The Effect of Diverting Attention Technique on Labor Pain and Satisfaction

The Effect of Diverting Attention Technique on Labor Pain and Satisfaction: Randomized-controlled Study

Having a patient with pain watch a video can be used to "direct attention to a different direction", which is a part of nursing care in pain management (İnal and Canbulat, 2015). There are studies using different non-invasive methods to reduce pain during labor (Ebrahimian and Bilandi, 2021; Kazeminia et al., 2020). However, no randomized controlled study has been found in which comedy videos were watched for labor pain management and birth satisfaction. For this reason, it is planned to investigate the effect of comedy video on pain and birth satisfaction in this study.

Study Overview

• Status: Recruiting
• Conditions: Labor Pain
• Intervention / Treatment: Other: Distraction technique with comedy video

Detailed Description

Pregnancy and birth represent a major crisis and stressful period in a woman's life. The quality of experiences during birth affects the mother's physical and emotional health, her desire to have another child, and her emotional relationship with the child (Vaziri et al., 2012). It is stated that there are relationships between increased maternal birth satisfaction and the quality of care and birth services provided (Jha et al., 2017). Lack of satisfaction can lead to postpartum depression, breastfeeding disorders, changes in the mother's attitude towards having another child in the future, and subsequent changes at birth with associated disorders (Sayed et al., 2018). The applicability of methods that can alleviate pain during the birth stages can turn birth into a positive and satisfying experience (Kordi et al., 2018). Among these methods, non-drug and supportive treatments can improve the mental and emotional aspects of birth by reducing the severity of pain and fear, reduce the frequency of elective caesarean sections, and increase the statistics of natural birth. Despite treatment measures, when a pregnant woman experiences pain and stress, the sympathetic nervous system is constantly stimulated, resulting in an increase in the secretion of catecholamines and therefore an increase in pulse rate and systolic blood pressure (Makvandi et al., 2013). The increase in catecholamines may reduce blood flow from the mother to the fetus, ultimately causing uterine contractions to be less effective and prolonging labor. Therefore, improving maternal and fetal outcomes is recommended to positively impact maternal satisfaction with birth (Zare et al., 2017).

Measures aimed at reducing pain and shortening the length of labor stages may increase maternal satisfaction with the birth experience ( Kordi et al., 2018 ). Maternal and fetal complications limit the use of pharmacological methods to facilitate birth; For this reason, more user-friendly, non-prescription, lower-cost and less complicated methods are preferred (Mirghafourvand et al., 2014). Although there are many techniques available today to make the birth experience enjoyable, it is still important to find more easily applicable methods (Siddiquee et al., 2016). One of the non-medical interventions to reduce sensitivity is the cognitive-behavioral approach; With this approach, the individual's attention is shifted from a painful stimulus to an external stimulus (Indovina et al., 2016). This non-pharmacological approach can be adopted to alleviate stress and lower cortisol concentrations in response to stress. Having a patient with pain watch a video can be used to "direct attention to a different direction", which is a part of nursing care in pain management (İnal and Canbulat, 2015). There are studies using different non-invasive methods to reduce pain during labor (Ebrahimian and Bilandi, 2021; Kazeminia et al., 2020). However, no randomized controlled study has been found in which comedy videos were watched for labor pain management and birth satisfaction. For this reason, it is planned to investigate the effect of comedy video on pain and birth satisfaction in this study.

• Study Type: Interventional
• Enrollment (Estimated): 70
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Çorum, Turkey, 19600
    • Recruiting
    • Fatma Yıldırım
    • Contact: Fatma Yıldırım; Phone Number: +905466742445; Email: crazy_fotti@hotmail.com

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Being in the active phase of labor,
• Being between the ages of 18-45,
• Knowing Turkish,
• Not having a high-risk pregnancy diagnosis,
• Being over 37 weeks gestational age,
• Volunteering to participate in research.

Exclusion Criteria:

• Not knowing Turkish,
• Being diagnosed with a high-risk pregnancy,
• The gestational age is less than 37 weeks,
• Having passed the active phase of labor or being in the latent phase.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control group; When the patients are admitted, their written consent will be obtained and personal information forms and the Visual Comparison Scale (VAS) pain scale will be applied to all participants. VAS pain scale will be applied to both groups during the active phase of labor with 6-8 cm dilatation and 8-10 cm dilatation phases. At the end of the labor, the "Birth Satisfaction Scale Short Form" will be applied to both groups.
Experimental: Intervention group; When the patients are admitted, their written consent will be obtained and personal information forms and the Visual Comparison Scale (VAS) pain scale will be applied to all participants. Women in the experimental group will watch a 15-20 minute video with comedy content during the active phase of the action (4-6 cm dilation), and no intervention will be made to women in the control group. VAS pain scale will be applied to both groups during the active phase of labor with 6-8 cm dilatation and 8-10 cm dilatation phases. At the end of the labor, the "Birth Satisfaction Scale Short Form" will be applied to both groups.	Other: Distraction technique with comedy video; Women in the intervention group will watch an average of 6 minutes of comedy videos during the active phase, transition phase and latent phase of labor.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analog Scale	Visual Analog Scale for labor pain	in the labor's 4-6, 6-8,8-10 cm cervical opening

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Birth satisfaction scale	Birth satisfaction scale	In the 4th stage of labor

Collaborators and Investigators

• Sponsor: Hitit University

Study record dates

Study Major Dates

• Study Start (Actual): December 8, 2023
• Primary Completion (Estimated): February 8, 2024
• Study Completion (Estimated): April 8, 2024

Study Registration Dates

• First Submitted: December 22, 2023
• First Submitted That Met QC Criteria: December 22, 2023
• First Posted (Estimated): January 8, 2024

Study Record Updates

• Last Update Posted (Estimated): January 8, 2024
• Last Update Submitted That Met QC Criteria: December 22, 2023
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Labor Pain
• Other Study ID Numbers: Hitit_Labor

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