The Effect of Continuous Midwifery Care at Birth on Labor Pain, Comfort and Satisfaction

Study Overview
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Brief Summary
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Introduction: Birth is a period in which biological, physical, emotional and social changes are experienced. Supportive care provided by the midwife ensures the adaptation of the woman to labor and improves her ability to cope with labor. Supportive care has positive effects on labor and maternal and infant health. Purpose: This project aimed to determine the birth pain, comfort and satisfaction levels by considering the continuous midwifery care at birth with a holistic approach. Method: The universe of this study, which will be conducted in randomized controlled experimental type, will consist of pregnant women who applied to Adana City Training and Research Hospital, Gynecology and Obstetrics Clinic, Delivery Room. The number of samples was calculated by G*power analysis, and it was aimed to carry out the research with 30 participants in the intervention group and 30 participants in the control group. Single-blind randomized assignment and block randomization will be performed to avoid selection bias. Data will be collected using face-to-face interview technique. The pre-test will be applied to pregnant women who apply to the delivery room in the latent phase. While the continuous midwifery care model will be applied to the intervention group, standard midwifery care will be applied to the control group. The final test will be done between 1-4 hours postpartum. The independent variable of the study is continuous midwifery care. The dependent variable is the introductory characteristics of women, labor pain, comfort and satisfaction levels. The data will be analyzed with appropriate analysis methods after performing normality tests.

Detailed Description
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During childbirth, women need someone's support. Providing continuous care to women with a supportive and holistic approach by midwives who care for women is seen as a potential that can improve labor pain management, birth comfort and satisfaction. The aim of this research is to determine the effect of continuous midwifery care at birth on labor pain, comfort and satisfaction levels. For this purpose, the objectives are: To apply the continuous midwifery care model, To increase women's normal birth comfort and satisfaction, To create social awareness that midwives play a key role in normal birth, Reducing preventable maternal and infant and infant deaths due to care deficiencies, To reduce cesarean rates.

Official Title
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The Effect of Continuous Midwifery Care at Birth on Labor Pain, Comfort and Satisfaction

Conditions
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Labor Pain

Intervention / Treatment
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* Other: Physical support
* Other: Psychospiritual support
* Other: Environmental and sociocultural support
* Other: Routine care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteering to participate Knowing Turkish and being literate, Don't be in the latent phase. Exclusion Criteria: high risk pregnancy Multiple pregnancy Breech presentation Induction of labor Emergency cesarean section indication
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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: experimental<br>The experimental group will be placed in continuous midwifery care. The continuous and supportive care stages to be presented at birth are planned within the framework of Kolcaba's comfort theory. According to this theory, interventions will be applied according to the physical, psychospiritual, environmental and sociocultural comfort needs of women. | Other: Physical support<br>* Pharmacological and non-pharmacological methods in pain management, Mobilization, Position preferred by the woman, Fluid and nutritional support, Massage applications, Sacral pressure, Listening to music, Breathing and relaxation exercises<br>* Other names: Supportive Care;Other: Psychospiritual support<br>* Effective communication, Encouragement to speak up and express fears, Support for faith-oriented practices<br>* Other names: Supportive Care;Other: Environmental and sociocultural support<br>* egulating the temperature, light and sound of the room, Environment that promotes respect for privacy, Reducing environmental noise, Information, Social support, Talking about cultural practices, Social support<br>* Other names: Supportive Care;Other: Routine care<br>* Admission to the delivery room, preparation for birth, delivery, postpartum care, etc.<br>* Other names: Health care;|
| Placebo Comparator: Control<br>The experimental group will be placed in routine midwifery care. | Other: Routine care<br>* Admission to the delivery room, preparation for birth, delivery, postpartum care, etc.<br>* Other names: Health care;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Birth Comfort Scale | Change from birth comfort between passive phase of childbirth and active phase of childbirth. | pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth. An increase in the score is interpreted as an increase in comfort level. | 
| Birth Satisfaction Scale | Birth satisfaction in the early postpartum period. | immediately after the intervention/1-4 hours postpartum. An increase in the score is interpreted as an increase in satisfaction level. | 
| Scale of Pain Expression during Childbirth (ESVADOPA) | Change from pain expression level between passive phase of childbirth and active phase. of childbirth. | pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth.An increase in the score is interpreted as an increase in the expression of pain. | 
| Visual Analog Scale | Change from pain between passive phase of childbirth and active phase of childbirth. | pre-intervention/passive phase of childbirth; immediately after the intervention/active phase of childbirth. An increase in the score is interpreted as an increase in pain. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Continuous midwifery care, supportive care, Labor pain, Comfort,