Women's Perception of Respectful Maternity Care, Birth Experiences and Perception of Traumatic Birth

Selcuk University

Status: Not yet enrolling

Conditions: Traumatic Birth; Birth, First; Intrapartum Fetal Distress; Maternity

Treatments: Other: The group that applied the Intrapartum Care Model

Study type: Interventional

Funder types: Other

Identifiers

NCT06691854

2024/982

Details and patient eligibility

About

The effect of the ıntrapartum care model given in line with the world health organization (WHO) recommendations on women's perception of respectful maternity care, birth experiences and perception of traumatic birth

Full description

The research is a randomized controlled trial. The research will conducted with 124 primiparous pregnant women (intervention group n=62, control group n=62) who were hospitalized in the delivery unit of Aksaray Training and Research Hospital between September 2023 and January 2024. The pregnant women in the intervention group will given the intrapartum care model in line with WHO recommendations after cervical dilation reached 5 cm. The control group will received only the standard intrapartum care in the hospital. Data will be collected using the personal information form, birth follow-up form, respectful maternal care scale, birth experience scale, and traumatic birth perception scale.

Enrollment: 124 estimated patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Those who are 18 years of age or older,
• Those who are in term pregnancy (38-41 weeks),
• Those who are primiparous,
• Those who have a single, healthy, vertex positioned fetus,
• Those who have cervical dilatation of 5 cm or more,
• Those who can speak and understand Turkish,
• Those who voluntarily agree to participate in the research.

Exclusion criteria

• Those with chronic diseases (hypertension, diabetes, etc.),
• Those with a diagnosed mental illness (depression, anxiety or other psychotic disorder, etc.),
• Those with maternal and fetal complications (oligohydramnios and polyhydramnios, placenta previa, preeclampsia, premature membrane rupture, presentation anomalies, intrauterine growth retardation, fetal anomalies, intrauterine death, macrosomic baby, cord prolapse, etc.),
• Those with any complications that prevent vaginal birth (cephalopelvic disproportion, etc.),
• Elective cesarean section,
• Those who became pregnant with assisted reproductive techniques,
• Those who received childbirth preparation training.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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124 participants in 2 patient groups

Placebo group

No Intervention group

Description:

Pregnant women who apply to the hospital for delivery, have a cervical dilatation of 5 cm or more, agree to participate in the study and are assigned to the control group; * A personal information form will be applied at the first clinic admission. * Pregnant women assigned to the control group will receive routine intrapartum care provided at the hospital. * The labor process of the pregnant woman will be recorded on the birth experience monitoring form. * The mother and baby will receive routine postpartum care provided at the hospital. * After delivery, the Respectful maternity care scale, Birth experience scale, Traumatic birth perception scale will be applied.

The group that applied the Intrapartum Care Model

Experimental group

Description:

Pregnant women who apply to the hospital for delivery, have cervical dilatation of 5 cm and above, agree to participate in the study and are assigned to the intervention group; * A Personal Information form will be applied at the first clinic admission. * All primiparous pregnant women assigned to the intervention group will be applied the intrapartum care model by the research midwife during the labor process and after birth in line with the WHO positive birth recommendations (Table 1). * The labor process of the pregnant woman will be recorded on the birth experience follow-up form. * After birth, the Respectful maternity care scale, Birth experience scale, Traumatic birth perception scale will be applied.

Treatment:

Other: The group that applied the Intrapartum Care Model