The Effect of Continuous Midwifery Care at Birth on Labor Pain, Comfort and Satisfaction

Introduction: Birth is a period in which biological, physical, emotional and social changes are experienced. Supportive care provided by the midwife ensures the adaptation of the woman to labor and improves her ability to cope with labor. Supportive care has positive effects on labor and maternal and infant health.

Purpose: This project aimed to determine the birth pain, comfort and satisfaction levels by considering the continuous midwifery care at birth with a holistic approach.

Method: The universe of this study, which will be conducted in randomized controlled experimental type, will consist of pregnant women who applied to Adana City Training and Research Hospital, Gynecology and Obstetrics Clinic, Delivery Room. The number of samples was calculated by G*power analysis, and it was aimed to carry out the research with 30 participants in the intervention group and 30 participants in the control group. Single-blind randomized assignment and block randomization will be performed to avoid selection bias. Data will be collected using face-to-face interview technique. The pre-test will be applied to pregnant women who apply to the delivery room in the latent phase. While the continuous midwifery care model will be applied to the intervention group, standard midwifery care will be applied to the control group. The final test will be done between 1-4 hours postpartum. The independent variable of the study is continuous midwifery care. The dependent variable is the introductory characteristics of women, labor pain, comfort and satisfaction levels. The data will be analyzed with appropriate analysis methods after performing normality tests.

Study Overview

• Status: Completed
• Conditions: Labor Pain
• Intervention / Treatment: Other: Physical support; Other: Psychospiritual support; Other: Environmental and sociocultural support; Other: Routine care

Detailed Description

During childbirth, women need someone's support. Providing continuous care to women with a supportive and holistic approach by midwives who care for women is seen as a potential that can improve labor pain management, birth comfort and satisfaction. The aim of this research is to determine the effect of continuous midwifery care at birth on labor pain, comfort and satisfaction levels.

For this purpose, the objectives are:

• To apply the continuous midwifery care model,
• To increase women's normal birth comfort and satisfaction,
• To create social awareness that midwives play a key role in normal birth,
• Reducing preventable maternal and infant and infant deaths due to care deficiencies,
• To reduce cesarean rates.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Adana, Turkey
    • Çukurova University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Volunteering to participate
• Knowing Turkish and being literate,
• Don't be in the latent phase.

Exclusion Criteria:

• high risk pregnancy
• Multiple pregnancy
• Breech presentation
• Induction of labor
• Emergency cesarean section indication

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: experimental; The experimental group will be placed in continuous midwifery care. The continuous and supportive care stages to be presented at birth are planned within the framework of Kolcaba's comfort theory. According to this theory, interventions will be applied according to the physical, psychospiritual, environmental and sociocultural comfort needs of women.	Other: Physical support; Pharmacological and non-pharmacological methods in pain management, Mobilization, Position preferred by the woman, Fluid and nutritional support, Massage applications, Sacral pressure, Listening to music, Breathing and relaxation exercises; Other Names: Supportive Care; Other: Psychospiritual support; Effective communication, Encouragement to speak up and express fears, Support for faith-oriented practices; Other Names: Supportive Care; Other: Environmental and sociocultural support; egulating the temperature, light and sound of the room, Environment that promotes respect for privacy, Reducing environmental noise, Information, Social support, Talking about cultural practices, Social support; Other Names: Supportive Care; Other: Routine care; Admission to the delivery room, preparation for birth, delivery, postpartum care, etc.; Other Names: Health care
Placebo Comparator: Control; The experimental group will be placed in routine midwifery care.	Other: Routine care; Admission to the delivery room, preparation for birth, delivery, postpartum care, etc.; Other Names: Health care

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Birth Comfort Scale	Change from birth comfort between passive phase of childbirth and active phase of childbirth.	pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth. An increase in the score is interpreted as an increase in comfort level.
Birth Satisfaction Scale	Birth satisfaction in the early postpartum period.	immediately after the intervention/1-4 hours postpartum. An increase in the score is interpreted as an increase in satisfaction level.
Scale of Pain Expression during Childbirth (ESVADOPA)	Change from pain expression level between passive phase of childbirth and active phase. of childbirth.	pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth.An increase in the score is interpreted as an increase in the expression of pain.
Visual Analog Scale	Change from pain between passive phase of childbirth and active phase of childbirth.	pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth. An increase in the score is interpreted as an increase in pain.

Collaborators and Investigators

• Sponsor: Cukurova University

Study record dates

Study Major Dates

• Study Start (Actual): December 5, 2022
• Primary Completion (Actual): January 15, 2024
• Study Completion (Actual): May 1, 2024

Study Registration Dates

• First Submitted: August 23, 2022
• First Submitted That Met QC Criteria: August 26, 2022
• First Posted (Actual): August 29, 2022

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 25, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: Labor pain; Continuous midwifery care; supportive care; Comfort,
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Labor Pain
• Other Study ID Numbers: 03.06.2022/49

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No