Warm and Cool Color Visual Focusing in Labor

N/AActive Not RecruitingNCT07777107

Balikesir University64 enrolled

Overview

This randomized controlled trial was conducted to compare the effects of focusing on warm- and cool-color visuals during labor on labor pain, state anxiety, childbirth comfort, and labor duration. Nulliparous pregnant women were randomly assigned to warm- or cool-color visual focusing groups. Visual focusing was initiated during the early stage of labor and continued throughout labor. Labor pain, state anxiety, childbirth comfort, and labor duration were assessed at predefined stages of cervical dilatation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Labor Pain and Anxiety

Interventions

Warm-color visualOTHER

A visual dominated by warm colors was placed in the delivery room, and visual focusing was initiated at 1 cm of cervical dilatation. The midwife briefly introduced the artwork and the artist and asked the women to focus their attention on the visual throughout labor, particularly during painful periods.

Cool-color visualOTHER

A visual dominated by cool colors was placed in the delivery room, and visual focusing was initiated at 1 cm of cervical dilatation. The midwife briefly introduced the artwork and the artist and asked the women to focus their attention on the visual throughout labor, particularly during painful periods.

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Nulliparous pregnant women Singleton pregnancy Term pregnancy (37-42 weeks of gestation) Cephalic fetal presentation Spontaneous onset of labor Cervical dilatation of 1 cm at enrollment Ability to communicate in Turkish Voluntary participation in the study - Exclusion Criteria: High-risk pregnancy or obstetric complications Presence of a condition requiring emergency obstetric intervention Use of pharmacological analgesia during labor Visual impairment that could interfere with focusing on the visual Development of maternal or fetal complications requiring discontinuation of the intervention \-

Locations (1)

Balıkesir University

Balıkesir, Turkey (Türkiye)

Outcomes

Primary Outcomes

labor pain

Labor pain intensity was assessed using the Visual Analog Scale (VAS) at 4-5 cm, 6-7 cm, and 8-10 cm cervical dilatation. The VAS ranges from 0 to 10, with higher scores indicating greater pain intensity.

Time frame: At 4-5 cm, 6-7 cm, and 8-10 cm cervical dilatation during labor.

Secondary Outcomes

State Anxiety

State anxiety was assessed using the State Anxiety Inventory (STAI-I) at 6-7 cm cervical dilatation. The scale consists of 20 items, with total scores ranging from 20 to 80. Higher scores indicate higher levels of state anxiety.

Time frame: At 6-7 cm cervical dilatation during labor.

Childbirth Comfort

Childbirth comfort was assessed using the Childbirth Comfort Questionnaire (CCQ) at 4-5 cm and 8-10 cm cervical dilatation. Higher scores indicate higher levels of childbirth comfort.

Time frame: At 4-5 cm and 8-10 cm cervical dilatation during labor.

Labor Duration

Labor duration was determined by recording the time elapsed from 4 cm cervical dilatation to full cervical dilatation (10 cm).

Time frame: From 4 cm to 10 cm cervical dilatation during labor.

Data from ClinicalTrials.gov

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