The Effect of Pushing Techniques Used During Childbirth on Women's Labor Duration, Pain, and Fatigue Levels
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 128
- 试验地点
- 1
- 主要终点
- Visual Analogue Scale
研究概览
简要总结
The Effect of Pushing Techniques Used During Childbirth on Women's Labor Duration, Pain, and Fatigue Levels
详细描述
This study will be conducted with women who have given birth. The research is designed as a randomized controlled experimental study. The sample will consist of women who apply to the maternity ward of a hospital in Turkey for normal delivery. A total of 128 women are planned to be included in the study, divided into two groups: 64 in the spontaneous pushing group and 64 in the Valsalva pushing group. Data will be collected using a Personal Information Form, a Visual Analog Scale, and a Visual Analog Scale for Fatigue. The pushing methods used during childbirth will be taught to the women by the researcher, and then they will be asked to practice them. The forms will be administered during the latent phase and the fourth stage of labor.
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
- 年龄范围
- 19 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Being between 19-35 years old
- •Having had a normal vaginal delivery,
- •Being between 38-41 weeks pregnant,
- •Having a cervical dilation of 8 cm or more,
- •Being nulliparous,
- •Having a singleton pregnancy,
- •Not having a diagnosed physical health problem in the fetus or mother,
- •Not having a diagnosed mental health problem in the mother,
- •Not having hearing or perception problems,
- •Volunteering to participate in the study.
排除标准
- •Being under 19 or over 35 years of age,
- •Having undergone a planned cesarean section,
- •Being gestational age between 38 and 41 weeks,
- •Cervical dilation less than 8 cm,
- •Being multiparous,
- •Having a multiple pregnancy,
- •Having a diagnosed physical health problem in the fetus or mother,
- •Having a diagnosed mental health problem in the mother,
- •Having hearing and perception problems,
- •Not being a volunteer to participate in the study.
研究组 & 干预措施
Spontaneous pushing group
This is the type of pushing that a pregnant woman does by making sounds and exhaling. The pregnant woman pushes spontaneously, and the intensity of the push is consistent with the contractions. Although contractions occur during spontaneous pushing, the pregnant woman does not push until she feels the urge to push. Pushing occurs with the urge to push. The pregnant woman begins to push with her resting breath.
干预措施: Spontaneous straining (Behavioral)
Valsalva straining group
This is the type of pushing performed by the pregnant woman while holding her breath. This type of pushing is generally considered by healthcare professionals as directed pushing. The researcher will guide the woman on when and how to push.
干预措施: Valsalva type pushing (Behavioral)
结局指标
主要结局
Visual Analogue Scale
时间窗: Baseline
It is used to assess pain intensity. The scale is graded from 0 to 10 cm in length, where 0 represents no pain and 10 represents the most severe pain. It is applied by having the individual mark a point corresponding to the intensity of the pain they feel. The distance between the marked point and the lowest end of the line is measured in centimeters, and the resulting numerical value indicates the patient's pain intensity.
Visual Similarity Scale for Fatigue
时间窗: Baseline
The Visual Analogy Scale for Fatigue consists of 18 items. 13 items form the fatigue subscale, and five items form the energy subscale. The most positive and the most negative statements are located at opposite ends of the scale, and horizontal lines with 10 cm intervals are placed between the two statements. A high score on the fatigue subscale and a low score on the energy subscale indicate a higher intensity of fatigue. The minimum score for the fatigue subscale was 0, and the maximum score was 130; the minimum score for the energy subscale was 0, and the maximum score was 50.
次要结局
- Visual Analogue Scale(In the fourth stage of labor)
- Visual Analogy Scale for Fatigue(In the fourth stage of labor)
研究者
Sukran Ertekin Pinar
Prof. Dr.
Cumhuriyet University