Holistic Birth Experiences: A Qualitative Exploration

July 20, 2025 updated by: Dr. Javeria Saleem, University of the Punjab

Exploring Mothers' Lived Experiences of a Holistic Birth Strategy Intervention for Labor Pain Management: A Phenomenological Qualitative Study in Southern Punjab Pakistan

This quasi experimental qualitative study aims to investigate whether Holistic Birth Approaches is useful technique for improved women's child birth experience. The study objectives include investigating the effect of holistic birth strategies on birth process and how it addresses the fear and anxiety issues during child birth. Moreover, measuring level of satisfaction among women who received holistic strategies during birth was also included in this study. Investigator will also examine the importance of holistic approach for labor pain and delivery management. The study will be conducted in chosen public healthcare facilities that either offers or gives holistic birth methods. The women in labor pain who arrived at hospital where holistic approach is offered for delivery will be included for study.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

The study exploration involves primarily determining the usefulness of Holistic Birth Approaches on women birth experiences especially related to labor pain, fear and anxiety challenges during child birth. Measuring Women's level of Satisfaction associates with using Holistic Birth Approaches is also another primary study objective. Further, evaluating about the factors that act as facilitators and barriers in Holistic Birth Approach implementation in Pakistan. Pregnant Women in labor pain who arrived in chosen public healthcare facilities that offers Holistic Birth Approaches for delivery will be screened for eligibility. Women willing to participate will be selected for interventional study. The included healthcare facilities must use non-clinical birth support practices such as breathing techniques, massage, hydrotherapy, aromatherapy, attendance of a midwife or doula, and emotional support for labor management.

The intervention method includes pre and post interviews. During pre-intervention interviews will be conducted to understand the women previous experiences for labor management if applicable, perceptions, knowledge about holistic approach and attitudes with respect to delivery management. Then with consent of women the holistic method will be employed during delivery for labor management. Then, after delivery post intervention interviews will be conducted to know the perceived benefits of holistic methods for women during delivery along with their intentions for future to implement or improve holistic techniques for better birth process management

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
14

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Punjab
      • Dera Ghazi Khan, Punjab, Pakistan, 32200
        • hospital from Southern Punjab

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Pregnant reproductive age women (18-40 years) who will be willing to participate and understand Urdu language will be include in study who arrived at public health care facility for delivery and is experiencing labor pain The women from those healthcare facilities will be include that provides holistic birth approaches to women for improved birth experience particularly for labor pain, fear of birth and mother's satisfaction

Exclusion Criteria:

  • Those who are not willing for interview will not be included in study. Women having serious medical condition requiring inpatient and outpatient care. Women younger than 18 and more than 40 years.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Use of Holistic Approach techniques during delivery, single arm quasi experimental study
this is single arm quasi experimental study in which intervention is given to women at time of delivery
Procedure: Holistic Birth Approach
Holistic Birth Approach involves use of non pharmacological techniques for better labor process management with less experience of pain, fear and maternal satisfaction to women delivering the baby through normal delivery method.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Benefits of Holistic Birth Approach Use
Time Frame: Pre Intervention interviews: Pre-delivery (when women got admitted to hospital for delivery) Intervention: At time of delivery Post Intervention interviews: Post-delivery (within one or two days after delivery when women was comfortable for interviews)
Pre Intervention; Evaluating pregnant women perspectives, experiences, knowledge and expectations before receiving any holistic birth approach Intervention Phase: Holistic Birth Approaches employed to women Post Intervention; Birth Experiences after receiving Holistic Birth Approach use
Pre Intervention interviews: Pre-delivery (when women got admitted to hospital for delivery) Intervention: At time of delivery Post Intervention interviews: Post-delivery (within one or two days after delivery when women was comfortable for interviews)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
University of the Punjab

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Principal Investigator: Dr Nadia Maryam, Mphil PH, University of the Punjab

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
April 5, 2025

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
April 5, 2025

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
June 5, 2025

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
June 18, 2025

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
July 20, 2025

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
July 22, 2025

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
July 22, 2025

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
July 20, 2025

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
July 1, 2025

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • Holistic Approach NM

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

due to the issues of confidentiality and privacy of patients data will not be shared

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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