Satisfaction, Patient Clinical Trial
Official title:
The Effect of Birth Ball and Bırth Dance Applied in The First Stage of Labor on Pain, Type of Birth, Maternal Satisfactıon Ond Duration of Labor
Many non-pharmacological and pharmacological methods can be used in the management of labor pain. Considering the potential side effects on the mother and fetus, pharmacological methods may not be the first choice. Non-pharmacological methods can alleviate pain sensations in various ways, promoting women's well-being and sense of control in labor; Birth ball and birth dance are among the methods that help mothers cope with the pain process and birth. Birth ball is one of the auxiliary tools that make labor more comfortable. In the relevant literature, it has been reported that the birthing ball is beneficial for both pregnancy and birth processes. It is claimed that the birthing ball allows the woman to feel less pain, especially during contractions, and shortens the birth process. Fetal descent is accelerated with the effect of upright position and appropriate rotations. Thus, the mother's birth satisfaction will be increased. Birth satisfaction can be defined as meeting the mother's expectations from birth. Women with low birth satisfaction may develop a negative birth experience, perception of traumatic birth, postpartum depression or a delay in maternal attachment. Birth dance, which is an alternative practice to the birthing ball, can facilitate birth and positively affect maternal satisfaction with the change of position and freedom of movement it provides. It may also reduce the need for medical intervention by shortening the duration of labor. This study aims to examine the effects of birth ball and birth dance practices applied in the first stage of labor on pain, type of birth, maternal satisfaction and birth duration. This research will be conducted with primiparous pregnant women admitted to give birth at Amasya University Sabuncuoğlu Şerefeddin Training and Research Hospital Birth Room between November 2023 and April 2024. Personal Information Form, Verbal Category Scale, Visual Comparison Scale, Mother Satisfaction Evaluation Scale in Normal Birth and Partograph will be used to collect data.
Status | Not yet recruiting |
Enrollment | 120 |
Est. completion date | November 1, 2024 |
Est. primary completion date | April 30, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Those who agree to participate in the research, are over 18 years old and speak Turkish, - Primiparous pregnant women who do not have any physical or chronic disease and are in the latent phase, - Pregnant women who do not have a risky pregnancy, - 38-42. gestational age, singleton pregnant women, - Absence of diagnosed fetal malformations, - No medical problems at the beginning of the study, - Amniotic membranes are not opened, - Women who are at least primary school graduates will be included in the research. Exclusion Criteria: - Pregnant women who received epidural analgesia in the first stage of labor, - Pregnant women whose labor lasts less than 3 hours will not be included in the study. - In case of any complications or cesarean section, the sample will be removed from the study. |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Amasya University | Ataturk University |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Verbal Category Scale-VCS | VCS allows the person to describe pain by choosing the most appropriate expression. Using this scale, the pain experienced is categorized from mild to unbearable. They are numbered on the scale as Mild (1), Disturbing (2), Severe (3), Very Severe (4) and Unbearable (5). The patient is asked to choose the one that suits his/her condition from these options. | pre-intervention | |
Primary | Visual Comparison Scale (VAS) | VAS is used to determine the patient's pain experience. A 10 cm long ruler is used for this purpose. At one end of this scale, there are "No Pain" categories and at the other end there are "Unbearable Pain" categories. It has been stated in the literature that this scale is more sensitive and reliable than other unidimensional scales. The patient is told that there are two end points and that he can mark any point he wishes among these points that is appropriate to the severity of his pain. The distance between the beginning of no pain and the point marked by the patient is measured and recorded in centimeters. | pre-intervention | |
Primary | partograph | A partograph is a graphic record on paper that shows the progress of labor and indicates maternal and fetal status. It is helpful in recognizing cephalopelvic disproportion in labor that does not progress normally and in determining labor induction. It is an early warning system for labor induction, termination of labor, and the decision for caesarean section. | up to birth | |
Primary | Evaluation of birth ball-VCS | VCS allows the person to describe pain by choosing the most appropriate expression. Using this scale, the pain experienced is categorized from mild to unbearable. They are numbered on the scale as Mild (1), Disturbing (2), Severe (3), Very Severe (4) and Unbearable (5). The patient is asked to choose the one that suits his/her condition from these options. | immediately after the intervention | |
Primary | Evaluation of birth ball-satisfaction | Mother Satisfaction Assessment Scale in Normal Birth: It was developed by Güngör and Beji and consists of 43 items and 10 subscales. Thirteen items (7,8,9,10,19,20,21,22,35,36,38,41,42) are reverse scored. The scale is a 5-point Likert type. It is scored as "1- I disagree, 2- I partially agree, 3- I am undecided, 4- I agree and 5- I strongly agree." As the total score from the scale increases, mothers' satisfaction level with the care they received in the hospital during normal birth increases. | up to 1-4 hours postpartum | |
Primary | Evaluation of birth dance-satisfaction | Mother Satisfaction Assessment Scale in Normal Birth: It was developed by Güngör and Beji and consists of 43 items and 10 subscales. Thirteen items (7,8,9,10,19,20,21,22,35,36,38,41,42) are reverse scored. The scale is a 5-point Likert type. It is scored as "1- I disagree, 2- I partially agree, 3- I am undecided, 4- I agree and 5- I strongly agree." As the total score from the scale increases, mothers' satisfaction level with the care they received in the hospital during normal birth increases. | up to 1-4 hours postpartum | |
Primary | Evaluation of birth ball-VAS | Visual Comparison Scale (VAS): VAS is used to determine the patient's pain experience. A 10 cm long ruler is used for this purpose. At one end of this scale, there are "No Pain" categories and at the other end there are "Unbearable Pain" categories. It has been stated in the literature that this scale is more sensitive and reliable than other unidimensional scales. The patient is told that there are two end points and that he can mark any point he wishes among these points that is appropriate to the severity of his pain. The distance between the beginning of no pain and the point marked by the patient is measured and recorded in centimeters. | immediately after the intervention | |
Primary | Evaluation of birth dance-VCS | VCS allows the person to describe pain by choosing the most appropriate expression. Using this scale, the pain experienced is categorized from mild to unbearable. They are numbered on the scale as Mild (1), Disturbing (2), Severe (3), Very Severe (4) and Unbearable (5). The patient is asked to choose the one that suits his/her condition from these options. | immediately after the intervention | |
Primary | Evaluation of birth dance-VAS | Visual Comparison Scale (VAS): VAS is used to determine the patient's pain experience. A 10 cm long ruler is used for this purpose. At one end of this scale, there are "No Pain" categories and at the other end there are "Unbearable Pain" categories. It has been stated in the literature that this scale is more sensitive and reliable than other unidimensional scales. The patient is told that there are two end points and that he can mark any point he wishes among these points that is appropriate to the severity of his pain. The distance between the beginning of no pain and the point marked by the patient is measured and recorded in centimeters. | immediately after the intervention |
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