The Effect of Potcost Stories on Childbirth Fear, Pain and Delivery Method
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 96
- 主要终点
- Wijma Birth Expectation/Experience Scale (W-DEQ) Version A
研究概览
简要总结
Birth is an important period that affects a woman's life physically, psychologically and socially. Although this experience can bring joy, it can also be accompanied by anxiety and fear. Fear of birth is affected by people's past traumatic birth experiences, lack of information, and the transfer of birth experiences experienced by individuals . Birth stories are one of the most accessible and frequently used tools for women to learn about birth. These stories are seen to affect women's fears of birth and their birth preferences .This study will evaluate the impact of Potcost Stories on childbirth-related fear, pain, experiences and mode of delivery.
详细描述
Birth is an important period that affects a woman's life physically, psychologically and socially. Although this experience can bring joy, it can also be accompanied by anxiety and fear. Fear of birth is affected by people's past traumatic birth experiences, lack of information, and the transfer of birth experiences experienced by individuals . Birth stories are one of the most accessible and frequently used tools for women to learn about birth. These stories are seen to affect women's fears of birth and their birth preferences .The World Health Organization (WHO) has emphasized the importance of education given during pregnancy in reducing a positive birth experience and fear of birth. . Advances in technology have made podcasts, videos, and mobile phone applications (apps) widely used in training. As a result of these trainings, behavioral changes are observed in people. It has been reported that being supported by midwives during pregnancy and encouraging birth as a positive experience reduces the fear of birth . Therefore, sharing positive birth stories in pregnancy schools and antenatal care is of great importance. However, it is thought that using podcast stories and sharing women's positive birth experiences together will reduce fear during birth and increase vaginal birth. Therefore, in this study, a podcast of stories that pregnant women can listen to again whenever they want, including positive birth experiences, was prepared. This study aimed to determine the effects of potcost stories on fear, pain, satisfaction and birth outcomes related to birth. We aim for the findings and results of the study to contribute to the midwifery and nursing care literature.
This study will evaluate the effects of Potcost Stories on fear, pain, experiences and delivery type related to birth.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Those who have completed at least primary school education
- •Those who can speak, understand and write Turkish
- •Those between the ages of 18-35
- •Those who have spontaneous pregnancy
- •Those who volunteer to participate in the study
- •Those who are in the 24th week of pregnancy according to their last menstrual period (LMT) or ultrasound (USG) records
- •Those who have no risk factors
- •Those who have a phone number that can be used for educational interviews
- •Those who attend a pregnancy school
排除标准
- •Those who have fear of childbirth
- •Those who have chronic and/or psychiatric health problems
- •Those who did not attend at least three sessions of the education program
- •Those who were at risk during the pregnancy at any stage of the study
- •Those who could not be interviewed within the first 24 hours after birth were excluded from the study.
研究组 & 干预措施
Control Group
Potcost Stories
干预措施: Podcast olumlu doğum hikayeler (Behavioral)
结局指标
主要结局
Wijma Birth Expectation/Experience Scale (W-DEQ) Version A
时间窗: 1 MOUNT
The Wijma Birth Expectation/Experience Scale Version A (W-DEQ A), developed by K. Wijma et al. in Sweden in 1998, was adapted to Turkish by Körükçü et al. in 2012. The W-DEQ consists of 33 items and is a six-point Likert-type scale. The item responses are numbered from 0 to 5, with 0 indicating "completely" and 5 indicating "not at all". The minimum score that can be obtained from the scale is 0, and the maximum score is 165. The cut-off value is 85 points, and a score of 85 and above is expressed as clinical fear. A high total scale score means that the degree of fear experienced is also high. * W-DEQ score ? 37 is mild, * W-DEQ score = 38-65 is moderate, * W-DEQ score = 66-84 is severe, * W-DEQ score ? 85 indicates clinical fear. Questions 2, 3, 6, 7, 8, 11, 12, 15, 19, 20, 24, 25, 27 and 31 in the scale are negatively loaded and are calculated by reversing in order to ensure compliance in the measurement. The Cronbach a
VASA Pain
时间窗: 1 HOUR
The numerical pain rating scale (NAS) is used to assess pain intensity. In the numerical rating scale, pain is rated between 0 (absence of pain) and 10 (unbearable pain) (Price et al., 1983)
Birth Experience Questionnaire (CEQ)
时间窗: 1 HOUR
The Birth Experience Questionnaire (CEQ), developed by Dencker et al. in 2010, was adapted to Turkish by Mamuk et al. in 2019. The scale, which was developed to measure women's birth experience in different dimensions, has four sub-dimensions and 22 items. It consists of the Birth process with 8 items, Professional help / Support with 5 items, Perceived Security / Memories with 6 items and Participation in Decisions with 3 items. * Questions 1, 2, 4, 5, 6, 19, 20, 21 in the Birth Process sub-dimension; * Questions 13, 14, 15, 16, 17 in the Professional help / Support sub-dimension; * Questions 3, 7, 8, 9, 18, 22 in the Perceived Security / Memories sub-dimension; * Questions 10, 11, 12 are included in the Participation in Decisions sub-dimension. The first 19 items of the scale are in the four-point Likert type and are scored from 1 to 4. • Completely agree = 1, • Mostly agree = 2, • Partially agree = 3, • Strongly disagree = 4. The last three
次要结局
未报告次要终点
研究者
Mine Gokduman Keles
Dr
Burdur Mehmet Akif Ersoy University