Childbirth Education on Upright Positions Mobility During Labor

Study Overview
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Brief Summary
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Background and study aims: A prospective quasi-experimental study will be conducted among nulliparous women from the ultra-orthodox Jewish community. Study design: While the control group participated in routine childbirth education, the intervention group learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy.

Detailed Description
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Background: Upright labor positions and movement during labor have a positive effect on childbirth, yet the predominant labor positions are still horizontal. Therefore, it is important to explore how it is possible to improve childbirth education, particularly its instructional design, to strengthen women's self-efficacy toward the use of upright positions and mobility during labor. The aim of the study was to evaluate the impact of an instructional approach based on a cognitive engagement ICAP (Interactive, Constructive, Active, Passive) framework on the development of knowledge, attitudes, and self-efficacy expectations toward upright positions and mobility during labor. Methods: A prospective quasi-experimental study was conducted among nulliparous women from the ultra-orthodox Jewish community (n=74). While the control group (n = 34) participated in routine childbirth education, the intervention group (n = 36) learned with childbirth education that included interactive and constructive cognitive engagement activities. Participants in both groups completed a set of questionnaires regarding knowledge, attitudes, and self-efficacy.

Official Title
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Childbirth Education on Upright Positions and Mobility During Labor

Conditions
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Childbirth Classes

Intervention / Treatment
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* Other: Educational/Instructional


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Nulliparous women Exclusion Criteria: *High-risk pregnancy

Ages Eligible for Study
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Maximum Age: 55 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: Other
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: A prospective quasi-experimental study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Control group<br>The control group (n = 34) participated in routine childbirth education. The group received the same content via a childbirth class as the intervention group of five meetings (a total of 12.5 hours) given by a nurse midwife. Women in the control group received a routine instructional approach which was based on lectures, videos, discussions, and practice/rehearsals. | Other: Educational/Instructional<br>* ICAP constructive-interactive engagement mode<br>|
| Experimental: Intervention group<br>The intervention group (n= 36) learned with childbirth education that included interactive and constructive cognitive engagement activities. The intervention group received the same content as the control group (a total of 12.5 hours), however, the content regarding upright positions and mobility was instructed using the ICAP constructive-interactive engagement modes. | Other: Educational/Instructional<br>* ICAP constructive-interactive engagement mode<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-efficacy toward upright positions and mobility during labor | The Childbirth Self-Efficacy Inventory that was developed by Lowe (2000).The participants were asked to rank on a 1-10 Likert scale 18 listed behaviors for how much they can help to cope with labor. | The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Attitudes towards upright positions and mobility during labor | Questionnaire that was constructed according to Ajzen (1991) which defines attitudes as the positive or negative evaluation of certain behavior. The questionnaire includes 6 items; the participants are asked to rank their attitudes on a seven-point Osgood differential semantic scale, where 1 represents negative attitudes, and 7 represents positive attitudes. Higher score means a stronger attitude toward upright positions and mobility during labor. | The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course. | 
| Knowledge about positions and mobility during labor | Knowledge questionnaire about labor positions and mobility was developed and validated by the authors. | The questionnaire was administered at the beginning of the childbirth course and again at the end of the fifth meeting of the childbirth course. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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childbirth education, upright positions, mobility during labor