The Effect of Pushing Techniques Used During Childbirth on Women's Labor Duration, Pain, and Fatigue Levels

Cumhuriyet University

Status: Active, not recruiting

Conditions: Pushing During Childbirth; Labor Pains; Childbirth; Fatigue During Childbirth; Duration of Labor

Treatments: Behavioral: Spontaneous straining; Behavioral: Valsalva type pushing

Study type: Interventional

Funder types: Other

Identifiers

NCT07446699

TR SİVAS 09

Details and patient eligibility

About

The Effect of Pushing Techniques Used During Childbirth on Women's Labor Duration, Pain, and Fatigue Levels

Full description

This study will be conducted with women who have given birth. The research is designed as a randomized controlled experimental study. The sample will consist of women who apply to the maternity ward of a hospital in Turkey for normal delivery. A total of 128 women are planned to be included in the study, divided into two groups: 64 in the spontaneous pushing group and 64 in the Valsalva pushing group. Data will be collected using a Personal Information Form, a Visual Analog Scale, and a Visual Analog Scale for Fatigue. The pushing methods used during childbirth will be taught to the women by the researcher, and then they will be asked to practice them. The forms will be administered during the latent phase and the fourth stage of labor.

Enrollment: 128 estimated patients

Sex: Female

Ages: 19 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being between 19-35 years old
• Having had a normal vaginal delivery,
• Being between 38-41 weeks pregnant,
• Having a cervical dilation of 8 cm or more,
• Being nulliparous,
• Having a singleton pregnancy,
• Not having a diagnosed physical health problem in the fetus or mother,
• Not having a diagnosed mental health problem in the mother,
• Not having hearing or perception problems,
• Volunteering to participate in the study.

Exclusion criteria

• Being under 19 or over 35 years of age,
• Having undergone a planned cesarean section,
• Being gestational age between 38 and 41 weeks,
• Cervical dilation less than 8 cm,
• Being multiparous,
• Having a multiple pregnancy,
• Having a diagnosed physical health problem in the fetus or mother,
• Having a diagnosed mental health problem in the mother,
• Having hearing and perception problems,
• Not being a volunteer to participate in the study.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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128 participants in 2 patient groups

Spontaneous pushing group

Experimental group

Description:

This is the type of pushing that a pregnant woman does by making sounds and exhaling. The pregnant woman pushes spontaneously, and the intensity of the push is consistent with the contractions. Although contractions occur during spontaneous pushing, the pregnant woman does not push until she feels the urge to push. Pushing occurs with the urge to push. The pregnant woman begins to push with her resting breath.

Treatment:

Behavioral: Spontaneous straining

Valsalva straining group

Experimental group

Description:

This is the type of pushing performed by the pregnant woman while holding her breath. This type of pushing is generally considered by healthcare professionals as directed pushing. The researcher will guide the woman on when and how to push.

Treatment:

Behavioral: Valsalva type pushing