The Effects of Innatal Yoga Practices on Pain, Comfort, and Satisfaction in Primiparous Women
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- Yoga practices aim to reduce fear of childbirth, help women develop a positive perception of childbirth, and increase satisfaction with birth.
研究概览
简要总结
The aim of this study is to examine the effects of prenatal yoga practices on labor pain, comfort level during labor, and overall birth satisfaction in primiparous pregnant women in Turkey. This study, which will be conducted using a randomized controlled trial design, aims to measure both the physical contribution of prenatal yoga practice to the birthing process and its effects on psychological well-being and satisfaction, thereby providing evidence-based recommendations to improve the quality of childbirth services.
详细描述
Childbirth is a significant turning point in a woman's life cycle, both physiologically and psychologically. For primiparous women, especially first-time mothers, this process can be filled with intense pain, uncertainty, anxiety, and stress. Research shows that 60% to 80% of women worldwide experience anxiety and fear during childbirth (Bharati, Pokhrel & Bhandari, 2024). A study conducted in Turkey found that 66.3% of pregnant women experienced high levels of fear related to labor pains. Fear of childbirth is not only a psychological experience but can also negatively impact the physiological functioning of the birthing process. Intense fear of childbirth can lead to prolonged labor, an increase in the preference for cesarean sections, and the development of problems such as postpartum depression or post-traumatic stress disorder. Furthermore, the negative impact of fear of childbirth on birth self-efficacy makes the birthing experience more challenging for primiparous women. Key causes of fear of childbirth include intolerance to pain, concern about harming the mother or baby, fear of losing control during labor, and distrust of healthcare personnel. These fears are experienced more intensely, especially in women who have never given birth before; comparative studies have found that primiparous women have significantly higher levels of fear compared to multiparous women. Negative emotions experienced during childbirth directly affect a mother's comfort during labor, her satisfaction with the birth, and her postpartum well-being. Although pain is a natural part of childbirth, how this process is managed, the mother's overall perception of childbirth, and its duration play a decisive role. According to the World Health Organization, the global cesarean section rate is 21%, while in Türkiye this rate has reached 58% (Turkish Statistical Institute, 2023). This situation once again emphasizes the importance of managing the fear of childbirth and pain. In conclusion, it appears that yoga practices help reduce fear of childbirth, contribute to women developing a positive perception of childbirth, and increase satisfaction with birth.
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
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Volunteers to participate in the study,
- •Able to communicate in Turkish,
- •Literate,
- •Not diagnosed with any high-risk pregnancy,
- •Primiparous (first pregnancy),
- •In latent phase (dilation 0-5 cm) upon admission to the delivery room,
- •Not having a previous psychiatric diagnosis,
- •Pregnant women without any identified maternal or infant risk factors during their pregnancy.
排除标准
- •Pregnant women who give birth via cesarean section and do not meet the inclusion criteria will be excluded from the study.
研究组 & 干预措施
innatal yoga group
Primiparous pregnant women arriving at the hospital for delivery will be randomly divided into two groups after admission to the delivery room (latent phase) if they meet the sampling criteria. The pregnant women will be informed about the study and their consent obtained through face-to-face interviews conducted by the researchers. Pregnant women with cervical dilation between 0-5 cm who are randomly selected for the study will complete a Personal Information Form, the Numerical Rating Scale (MRS), the Verbal Category Scale (VCS), and the Birth Comfort Scale (BCS). The pregnant women will perform 8 different innatal yoga poses determined by the researchers, each pose lasting 5 minutes, for a total of 40 minutes. Following the yoga practice, a vaginal examination will be performed by the same midwife, and the MRS, VCS, and BCS will be administered again. After labor, the Birth Satisfaction Scale-Short Form (BSS-S) will be administered to the women.
干预措施: innatal yoga group (Other)
routine primiparous group
Primiparous pregnant women arriving at the hospital for delivery will be randomly assigned to two groups after admission to the delivery room (latent phase), provided they meet the sampling criteria. These women in the control group will be informed about the study and their consent obtained through face-to-face interviews conducted by the researcher. Pregnant women with cervical dilation between 0-5 cm who were assigned to the control group after randomization will complete the Personal Information Form, the Numerical Rating Scale (MRS), the Verbal Category Scale (VCS), and the Birth Comfort Scale (BCS). After receiving routine care, the same midwife will perform a vaginal examination on the pregnant woman 40 minutes later, and the MRS, VCS, and BCS will be administered again. Following labor, the Birth Satisfaction Scale-Short Form (BSS-S) will be administered to the pregnant women in the control group.
结局指标
主要结局
Yoga practices aim to reduce fear of childbirth, help women develop a positive perception of childbirth, and increase satisfaction with birth.
时间窗: From the 0-5 cm cervical dilation range to the early postpartum period (4-24 hours)
The DMÖ-K is a 10-item scale using a five-point Likert type. The scale is scored as follows: "Strongly agree" (4 points), "Agree" (3 points), "Undecided" (2 points), "Disagree" (1 point), "Strongly disagree" (0 points). Items 2, 4, 7, and 8 are reverse-calculated. The lowest possible score is "0", and the highest is "40"; higher scores indicate higher satisfaction levels.
次要结局
未报告次要终点
研究者
Handan ASATEKİN
research assistant
Muş Alparslan University