Childbirth Education on Upright Positions Mobility During Labor

December 14, 2023 updated by: Ilana Dubovi, Tel Aviv University

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

Intervention / Treatment

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

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

Study Locations

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

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

Ages Eligible for Study

  • Child
  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Nulliparous women

Exclusion Criteria:

*High-risk pregnancy

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

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
Time Frame: The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course.
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
Time Frame: The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course.
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
Time Frame: 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 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

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

Sponsor

Tel Aviv University

Collaborators

Hana Borrer

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)

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

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

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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