The Effect of Trauma Informed Care in Childbirth

Mersin University

Status: Completed

Conditions: Care Pattern, Maternal; Childbirth; Psychological Well-being

Treatments: Other: Standart care; Other: Experimental: Supportive Care based on trauma informed care

Study type: Interventional

Funder types: Other

Identifiers

NCT05662176

DND

Details and patient eligibility

About

The aim of this study is to determine the effect of supportive care based on trauma informed care during childbirth on perinatal mental health outcomes.

Full description

This is a randomized control experimental study. Data were collected from 100 women who attended supportive care based on trauma informed care or standart care from Turkey between July 2022 and September 2022. Participants who met the inclusion criteria were informed about the purpose of the study and the procedures to be performed, informed consent was obtained from those who agreed to participate, and women were assigned to the groups in line with a computer-based randomization program with an allocation ratio of 1:1. Block randomization could not be performed because of the different and long delivery processes. Data were collected in both groups at birth (latent phase, active phase, and transitional phase), within 24 hours of birth, and 6th-8th postpartum days after hospital admission and at least one hour of care. collected by the first author. The CONSORT directive was followed in the planning, implementation and writing of the research.

Enrollment: 91 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• The ages of 18-40 women,
• At least primary school graduate,
• Mother tongue Turkish,
• Single fetus,
• Term,
• Spontaneous birth,
• Cervical dilatation between 0-5 cm (latent phase) and without a condition that could prevent vaginal delivery.
• Primiparous women
• Not have any disease or complication and agreed to participate in the study were included.

Exclusion criteria

• Women who developed a complication with the fetus or themselves during delivery,
• Not be reached during follow-ups by telephone,
• Wanted to withdraw from the study

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

91 participants in 2 patient groups

Experimental: Supportive Care based on trauma informed care

Experimental group

Description:

Participants were provided care in different rooms, blinded to the differences in practice used between the two groups. In the same clinic, a room was designed as a positive delivery room by the researchers and a relaxing environment was created. In this room, supportive care based on trauma informed care was provided to the experimental group during birth.

Treatment:

Other: Experimental: Supportive Care based on trauma informed care

Control: Standart care

Other group

Description:

Participants in the control group, on the other hand, received the routine care given in the hospital by other midwives in the clinic, and there was a change of caregiver midwife during shift changes. The care provided in the hospital during delivery is mostly focused on low level of physical comfort and high level of follow-up.

Treatment:

Other: Standart care