The Effect of Continuous Midwifery Care at Birth on Labor Pain, Comfort and Satisfaction

Çukurova University

Status: Completed

Conditions: Labor Pain

Treatments: Other: Physical support; Other: Routine care; Other: Psychospiritual support; Other: Environmental and sociocultural support

Study type: Interventional

Funder types: Other

Identifiers

NCT05520060

03.06.2022/49

Details and patient eligibility

About

Introduction: Birth is a period in which biological, physical, emotional and social changes are experienced. Supportive care provided by the midwife ensures the adaptation of the woman to labor and improves her ability to cope with labor. Supportive care has positive effects on labor and maternal and infant health.

Purpose: This project aimed to determine the birth pain, comfort and satisfaction levels by considering the continuous midwifery care at birth with a holistic approach.

Method: The universe of this study, which will be conducted in randomized controlled experimental type, will consist of pregnant women who applied to Adana City Training and Research Hospital, Gynecology and Obstetrics Clinic, Delivery Room. The number of samples was calculated by G*power analysis, and it was aimed to carry out the research with 30 participants in the intervention group and 30 participants in the control group. Single-blind randomized assignment and block randomization will be performed to avoid selection bias. Data will be collected using face-to-face interview technique. The pre-test will be applied to pregnant women who apply to the delivery room in the latent phase. While the continuous midwifery care model will be applied to the intervention group, standard midwifery care will be applied to the control group. The final test will be done between 1-4 hours postpartum. The independent variable of the study is continuous midwifery care. The dependent variable is the introductory characteristics of women, labor pain, comfort and satisfaction levels. The data will be analyzed with appropriate analysis methods after performing normality tests.

Full description

During childbirth, women need someone's support. Providing continuous care to women with a supportive and holistic approach by midwives who care for women is seen as a potential that can improve labor pain management, birth comfort and satisfaction. The aim of this research is to determine the effect of continuous midwifery care at birth on labor pain, comfort and satisfaction levels.

For this purpose, the objectives are:

• To apply the continuous midwifery care model,
• To increase women's normal birth comfort and satisfaction,
• To create social awareness that midwives play a key role in normal birth,
• Reducing preventable maternal and infant and infant deaths due to care deficiencies,
• To reduce cesarean rates.

Enrollment: 60 patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Volunteering to participate
• Knowing Turkish and being literate,
• Don't be in the latent phase.

Exclusion criteria

• high risk pregnancy
• Multiple pregnancy
• Breech presentation
• Induction of labor
• Emergency cesarean section indication

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups, including a placebo group

experimental

Experimental group

Description:

The experimental group will be placed in continuous midwifery care. The continuous and supportive care stages to be presented at birth are planned within the framework of Kolcaba's comfort theory. According to this theory, interventions will be applied according to the physical, psychospiritual, environmental and sociocultural comfort needs of women.

Treatment:

Other: Environmental and sociocultural support

Other: Psychospiritual support

Other: Routine care

Other: Physical support

Control

Placebo Comparator group

Description:

The experimental group will be placed in routine midwifery care.

Treatment:

Other: Routine care