Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT06348680 |
| Other study ID # |
AmasyaU-betuluzun-004 |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
March 25, 2024 |
| Est. completion date |
May 15, 2024 |
Study information
| Verified date |
April 2024 |
| Source |
Amasya University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The goal of midwifery undergraduate education is; To provide students with basic professional
knowledge, skills and attitudes in cognitive, affective and psychomotor dimensions. Various
practices are used to provide students with midwifery skills. Case studies, maintenance
processes, laboratory applications, field studies, simulation application and video
monitoring are some of these applications. Each of these approaches, which are especially
preferred in applied courses, has an important place in increasing students' self-efficacy
and reducing their anxiety. Episiotomy is one of the obstetric interventions that negatively
affects the self-efficacy of midwifery students and causes anxiety. Midwives are responsible
for performing and caring for episiotomy. In many countries, episiotomy repair training is
given to midwifery students using sponges or models. However, today the use of calf tongue,
which is very similar to perineal tissue, has become widespread. There are a limited number
of studies in the literature using calf tongue simulation. These studies suggested that the
practice improved the skills of midwifery students. No study has been found in the literature
using video-assisted episiotomy repair training.
Description:
Episiotomy is one of the most commonly performed surgical interventions in normal vaginal
birth. Episiotomy, also known as perineotomy, can be defined as an incision made in the
perineum to ensure easy delivery of the fetus, shorten the active phase of labor, prevent
lacerations, and protect the perineal tissue and anal sphincter. This procedure is a surgical
intervention applied to the bulbo-cavernos muscle located in the perineum in the second phase
of labor. It can be said that episiotomy has become widespread as a result of medicalization
in birth, as in all areas of health. In particular, moving births from homes to hospital
environments can be cited as one of the leading reasons for the increase in episiotomy rates.
Routine episiotomy may cause pelvic organ prolapse and damage the muscles in the anal
sphincters and perineal structure. In addition, studies on the subject have shown that
episiotomy may be associated with problems such as postpartum pain, dyspareunia and
incontinence. It is also known that the rate of perineal trauma is high in countries where
episiotomy is frequently performed. For this reason, episiotomy, which is basically done to
prevent uncontrolled damage that may occur in the perineal area, is not routinely preferred
today. The recommendation of the American College of Obstetricians and Gynecologists (ACOG)
regarding episiotomy is as follows: Episiotomy may be preferred in cases of risk arising from
the mother or the baby, such as protecting against perineal tears that may occur in the
mother during vaginal birth, facilitating or accelerating birth, but its use should be
limited in cases where it is not necessary.
Self-efficacy is defined as the individual's beliefs about his ability to perform
significantly in events that will affect his life. Self-efficacy perception determines how
individuals feel, think, motivate themselves and behave. It is known that motivation
increases as the level of self-efficacy increases). It has also been reported that
individuals with high self-efficacy have a higher potential to cope with problems, experience
less stress and anxiety, and make more effort to achieve their desired results. It is
estimated that people with low self-efficacy often experience stress, anxiety and depression,
and their academic and social success decreases. As a matter of fact, some studies have found
that the academic performance of university students increases in parallel with their
self-efficacy score averages.
The goal of midwifery undergraduate education is; To provide students with basic professional
knowledge, skills and attitudes in cognitive, affective and psychomotor dimensions. Various
practices are used to provide students with midwifery skills. Case studies, maintenance
processes, laboratory applications, field studies, simulation application and video
monitoring are some of these applications. Each of these approaches, which are especially
preferred in applied courses, has an important place in increasing students' self-efficacy
and reducing their anxiety. Episiotomy is one of the obstetric interventions that negatively
affects the self-efficacy of midwifery students and causes anxiety. Midwives are responsible
for performing and caring for episiotomy. In many countries, episiotomy repair training is
given to midwifery students using sponges or models. However, today the use of calf tongue,
which is very similar to perineal tissue, has become widespread. There are a limited number
of studies in the literature using calf tongue simulation. These studies suggested that the
practice improved the skills of midwifery students. No study has been found in the literature
using video-assisted episiotomy repair training.
