THE EFFECT OF 360° VIDEO-ASSISTED TRAINING ON VERTICAL BIRTH POSITIONS IN PRIMIPAROUS WOMEN ON FEAR OF CHILDBIRTH, SELF-EFFICACY IN CHILDBIRTH, SATISFACTION WITH CHILDBIRTH, AND PERINEAL TRAUMA: A RANDOMIZED CONTROLLED TRIAL
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 92
- 试验地点
- 1
- 主要终点
- Change in Childbirth Fear Score
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Pilates Ball Group
Participants will receive 360° video-supported education on upright birth positions using a Pilates ball.
干预措施: 360° Video-Supported Upright Birth Positions Education (Behavioral)
Birth Dance Group
Participants will receive 360° video-supported education on upright birth positions using birth dance.
干预措施: 360° Video-Supported Upright Birth Positions Education (Behavioral)
Squatting Group
Participants will receive 360° video-supported education on upright birth positions using supported squatting.
干预措施: 360° Video-Supported Upright Birth Positions Education (Behavioral)
Control Group
Participants will receive routine antenatal care without the 360° video-supported upright birth positions education during the study period.
结局指标
主要结局
Change in Childbirth Fear Score
时间窗: 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.
次要结局
- Change in Childbirth Self-Efficacy Score(From baseline (before randomization) to 24-48 hours after childbirth)
- Birth Satisfaction Score(Within 24-48 hours after childbirth)
- Perineal Trauma(Immediately after childbirth)
研究者
Rozerin BALCI
Lecturer, Department of Midwifery
Bitlis Eren University