THE EFFECT OF LABOR DANCE ON THE LABOR PAIN, BIRTH SATISFACTION AND NEONATAL OUTCOMES

Not Applicable

Completed

• Conditions: Labor Pain; Satisfaction; Infant Conditions
• Interventions: Behavioral: Labor Dance

• Registration Number: NCT04196660
• Lead Sponsor: Selcuk University

Brief Summary

Objective: This research was conducted to determine the effects of labor dance on perceived birth pain, birth satisfaction, and neonatal outcomes.

Design: This research was an experimental study with three groups. The data were collected during the active phase of labor as three groups; Dance Practitioner Midwife Group (DPMG-40 pregnant), Dancing Practitioner Spouse / Partner Group (DPSG-40 pregnant) and Control Group (CG-80 pregnant).

Setting: This research was conducted at Ministry of Health Izmir Urla State Hospital between April 1, 2017 and October 31, 2017.

Participants: The pregnant women in the DPMG danced with the midwives in charge of the delivery room and following the pregnancy, but those in the DPSG danced with their spouse/partners during the active phase of labor. Labor pains were measured before the labor dance was begun (when the vaginal dilatation was 4 cm) and after the labor dance (when the vaginal dilatation was 9 cm) using a Visual Analogue Scale (VAS). In the postpartum period, the first, fifth, and tenth-minute Apgar scores and oxygen saturation levels of the newborns were measured and recorded. The Mackey Childbirth Satisfaction Rating Scale was applied to evaluate the women's birth satisfaction at the end of the first hour. In the Control Group, only routine practices were implemented in the hospital, and data were collected as indicated in the experimental groups.

Detailed Description

During a labor dance, pregnant women's hands were wrapped around the neck of the partner (midwife or spouse), the pregnant woman put her head on her partner's shoulder, and they swung left to right accompanied by calming music. During the labor dance, the partner accompanied the pregnant woman's swinging movements and massaged the pregnant woman's sacral area at the same time. The study showed a positive effect of labor dancing on decreasing birth pain and improving satisfaction and neonatal outcomes whether the dance was performed with the spouse or the midwife during the intrapartum period.

Study Timeline

• Study Start: 2017-04-15
• Primary Completion: 2017-10-15
• Study Completion: 2017-10-30
• Status Verified: 2019-12
• Study First Submitted: 2019-12-04
• Study First Submitted QC: 2019-12-11
• Last Update Submitted: 2019-12-11
• Study First Posted: 2019-12-12
• Last Update Posted: 2019-12-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 160

Inclusion Criteria

Those who were admitted to the Ministry of Health Urla State Hospital for labor

• Those whose cervical dilatation between 4 and 8 cm.
• Those who had received labor dance training by attending Prenatal Training with their spouses/partners in perinatal period.
• Those who met the inclusion criteria (Volunteering, term pregnancy (37-41 gestational weeks), single foetus, not having any pregnancy complication (oligohydramniosis and polihydramniosis, placenta previa, pre-eclampsia, premature rupture of membrane, presentation anomalies, intrauterine growth retardation, intrauterine death, macrosomic baby, foetal distress etc.)

Exclusion Criteria

When delivered by cesarean sectio,

• Labor was inducted
• Narcotic analgesics used

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
The Dance Practitioner Midwife Group	Labor Dance	The Dance Practitioner Midwife Group (DPMG) included 40 pregnant women and midwives who had received labor dance training
The Dance Practitioner Spouse/Partner Group	Labor Dance	The Dance Practitioner Spouse/Partner Group (DPSG)

Primary Outcome Measures

Name	Time	Method
Pregnant women's perceived labor pain	The perceived pain pregnant women in groups were measured and recorded prior to the intervention (when cervical dilatation reached 4-5 cm). This is a 10 cm scale which is labeled "no pain" a	- A Visual Analogue Scale (VAS) was administered to determine pregnant women's perceived labor pain
pregnant women's satisfaction level	first hour after the delivery	The Mackey Childbirth Satisfaction Rating Scale was administered in the first hour after; .the delivery to determine pregnant women's satisfaction level.The Mackey Childbirth. Satisfaction Rating Scale was administered in the first hour after the delivery to determine pregnant women's satisfaction level.Fives likert type consists of 34 items and six sub-dimensions. Bottom dimensions self satisfaction, partner involvement, infant, midwife / nurses, doctors and general satisfaction related questions. The minimum score that can be obtained from the scale is 34 and the highest score is 170.; The higher the score obtained from the scale, the higher the satisfaction level of women.
Apgar scores	neonatal apgar score was evaluated at the 1st, 5th and 10th minutes after birth. The aim of this study was to evaluate the effects of birth dance on the newborn.	Newborns' first-minute, fifth-minute, and tenth-minute Apgar scores were evaluated and recorded
oxygen saturation levels	neonatal oxygen saturation level was evaluated at the 1st, 5th and 10th minutes after birth. The aim of this study was to evaluate the effects of birth dance on the newborn.	Newborns' first-minute, fifth-minute, and tenth-minute oxygen saturation levels were measured on their right hands, and the results were recorded

Trial Locations

Locations (1)

Selcuk University; 🇹🇷 Konya, Turkey