THE EFFECT OF 360° VIDEO-ASSISTED TRAINING ON VERTICAL BIRTH POSITIONS IN PRIMIPAROUS WOMEN ON FEAR OF CHILDBIRTH, SELF-EFFICACY IN CHILDBIRTH, SATISFACTION WITH CHILDBIRTH, AND PERINEAL TRAUMA: A RANDOMIZED CONTROLLED TRIAL

September 10, 2026 updated by: Rozerin BALCI, Bitlis Eren University

This randomized controlled trial aims to evaluate the effects of 360-degree video-supported upright birth position education on fear of childbirth, childbirth self-efficacy, birth satisfaction, and perineal trauma among primiparous pregnant women. Eligible participants will be randomly assigned to one of three intervention groups or a control group. In addition to routine antenatal care, participants in the intervention groups will receive 360-degree video-supported education on one of three upright birth positions: use of a Pilates ball, birth dance, or squatting. Participants in the control group will receive routine antenatal care only.

The study will examine whether 360-degree video-supported education can help primiparous women prepare for childbirth, reduce fear of childbirth, improve childbirth self-efficacy and birth satisfaction, and reduce the occurrence of perineal trauma. The outcomes of the three intervention groups will also be explored to determine whether the effects differ according to the type of upright birth position.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

92

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 Contact

Study Locations

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
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Having signed the Informed Consent Form.
  • Being able to speak and understand Turkish.
  • Being literate.
  • Having no impairment that would interfere with auditory, visual, or cognitive communication.
  • Being primiparous.
  • Having a singleton live fetus.
  • Being between 28 and 32 weeks of gestation.
  • Having a fetus in cephalic presentation.
  • Planning a vaginal birth.
  • Being enrolled and randomized before the onset of labor.
  • Being able to use a smartphone or tablet.
  • Having sufficient physical and cognitive ability to watch the 360° video education.
  • Having moderate fear of childbirth, defined as a score of 38 or higher on the W-DEQ-A.

Exclusion Criteria:

  • Refusal to participate in the study or withdrawal from the study.
  • Development of a serious maternal or fetal complication during labor that prevents continuation of the study intervention.
  • Giving birth by elective or emergency cesarean section.
  • Loss of study data during the research process.
  • Giving birth outside Bitlis State Hospital.

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: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Pilates Ball Group
Participants will receive 360° video-supported education on upright birth positions using a Pilates ball.
Behavioral: 360° Video-Supported Upright Birth Positions Education
Participants will receive standardized 360° video-supported education on upright birth positions. The education will include Pilates ball exercises, birth dance, and supported squatting techniques. Each video will demonstrate the relevant birth position and provide information on its proper use, body movements, weight transfer, and position changes. Each video will be approximately 12 minutes (±30 seconds) in duration and will be viewed using a smartphone or tablet.
Experimental: Birth Dance Group
Participants will receive 360° video-supported education on upright birth positions using birth dance.
Behavioral: 360° Video-Supported Upright Birth Positions Education
Participants will receive standardized 360° video-supported education on upright birth positions. The education will include Pilates ball exercises, birth dance, and supported squatting techniques. Each video will demonstrate the relevant birth position and provide information on its proper use, body movements, weight transfer, and position changes. Each video will be approximately 12 minutes (±30 seconds) in duration and will be viewed using a smartphone or tablet.
Experimental: Squatting Group
Participants will receive 360° video-supported education on upright birth positions using supported squatting.
Behavioral: 360° Video-Supported Upright Birth Positions Education
Participants will receive standardized 360° video-supported education on upright birth positions. The education will include Pilates ball exercises, birth dance, and supported squatting techniques. Each video will demonstrate the relevant birth position and provide information on its proper use, body movements, weight transfer, and position changes. Each video will be approximately 12 minutes (±30 seconds) in duration and will be viewed using a smartphone or tablet.
No Intervention: Control Group
Participants will receive routine antenatal care without the 360° video-supported upright birth positions education during the study period.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Childbirth Fear Score
Time Frame: From baseline (before randomization) to 24-48 hours after childbirth
Childbirth fear will be assessed using the Wijma Delivery Expectancy/Experience Questionnaire-A (W-DEQ-A) before randomization and the W-DEQ-B after childbirth. The change in childbirth fear score will be compared between the study groups.
From baseline (before randomization) to 24-48 hours after childbirth

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Childbirth Self-Efficacy Score
Time Frame: From baseline (before randomization) to 24-48 hours after childbirth
Childbirth self-efficacy will be assessed using the Childbirth Self-Efficacy Scale before randomization and within 24-48 hours after childbirth. The change in score will be compared between the study groups.
From baseline (before randomization) to 24-48 hours after childbirth
Birth Satisfaction Score
Time Frame: Within 24-48 hours after childbirth
Birth satisfaction will be assessed using the Birth Satisfaction Scale Short Form within 24-48 hours after childbirth.
Within 24-48 hours after childbirth
Perineal Trauma
Time Frame: Immediately after childbirth
Perineal trauma will be assessed immediately after childbirth during routine clinical evaluation and classified according to the Sultan classification as intact perineum, episiotomy, or first-, second-, third-, or fourth-degree perineal laceration.
Immediately after childbirth

Collaborators and Investigators

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

Sponsor

Bitlis Eren University

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 (Estimated)

October 1, 2026

Primary Completion (Estimated)

February 28, 2027

Study Completion (Estimated)

March 1, 2027

Study Registration Dates

First Submitted

September 10, 2026

First Submitted That Met QC Criteria

September 10, 2026

First Posted (Actual)

September 15, 2026

Study Record Updates

Last Update Posted (Actual)

September 15, 2026

Last Update Submitted That Met QC Criteria

September 10, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • BEU-MIDWIFERY-VIRTUAL-BIRTH-20

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

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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