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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

10 september 2026 uppdaterad av: 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.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Studietyp

Interventionell

Inskrivning (Beräknad)

92

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Barn
  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Stödjande vård
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Pilates Ball Group
Participants will receive 360° video-supported education on upright birth positions using a Pilates ball.
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.
Experimentell: Birth Dance Group
Participants will receive 360° video-supported education on upright birth positions using birth dance.
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.
Experimentell: Squatting Group
Participants will receive 360° video-supported education on upright birth positions using supported squatting.
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.
Inget ingripande: Control Group
Participants will receive routine antenatal care without the 360° video-supported upright birth positions education during the study period.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Childbirth Fear Score
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Childbirth Self-Efficacy Score
Tidsram: 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
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 oktober 2026

Primärt slutförande (Beräknad)

28 februari 2027

Avslutad studie (Beräknad)

1 mars 2027

Studieregistreringsdatum

Först inskickad

10 september 2026

Först inskickad som uppfyllde QC-kriterierna

10 september 2026

Första postat (Faktisk)

15 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

15 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

10 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

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NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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