Effects of HypnoBirthing Training and Oxytocin Massage in Primiparous Pregnants

Effects of HypnoBirthing Training and Oxytocin Massage on Delivery and Postpartum Period in Primiparous Pregnants: A Randomized Controlled Study

This study was conducted to determine the effects of hypnobirthing training and oxytocin massage on birth and postpartum period in primiparous pregnant women.

Study Overview

• Status: Completed
• Conditions: Pregnancy Related
• Intervention / Treatment: Other: HypnoBirthing training and oxytocin massage group

Detailed Description

Hypnobirthing is a birth philosophy and method that prepares women physically and psychologically for giving birth. It is important to break the fear-tension-pain cycle in HypnoBirthing training. Because the continuity of the cycle increases the pain related to birth, and as the pain increases, the fear increases. In this case, the duration of labor is prolonged, birth success, shape, preference, course and satisfaction are negatively affected. Therefore, this training helps to reduce pain and fear related to labor and increase labor satisfaction. Similarly, it has been determined in the literature that oxytocin (back massage) massage during pregnancy increases uterine contractions, reduces labor pain and duration of labor, accelerates postpartum uterine involution, significantly increases the amount of breast milk, and increases mother-baby attachment. The pregnant education role of the health professional is an effective factor that shapes the birth experience of pregnant women. For this purpose, health professionals in the world and in our country are actively involved in pregnancy education programs in which different methods are applied. The most common ones are Lamaze, Bradly and HypnoBirthing. These trainings also serve to reduce pain and fear related to childbirth, increase labor and postpartum satisfaction, and meet the need for professional support and education of pregnant women. When the studies on HypnoBirthing training and oxytocin massage are examined in the literature, it is noteworthy that there is a very limited number of studies. Therefore, there is a need for well-designed randomized controlled trials that can create a level of evidence for HypnoBirthing training and oxytocin massage.

• Study Type: Interventional
• Enrollment (Actual): 50
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Center
    • Giresun, Center, Turkey, 28200
      • Giresun Gynecology and Children's Diseases Hospital

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Pregnant women between the ages of 18 and 45,
• Able to communicate verbally,
• Being in the 36th week of pregnancy,
• Having a single fetus,
• Being nulliparous

Exclusion Criteria:

• Pregnant women at risk
• Multiparous pregnant women

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: HypnoBirthing training and oxytocin massage group; Pregnant women who received HypnoBirthing training and oxytocin massage constituted the experimental group.	Other: HypnoBirthing training and oxytocin massage group; HypnoBirthing training and oxytocin massage were applied for a total of 12 hours for 4 weeks with the experimental group.
No Intervention: The group without HypnoBirthing training and oxytocin massage; Pregnant women who did not receive HypnoBirthing training and oxytocin massage constituted the control group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wijma Birth Anticipation/Experience Scale A (W-DEQ-A)	The WDEQ A is a six-point Likert-type scale consisting of 33 items, scored 0-5, with 0 being "completely" and 5 being "not at all". The pregnant woman is asked to indicate a number between 0 and 5 that suits her. W-DEQ-A scores were categorized into four subgroups. These are women with a low degree of fear of childbirth (W-DEQ-A score ≤37), women with moderate fear of childbirth (W-DEQ-A score between 38-65), women with severe fear of childbirth (W-DEQ-A score 66-84) and women with clinical fear of childbirth (W-DEQ-A score ≥ 85).	five weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wijma Birth Expectancy/Expectation Scale B (W-DEQ-B)	The scale consists of 33 items. The responses in the scale are numbered from 0 to 5 and are in six-point Likert type. 0 means "completely" and 5 means "not at all". The minimum score on the scale is 0, while the maximum score is 160. As the score increases, the fear of childbirth experienced by women increases.	Five weeks
Postpartum Breastfeeding Self-Efficacy Scale - Short Form	The scale consists of 14 items. The scale is a 5-point Likert scale, ranging from never sure (1 point) to always sure (5 points). The minimum score is 14 and the maximum score is 70. The scale has no cut-off point and a higher score means higher breastfeeding self-efficacy.	5 weeks
Mother-Infant Attachment Scale (MICS)	This scale, consisting of 8 items, is designed to be applied from the first day after birth and allows the mother to express her feelings towards her baby with a single word. It is a 4-point Likert scale. Responses consisting of four options are scored between 0-3, the lowest score that can be obtained from the scale is 0 and the highest score is 24. High scores indicate that mother-baby attachment is strong.	5 weeks
Birth satisfaction scale short form (BSS-SF)	BSS-SF is a 10-item scale of 5-point Likert type. The lowest score from the scale is "0" and the highest score is "40", and as the score obtained from the scale increases, the level of satisfaction increases.	5 weeks

Collaborators and Investigators

• Sponsor: Giresun University
• Investigators: Principal Investigator: Ezgi ŞAHİN, ph.D, Giresun University Faculty of Health Sciences

Study record dates

Study Major Dates

• Study Start (Actual): April 1, 2023
• Primary Completion (Actual): September 10, 2023
• Study Completion (Actual): September 10, 2023

Study Registration Dates

• First Submitted: March 16, 2024
• First Submitted That Met QC Criteria: March 16, 2024
• First Posted (Actual): March 22, 2024

Study Record Updates

• Last Update Posted (Actual): March 22, 2024
• Last Update Submitted That Met QC Criteria: March 16, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Pregnancy; oxytocin; postpartum; Birth; hypno-birthing
• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Reproductive Control Agents; Oxytocics; Oxytocin
• Other Study ID Numbers: GRU-SBF-ES-01

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