Childbirth Education on Upright Positions Mobility During Labor

Childbirth Education on Upright Positions and Mobility During Labor

Background and study aims: A prospective quasi-experimental study will be conducted among nulliparous women from the ultra-orthodox Jewish community.

Study design: While the control group participated in routine childbirth education, the intervention group learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy.

Study Overview

• Status: Completed
• Conditions: Childbirth Classes
• Intervention / Treatment: Other: Educational/Instructional

Detailed Description

Background: Upright labor positions and movement during labor have a positive effect on childbirth, yet the predominant labor positions are still horizontal. Therefore, it is important to explore how it is possible to improve childbirth education, particularly its instructional design, to strengthen women's self-efficacy toward the use of upright positions and mobility during labor. The aim of the study was to evaluate the impact of an instructional approach based on a cognitive engagement ICAP (Interactive, Constructive, Active, Passive) framework on the development of knowledge, attitudes, and self-efficacy expectations toward upright positions and mobility during labor.

Methods: A prospective quasi-experimental study was conducted among nulliparous women from the ultra-orthodox Jewish community (n=74). While the control group (n = 34) participated in routine childbirth education, the intervention group (n = 36) learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy.

• Study Type: Interventional
• Enrollment (Actual): 74
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Israel
  • Modi'in Illit, Israel
    • Merkaz Shifra

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Nulliparous women

Exclusion Criteria:

*High-risk pregnancy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Non-Randomized
• Interventional Model: Sequential Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Control group; The control group (n = 34) participated in routine childbirth education. The group received the same content via a childbirth class as the intervention group of five meetings (a total of 12.5 hours) given by a nurse midwife. Women in the control group received a routine instructional approach which was based on lectures, videos, discussions, and practice/rehearsals.	Other: Educational/Instructional; ICAP constructive-interactive engagement mode
Experimental: Intervention group; The intervention group (n= 36) learned with childbirth education that included interactive and constructive cognitive engagement activities. The intervention group received the same content as the control group (a total of 12.5 hours), however, the content regarding upright positions and mobility was instructed using the ICAP constructive-interactive engagement modes.	Other: Educational/Instructional; ICAP constructive-interactive engagement mode

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Self-efficacy toward upright positions and mobility during labor	The Childbirth Self-Efficacy Inventory that was developed by Lowe (2000).The participants were asked to rank on a 1-10 Likert scale 18 listed behaviors for how much they can help to cope with labor.	The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Attitudes towards upright positions and mobility during labor	Questionnaire that was constructed according to Ajzen (1991) which defines attitudes as the positive or negative evaluation of certain behavior. The questionnaire includes 6 items; the participants are asked to rank their attitudes on a seven-point Osgood differential semantic scale, where 1 represents negative attitudes, and 7 represents positive attitudes. Higher score means a stronger attitude toward upright positions and mobility during labor.	The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course.
Knowledge about positions and mobility during labor	Knowledge questionnaire about labor positions and mobility was developed and validated by the authors.	The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course.

Collaborators and Investigators

• Sponsor: Tel Aviv University
• Collaborators: Hana Borrer

Study record dates

Study Major Dates

• Study Start (Actual): November 21, 2020
• Primary Completion (Actual): March 1, 2022
• Study Completion (Actual): March 1, 2023

Study Registration Dates

• First Submitted: December 4, 2023
• First Submitted That Met QC Criteria: December 14, 2023
• First Posted (Actual): December 28, 2023

Study Record Updates

• Last Update Posted (Actual): December 28, 2023
• Last Update Submitted That Met QC Criteria: December 14, 2023
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Keywords: childbirth education; upright positions; mobility during labor
• Other Study ID Numbers: TelAvivU_Childbirth education

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: Will be provided upon request

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No