The Effect of Massage and Musıc Therapy on Birth Pain, Posttravmatic Comfort and Posttraumatic Development

Study Overview
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Brief Summary
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Birth pain is the most severe painful experience faced by primiparous people. Massage and music therapy reduce tension in the muscles and reduce the feeling of pain. Massage and music therapy will be applied to pregnant women. No intervention will be made to a group of pregnant women. Numerical Pain Assessment, Post Traumatic Development Scale and Birth Comfort Scale will be used in the research.

Detailed Description
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Birth pain is one of the most severe and difficult to control pains known. Non-pharmacological methods used to cope with labor pain are cheap and reliable. Massage and music therapy in the first stage of labor are non-pharmacological methods used to reduce labor pain. The purpose of this research; non-pharmacological methods applied to primiparous in labor; The aim of this study is to examine the effects of massage and music therapy on labor pain, postpartum comfort and posttraumatic development. A total of 114 primiparous pregnant women who had a normal delivery expectation and were in the active phase of labor (4-5 cm dilatation) were planned to be included in the study. Massage and music therapy will be applied to pregnant women. No intervention will be made to a group of pregnant women. Numerical Pain Assessment, Post Traumatic Development Scale and Birth Comfort Scale will be used in the research.

Official Title
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From Non-Pharmacologıcal Methods Applied to Primipars in Travay; The Effect of Massage And Music Therapy on Birth Pain, Posttravmatic Comfort and Posttraumatic Development: A Randomized Controlled Study

Conditions
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Labor Pain, Posttraumatic Growth

Intervention / Treatment
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* Behavioral: Massage group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Expectation of normal vaginal delivery Having a term pregnancy Being primiparous - Being in the active phase of labor (Cervical dilatation 4 cm) Single pregnancy Being in vertex presentation Uncomplicated prenatal process Volunteering to participate in the study Being pregnant without back pain Exclusion Criteria: Pregnant women whose birth resulted in cesarean section due to failure of labor to progress during labor Pregnant women who did not undergo induction Pregnant women who underwent pharmacological intervention for labor pain

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Massage<br>Massage therapy | Behavioral: Massage group<br>* Massage and music therapy<br>* Other names: Music group;|
| Experimental: Music<br>Music therapy | Behavioral: Massage group<br>* Massage and music therapy<br>* Other names: Music group;|
| No Intervention: Control<br>Control | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Scale (VAS) Score | The score ranges from 1 to 10 peints, with increasing score reflecting more discomfort | In the labour (active and transition phase) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postpartum Comfort Scale | It is possible to score between 34 and 170 on the scale. An increase in the scores obtained from the scale represents a high level of comfort. | At the enf of the delivery (In the 24 th hours) | 
| Posttraumatic Growth Inventory | A minimum of 0 and a maximum of 105 points can be obtained from the scale. As the score obtained from the scale increases, it is thought that the level of post-traumatic development is higher. | At the enf of the delivery (In the 24 th hours) |