The Effect of the Intrapartum Care Model Given in Line With the World Health Organization (WHO) Recommendations on Women's Perception of Respectful Maternity Care, Birth Experiences and Perception of Traumatic Birth.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 124
- 试验地点
- 1
- 主要终点
- Comparison of sociodemographic characteristics of pregnant women before the intervention with the questionnaire
研究概览
简要总结
The effect of the ıntrapartum care model given in line with the world health organization (WHO) recommendations on women's perception of respectful maternity care, birth experiences and perception of traumatic birth
详细描述
The research is a randomized controlled trial. The research will 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 will given the intrapartum care model in line with WHO recommendations after cervical dilation reached 5 cm. The control group will received only the standard intrapartum care in the hospital. Data will be collected using the personal information form, birth follow-up form, respectful maternal care scale, birth experience scale, and traumatic birth perception scale.
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
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Those who are 18 years of age or older,
- •Those who are in term pregnancy (38-41 weeks),
- •Those who are primiparous,
- •Those who have a single, healthy, vertex positioned fetus,
- •Those who have cervical dilatation of 5 cm or more,
- •Those who can speak and understand Turkish,
- •Those who voluntarily agree to participate in the research.
排除标准
- •Those with chronic diseases (hypertension, diabetes, etc.),
- •Those with a diagnosed mental illness (depression, anxiety or other psychotic disorder, etc.),
- •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, cord prolapse, etc.),
- •Those with any complications that prevent vaginal birth (cephalopelvic disproportion, etc.),
- •Elective cesarean section,
- •Those who became pregnant with assisted reproductive techniques,
- •Those who received childbirth preparation training.
研究组 & 干预措施
Placebo group
Pregnant women who apply to the hospital for delivery, have a cervical dilatation of 5 cm or more, agree to participate in the study and are assigned to the control group;
- A personal information form will be applied at the first clinic admission.
- Pregnant women assigned to the control group will receive routine intrapartum care provided at the hospital.
- The labor process of the pregnant woman will be recorded on the birth experience monitoring form.
- The mother and baby will receive routine postpartum care provided at the hospital.
- After delivery, the Respectful maternity care scale, Birth experience scale, Traumatic birth perception scale will be applied.
The group that applied the Intrapartum Care Model
Pregnant women who apply to the hospital for delivery, have cervical dilatation of 5 cm and above, agree to participate in the study and are assigned to the intervention group;
- A Personal Information form will be applied at the first clinic admission.
- All primiparous pregnant women assigned to the intervention group will be applied the intrapartum care model by the research midwife during the labor process and after birth in line with the WHO positive birth recommendations (Table 1).
- The labor process of the pregnant woman will be recorded on the birth experience follow-up form.
- After birth, the Respectful maternity care scale, Birth experience scale, Traumatic birth perception scale will be applied.
干预措施: The group that applied the Intrapartum Care Model (Other)
结局指标
主要结局
Comparison of sociodemographic characteristics of pregnant women before the intervention with the questionnaire
时间窗: 6 months
Sociodemographic of pregnant women will be collected through surveys and compared and reported
Comparison of pre-intervention obstetric characteristics of pregnant women with a questionnaire
时间窗: 6 months
Obstetric of pregnant women will be collected through surveys and compared and reported
Comparison of the delivery times of pregnant women through a survey
时间窗: 6 months
The duration of labor of the groups will be collected through surveys and compared and reported
Comparison of the means of the respectful birth care scale among pregnant women by group
时间窗: 6 months
The respectful maternity care scale will be applied to pregnant women. The respectful maternity care scale is 19-95 points (min-max), and as the score increases, women's respectful maternity care increases.
Comparison of the means of the birth experience scale among pregnant women by group
时间窗: 6 months
The birth experience scale will be applied to pregnant women. The birth experience scale is 22-88 points (min-max), and as the score increases, it indicates that the expectant mother has a good birth experience.
Comparison of the means of the traumatic birth perception scale among pregnant women by group
时间窗: 6 months
The traumatic birth perception scale will be applied to pregnant women. The traumatic birth perception scale is 0-130 points (min-max). The scale shows that the 0-26 point range is "very low", the 27-52 point range is "low", the 53-78 point range is "medium", the 79-104 point range is "high", and the 105-130 point range is "very high" traumatic birth perception level.
次要结局
未报告次要终点
研究者
Seyhan Çankaya
Assoc. Prof. Seyhan Çankaya
Selcuk University