The Effect of Guided Imagery and Music Play on Labor Pain, Anxiety, and Birth Experience

Study Overview
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Brief Summary
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Purpose: The aim of this project is to examine the effects of guided imagery and music performance during labor on labor pain, anxiety and birth experience. Methods: The research to be carried out within the scope of the project is randomized controlled and has an experimental research design. The population of the research consists of primiparous pregnant women who applied to the Istanbul Provincial Health Directorate, Istanbul Training and Research Hospital, Suleymaniye Obstetrics and Pediatrics Additional Service Building, Birth Unit. Eligible participants in the study sample will be randomly selected at a 1:1:1 ratio. In the calculation of the sample size, using the G*Power (3.1.9.2) program, 5% first type error, 0.30 standardized effect size, distribution ratio to 1 groups, 90% power considering data loss, and the minimum sample size required for 3 groups was 144 people in total. calculated as 48 cases for each group. The group of pregnant women who meet the inclusion criteria will be determined by using the Randomizer.org program. In this direction, 48 people (guided imagery) should be included in experiment 1, 48 people in experiment 2 (musical concert) and 48 people in control group. Informed Consent Form and Voluntary Consent Form will be presented to the pregnant women included in the study, by giving information about the study.Personal Information Form, Visual Analogue Scale (VAS), State Trait Anxiety Scale (STAI Form TX-1) and Birth Expectations and Experiences Scale-Part 1 (DBSS-1) will be applied to pregnant women assigned to the Guided Imagery Group. . In the active phase of labor, when the cervical opening is measured as 4-5 cm, 6-7 cm and 8-10 cm, a 15-minute guided imagery concert (of the scenario determined for the birth process) prepared by the researchers within the scope of the literature, with the service of a ney artist and a psychological counselor, is played by bluetooth from an MP3 player. The pregnant woman will be listened to by the researcher through headphones. VAS will be applied after each attempt. 1 hour after the birth of the baby and placenta, data will be collected by applying VAS, STAI Form TX-1 and Birth Expectations and Experiences Scale-Part 2 (DBSS-2). Personal Information Form, VAS, STAI Form TX-1 and DBSS-1 will be applied to pregnant women assigned to the music concert group. In the active phase of labor, when the cervical opening is measured as 4-5 cm, 6-7 cm and 8-10 cm, the 15-minute ney concert in the acemasiran tune (instrumental music), which was prepared by the researchers with the service of the ney artist within the scope of the literature (the scenario determined for the birth process), was played from the MP3 player via bluetooth headphones. The pregnant woman will be listened to by the researcher. VAS will be applied after each attempt. Data will be collected by applying VAS, STAI Form TX-1 and DBSS-2 1 hour after the birth of the baby and placenta.

Official Title
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The Effect of Guided Imagery and Music Play on Labor Pain, Anxiety, and Birth Experience: A Randomized Controlled Study

Conditions
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Labor Pain

Intervention / Treatment
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* Behavioral: guided imagery
* Behavioral: music recital


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being between the ages of 18-35, Primiparous and singleton pregnancy, No risky pregnancy, At 38 to 42 weeks of pregnancy, Being literate and able to speak and understand Turkish, Pregnant women with a cervical dilation of 4 to 5 cm. Exclusion Criteria: Being under the age of 18, Presence of chronic disease, Women who became pregnant as a result of the application of assisted reproductive techniques, Hearing problem, Having a known diagnosis of serious psychiatric illness.

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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: guided imagery group<br> | Behavioral: guided imagery<br>* The guided imagery technique, which is one of these methods, is used in the method of pain by establishing a connection between mind and body. In the technique, a peaceful scene is depicted in which positive energy is reflected in the person to ensure complete relaxation and relaxation.<br>|
| Experimental: music group<br> | Behavioral: music recital<br>* It is stated that the acemasiran tune (instrumental music) has a reducing effect on the duration of labor, as well as having labor pain and muscle relaxant properties.<br>|
| No Intervention: Control group<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction of labor pain | labor pain assessed by VAS | 15 minutes | 
| Reduction of Anxiety | anxieties of vaginal birth assessed by STAI Form TX-1 | 15 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Birth pain, music listening, positive birth, guided imagery