The Effect of the Intrapartum Care Model Given in Line With WHO Recommendations on the Birth Process and Care

Not Applicable

Completed

• Conditions: Birth Outcomes; Labor Pain and to Reduce Pain; Fear of Birth; Birth Comfort; Perception of Midwifery Care; Birth Period; Oxytocin Deficiency; WHO Intrapartum Care Recommendations

• Registration Number: NCT06681675
• Lead Sponsor: Selcuk University

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.

Study Timeline

• Study Start: 2023-09-01
• Primary Completion: 2023-12-01
• Study Completion: 2024-01-01
• Status Verified: 2024-11
• Study First Submitted: 2024-11-06
• Study First Submitted QC: 2024-11-07
• Last Update Submitted: 2024-11-07
• Study First Posted: 2024-11-08
• Last Update Posted: 2024-11-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 124

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).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

Selcuk University; 🇹🇷 Konya, Turkey