The Effect of the Intrapartum Care Model Given in Line With WHO Recommendations on the Birth Process and Care

Selcuk University124 enrolled

Overview

This study aimed to evaluate the effects of the intrapartum care model provided in line with the World Health Organization (WHO) recommendations on labor pain, fear, comfort, duration, oxytocin use and perception of midwifery care.

The research is a randomized controlled trial. The research was 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 were given the intrapartum care model in line with WHO recommendations after cervical dilation reached 5 cm. The control group received only the standard intrapartum care in the hospital. Data were collected using the personal information form, labor and postpartum follow-up form, Visual Analog Scale (VAS), Labor Comfort Scale (DKS), Intrapartum Fear of Labor Scale, and Women's Perception of Supportive Care Given During Childbirth Scale. VAS, DKS, and Fear of Childbirth scale were applied to women in both groups when cervical dilation was 5 cm and 9 cm. After birth, the Women's Perception of Supportive Care Given During Childbirth scale was applied.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

124

Conditions

Birth Outcomes Labor Pain and to Reduce Pain

Interventions

The group that applied the Intrapartum Care ModelPROCEDURE

In pregnant women with cervical dilatation of 5 cm, the Personal Information Form was completed at the initial clinic admission. •The Intrapartum Care Model was implemented for all primiparous pregnant women assigned to the intervention group during labor and after delivery by the researcher midwife, in accordance with the World Health Organization's positive birth recommendations. Data were collected using the Personal Information Form, Labor and Postpartum Follow-up Form, Visual Analog Scale (VAS), Labor Comfort Scale (CSC), Intrapartum Fear of Labor Scale, and Women's Perception of Supportive Care Given During Labor Scale. VAS, CSC, and Fear of Labor Scale were applied to women when cervical dilation was 5 cm and 9 cm. After delivery, the Women's Perception of Supportive Care Given During Labor Scale was applied.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Being 18 years of age or older, * History of term pregnancy (38-42 weeks), * Having a primiparous, * Single, healthy, vertex positioned fetus, * Having no complications that may cause dystocia in labor (such as contraction anomalies, birth object, * Birth canal dystocia, dystocia related to the mother's psychology), * Having a partner/husband, * History of cervical dilatation of 5 cm or more, * Being able to speak and understand Turkish Exclusion Criteria: * 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, etc.), * Those with any complications that prevent vaginal delivery, * Elective caesarean section, those who became pregnant with assisted reproductive techniques, * Those who are multiparous, * Those who have chronic diseases (such as hypertension, diabetes, heart disease).

Outcomes

Primary Outcomes

Comparison of pre-intervention sociodemographic of pregnant women

Sociodemographic of pregnant women will be collected through surveys and compared and reported

Time frame: 6 months

Comparison of pre-intervention obstetric features of pregnant women

Obstetric of pregnant women will be collected through surveys and compared and reported.

Time frame: 6 months

Comparison of labor characteristics of pregnant women before intervention

Labor Characteristics of pregnant women will be collected through questionnaires and compared and reported.

Time frame: 6 months

Comparison of postpartum characteristics of pregnant women

Postpartum characteristics of pregnant women will be collected through surveys and compared and reported.

Time frame: 6 months

Comparison of duration of labor of groups

The duration of labor of the groups will be collected through surveys and compared and reported.

Time frame: 6 months

Comparison of pregnant women's VAS (pain perception) mean scores by groups

VAS (pain perception) scale will be applied to pregnant women. The pain scale (VAS) is 1-10 points (min-max), and as the score increases, women's pain perception also increases.

Time frame: 6 months

Comparison of pregnant women's fear of childbirth average scores by groups

A fear of childbirth scale will be applied to pregnant women. The fear of childbirth scale is 10-100 points (min-max), and as the score increases, women's fear of childbirth increases.

Time frame: 6 months

Comparison of pregnant women's birth comfort score averages by groups

A birth comfort scale will be applied to pregnant women. The birth comfort scale is 9-45 points (min-max), and as the score increases, women's birth comfort increases.

Time frame: 6 months

Comparison of mean scores of the scale of women's perception of supportive care given during childbirth by groups

A scale of women's perception of supportive care given during childbirth will be applied to pregnant women. The scale of women's perception of supportive care given during childbirth is 33-132 points (min-max), and as the score increases, women's perception of care increases.

Time frame: 6 months

Comparison of oxytocin use by groups

Oxytocin use by groups will be collected via survey and reported by comparison.

Time frame: 6 months

The Effect of the Intrapartum Care Model Given in Line With WHO Recommendations on the Birth Process and Care

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes