The Effect of Continuous Accompanying Support in the Active Phase on Labor Pain, Duration and Satisfaction

Study Overview
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Brief Summary
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This study was planned to determine the effect of continuous accompanying support during the active phase on labor pain, duration and satisfaction.

Detailed Description
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Participants who comes into childbirth needs the support of people around her in order to cope with the stress, anxiety and labor pain she experiences. This support is the continuous birth support given from the time the participants comes to the hospital until the birth of the baby. Having someone who supports the woman during the birth process will provide a positive birth experience for pregnant women. At the same time, the feeling of pain of the supported woman will be reduced and the delivery time will be shortened. This randomized controlled study was planned to be performed on primiparous pregnant women between January 2023 and January 2024. The data of the study will be collected with Personal Information Form, Visual Analog Scale. The study was divided into two groups as experimental and control groups. 55 participants in the experiment -55 participants will be randomized to the control group. Participants meeting the inclusion criteria will be asked to rate their pain and satisfaction from 0 to 10 with the VAS 4 cm, 6 cm, 8 cm and fully open. While both groups receive routine midwife support, when the experimental group reaches 4 cm, a person they want will be taken with them and continuous support will be given until there is a dilation of 10 cm.

Official Title
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The Effect of Continuous Accompanying Support in the Active Phase on Labor Pain, Duration and Satisfaction

Conditions
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Continuous Birth Support

Intervention / Treatment
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* Procedure: uninterrupted accompanying support


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18-35 years old Being literate Fluent and speaking Turkish Primiparous Spontaneous vaginal delivery planned At the beginning of the active phase (dilatation 4 cm) Pregnant women who agreed to participate in the research Exclusion Criteria: Presence of a health problem in the mother during pregnancy At risk of fetal anomaly Having multiple pregnancy Administering analgesic medication during labor

Ages Eligible for Study
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Minimum Age: 18 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
Interventional Model Description: randomized controlled study with two groups as control and experimental group
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: experimental group<br>The experimental group will be provided with routine midwife support and uninterrupted accompanying support. | Procedure: uninterrupted accompanying support<br>* When the participants in the experimental group are taken to the delivery unit, when the neck dilation is 4 cm, a person they want will be taken with them to support them. Afterwards, the pain status and satisfaction of the participants will be questioned when it is 4 cm, 6 cm, 8 cm and 10 cm.<br>|
| No Intervention: control group<br>Only routine midwife support will be provided to the control group. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Scale (VAS) | It is a reliable and easily applicable scale accepted in the world literature. It is used to measure the values that cannot be measured numerically in the evaluation of the pain intensity and satisfaction of the patients. A minimum of 0 and a maximum of 10 points can be obtained from the scale. Additionally, higher scores indicate higher pain intensity, higher satisfaction. | through study completion, an average of 1 year | 
| Personal information form | It is a form that includes questions that determine socio-demographic characteristics and perception of support. The form also includes questions about the process of the birth period. | through study completion, an average of 1 year. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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birth time, continuous birth support, labor pain, satisfaction