a mandala coloring group receiving the intervention in addition to standard care, or a control group receiving standard care alone. The mandala session lasts a minimum of 30 minutes and is conducted during hospitalization. Stress, state anxiety, and pain levels, along with physiological parameters (heart rate, blood pressure, oxygen saturation, and body temperature), are assessed at baseline (hospital admission) and immediately after completion of the intervention. The study aims to determine whether mandala coloring contributes to improved psychological well-being and physiological stability in women experiencing pregnancy loss.
Interventions
BEHAVIORALMandala Coloring Activity
Participants engage in a structured mandala coloring activity session during hospitalization in addition to standard care. The activity is conducted individually in a quiet environment.
Sponsors
Selcuk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
This is an open-label study due to the nature of the behavioral intervention.
Intervention model description
Participants are randomized to either a mandala coloring activity group or a control group receiving standard care, and outcomes are assessed and compared between groups during hospitalization.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Women aged 18 years and older * Hospitalized with a diagnosis of missed abortion Gestational age of 10 weeks or less Mentally healthy and able to communicate Able to read, understand, and speak Turkish Literate Willing to participate and provide written informed consent ExcluPhysical limitations preventing participation in the coloring activity History of previous pregnancy loss Presence of chronic medical disease Diagnosis of a psychiatric disordersion Criteria:
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in State Anxiety Score | At hospital admission (baseline) and immediately after completion of the mandala coloring session (minimum 30 minutes) during hospitalization | State anxiety will be measured using the State Anxiety Inventory (STAI-State). The primary outcome is the change in anxiety score from baseline at hospital admission to immediately after completion of the mandala coloring session during hospitalization. Higher scores indicate greater anxiety. |
| Change in Perceived Stress Score | At hospital admission (baseline) and immediately after completion of the mandala coloring session (minimum 30 minutes) during hospitalization | Perceived stress will be measured using the Perceived Stress Scale (PSS). The secondary outcome is the change in stress score from baseline at hospital admission to immediately after completion of the mandala coloring session during hospitalization. Higher scores indicate greater perceived stress. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORRukiye Arslantaş, MSc
Selcuk University
Outcome results
None listed