Childbirth
Conditions
Keywords
primiparous pregnancy, childbirth fear, childbirth self-efficacy, birth satisfaction, perineal trauma, 360-degree video
Brief summary
This randomized controlled trial aims to evaluate the effects of 360-degree video-supported upright birth position education on fear of childbirth, childbirth self-efficacy, birth satisfaction, and perineal trauma among primiparous pregnant women. Eligible participants will be randomly assigned to one of three intervention groups or a control group. In addition to routine antenatal care, participants in the intervention groups will receive 360-degree video-supported education on one of three upright birth positions: use of a Pilates ball, birth dance, or squatting. Participants in the control group will receive routine antenatal care only. The study will examine whether 360-degree video-supported education can help primiparous women prepare for childbirth, reduce fear of childbirth, improve childbirth self-efficacy and birth satisfaction, and reduce the occurrence of perineal trauma. The outcomes of the three intervention groups will also be explored to determine whether the effects differ according to the type of upright birth position.
Interventions
BEHAVIORAL360° Video-Supported Upright Birth Positions Education
Participants will receive standardized 360° video-supported education on upright birth positions. The education will include Pilates ball exercises, birth dance, and supported squatting techniques. Each video will demonstrate the relevant birth position and provide information on its proper use, body movements, weight transfer, and position changes. Each video will be approximately 12 minutes (±30 seconds) in duration and will be viewed using a smartphone or tablet.
Sponsors
Bitlis Eren University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Participants will be randomly assigned to one of four parallel groups: Pilates ball, birth dance, squatting, or control. Each group will include 23 participants. The three intervention groups will receive 360-degree video-supported education on the assigned upright birth position in addition to routine antenatal care, while the control group will receive routine antenatal care only. Outcomes will be compared between the four groups.
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* Having signed the Informed Consent Form. * Being able to speak and understand Turkish. * Being literate. * Having no impairment that would interfere with auditory, visual, or cognitive communication. * Being primiparous. * Having a singleton live fetus. * Being between 28 and 32 weeks of gestation. * Having a fetus in cephalic presentation. * Planning a vaginal birth. * Being enrolled and randomized before the onset of labor. * Being able to use a smartphone or tablet. * Having sufficient physical and cognitive ability to watch the 360° video education. * Having moderate fear of childbirth, defined as a score of 38 or higher on the W-DEQ-A.
Exclusion criteria
* Refusal to participate in the study or withdrawal from the study. * Development of a serious maternal or fetal complication during labor that prevents continuation of the study intervention. * Giving birth by elective or emergency cesarean section. * Loss of study data during the research process. * Giving birth outside Bitlis State Hospital.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Childbirth Fear Score | From baseline (before randomization) to 24-48 hours after childbirth | Childbirth fear will be assessed using the Wijma Delivery Expectancy/Experience Questionnaire-A (W-DEQ-A) before randomization and the W-DEQ-B after childbirth. The change in childbirth fear score will be compared between the study groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Childbirth Self-Efficacy Score | From baseline (before randomization) to 24-48 hours after childbirth | Childbirth self-efficacy will be assessed using the Childbirth Self-Efficacy Scale before randomization and within 24-48 hours after childbirth. The change in score will be compared between the study groups. |
| Birth Satisfaction Score | Within 24-48 hours after childbirth | Birth satisfaction will be assessed using the Birth Satisfaction Scale Short Form within 24-48 hours after childbirth. |
| Perineal Trauma | Immediately after childbirth | Perineal trauma will be assessed immediately after childbirth during routine clinical evaluation and classified according to the Sultan classification as intact perineum, episiotomy, or first-, second-, third-, or fourth-degree perineal laceration. |
Countries
Turkey (Türkiye)
Contacts
CONTACTRozerin Balcı
Outcome results
None listed