Effect of Labor Dance and Music on Labor Pain and Fear of Childbirth

August 23, 2018 updated by: İlknur Münevver Gönenç, Ankara University
The study was conducted to investigate the effect of labor dance and music used during the active phase of labor on labor pain and fear of childbirth. The study was designed as a single-blind randomized controlled intervention trial. The participants included in sample are taken into 3 groups (totally 93 participants). A total of 93 individuals, 31 of whom were in the dance group (D), 30 in the music group (M), and 32 in the control group (C), were included in the survey. Data were collected between 15 February 2018 and 15 June 2018 by means of a Personal Information Form, the Labor Monitoring Form, the Visual Analogue Scale (VAS), and version A of the Wijma Delivery Expectancy Questionnaire (W-DEQA).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The study was designed as a single-blind randomized controlled trial with one control and two intervention groups. The aim of the study was to investigate the effect of labor dance and music used in the active phase of labor on perceived labor pain and fear of childbirth.

The hypotheses of our study are as follows:

H1: The labor dance used in the active phase of labor has an effect on reducing the perceived labor pain.

H2: The music used in the active phase of labor has an effect on reducing the perceived labor pain.

H3: The labor dance used in the active phase of labor has an effect on reducing the fear of childbirth.

H4: The music used in the active phase of labor has an effect on reducing the fear of childbirth.

H5: The labor dance is a more effective method in reducing the labor pain perceived in the active phase of labor compared to music.

H6: The labor dance is a more effective method in reducing the fear of childbirth in the active phase of labor compared to music.

There were three groups in the study: the dance group (D) which involved pregnant women who performed the labor dance; the music group (M) involving pregnant women who were exposed to music; the control group (C) which included pregnant women who were administered routine hospital practices. The sampling included pregnant women who met the inclusion criteria and agreed to participate in the study. D; The pregnant women performed labor dance when the cervical dilatation reached 4-5 cm. The dance was performed in the company of music played through headphones. The labor dance lasted 30 minutes. M; The pregnant women listened to music for 30 minutes when the cervical dilatation reached 4-5 cm. They took any position they wanted while listening to music. C; No intervention was made to relieve the labor pain and reduce the fear of childbirth in the control group of the study. They were administered routine hospital applications.The study data were collected using a Personal Information Form, the Labor Monitoring Form, the Visual Analogue Scale (VAS), and version A of the Wijma Delivery Expectancy Questionnaire (W-DEQA). After the pregnant women were randomly assigned to groups, the personal information form was filled in. The perceived pain and fear of the pregnant women in group D and group M were measured and recorded prior to the intervention (when cervical dilatation reached 4-5 cm). A 30-minute long intervention was administered in groups D and M. The pain and fear measurements were repeated soon after the intervention, 30 minutes and 60 minutes after the intervention. On the other hand, the pain and fear assessments in the control group were made when the cervical dilatation reached 4-5 cm. The assessment of the perceived pain and fear in controls who were administered routine hospital practices were repeated 30 minutes after the first measurement, after 60 minutes, and after 90 minutes .

Study Type

Interventional

Enrollment (Actual)

99

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

  • Turkey
    • Ankara
      • Altındağ, Ankara, Turkey, 06340
        • Ankara University

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

16 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  1. An indication for vaginal delivery
  2. Primipara
  3. Cervical dilatation of 3 cm or over
  4. Full-term pregnancy (38-42 gestational weeks)
  5. Single healthy fetus in vertex position
  6. No complication that can cause dystocia in labor (such as contraction anomalies, birth object, birth canal associated dystocia, maternal psychology associated dystocia)
  7. Not using analgesia and anesthesia during the first phase of the labor
  8. Having no physical disability to dance
  9. Having no difficulty to take upright position and move
  10. Having no communication problem.

Exclusion Criteria:

  1. Giving up participating in the study
  2. Abnormal changes in fetal heartbeat
  3. Emergence of an unexpected complication in the pregnant woman or the fetus 4) Taking analgesics and anesthesia

5) Incomplete intervention and follow-up due to rapid labor 6) Being taken to C/S before the completion of the intervention and follow-up.

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: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Labor Dance and music groups
  1. Labor Dance; The pregnant women performed labor dance when the cervical dilatation reached 4-5 cm. The dance was performed in the company of music played through headphones.
  2. The pregnant women listened to music for 30 minutes when the cervical dilatation reached 4-5 cm. They took any position they wanted while listening to music.
Behavioral: Labor dance
The dance group which involved pregnant women who performed the labor dance
Behavioral: Music
The music group involving pregnant women who were exposed to music.
No Intervention: Control group
The control group: No intervention was made to relieve the labor pain and reduce the fear of childbirth in the control group of the study. They were administered routine hospital applications.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Visual Analogue Scale Score,
Time Frame: Baseline

The perceived pain pregnant women in groups were measured and recorded prior to the intervention (when cervical dilatation reached 4-5 cm).

Assessed the labor pain level with Visual Analogue Scale score. This is a 10 cm scale which is labeled "no pain" at one end and "severe pain" at the other end. (0=no pain; 10= pain as bad as can be). Increasing scores indicate women's labor pain.
Baseline

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Version A of the Wijma Delivery Expectancy Questionnaire Score
Time Frame: Baseline
The fear pregnant women in groups were measured and recorded prior to the intervention (when cervical dilatation reached 4-5 cm). Assessed childbirth of fear with version A of the Wijma Delivery Expectancy. Questionnaire score. The minimum and maximum scores that can be obtained from the scale range between 0 and 165. Increasing scores indicate women's fear of childbirth.
Baseline
Recurrence of Fear of Childbirth
Time Frame: 30 minutes, 60 minutes and 90 minutes
A 30-minute long intervention was administered in groups Dance and Music. The fear measurements were repeated soon after the intervention, 30 minutes and 60 minutes after the intervention. Assessed childbirth of fear with version A of the Wijma Delivery Expectancy. Questionnaire score. The minimum and maximum scores that can be obtained from the scale range between 0 and 165. Increasing scores indicate women's fear of childbirth.
30 minutes, 60 minutes and 90 minutes
Recurrence of perceived pain
Time Frame: 30 minutes, 60 minutes and 90 minutes

Measurements were repeated 30 minutes after the first measurement, after 60 minutes, and after 90 minutes.

Assessed the labor pain level with Visual Analogue Scale score. This is a 10 cm scale which is labeled "no pain" at one end and "severe pain" at the other end. (0=no pain; 10= pain as bad as can be). Increasing scores indicate women's labor pain.
30 minutes, 60 minutes and 90 minutes

Collaborators and Investigators

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

Sponsor

Ankara University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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)

February 15, 2018

Primary Completion (Actual)

June 15, 2018

Study Completion (Actual)

June 15, 2018

Study Registration Dates

First Submitted

August 17, 2018

First Submitted That Met QC Criteria

August 23, 2018

First Posted (Actual)

August 27, 2018

Study Record Updates

Last Update Posted (Actual)

August 27, 2018

Last Update Submitted That Met QC Criteria

August 23, 2018

Last Verified

August 1, 2018

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Study of Labor Dance and Music

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

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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