Clinical trial NCT05955053: Childbirth Performed in Collaboration With Midwife-Pregnant
Official title: The Effect of Childbirth Performed in Collaboration With Midwife-Pregnant Under the Partnership Model on Childbirth Experience and Childbirth Satisfaction: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Birth, First
Care Pattern, Maternal
Care
Pregnancy Related
Keywords: Childbirth satisfaction
Midwife-pregnant partnership
Midwife-pregnant cooperation
Childbirth experience
Partnership model
Midwifery
Childbirth
Delivery
Care
Randomized
Lead sponsor: Munzur University
Sponsor class: OTHER
First posted: 2023-07-21
Enrollment: 154
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Paralel designed randomized two armed study
Primary purpose: SUPPORTIVE_CARE

Brief summary: With the medicalization of midwifery care; It has been reported that the autonomy of midwives is reduced, and their relationships with care and care recipients are under threat. For this reason, the midwife had to move away from the concept of being with the woman and face the ideology of being with the institution. In this context, it is thought that there is a need for care models that enable the midwife and woman to work in cooperation. It is thought that establishing a collaborative relationship based on the partnership model between the midwife and the pregnant will be possible with the continuity of care. There are studies in the literature showing that the continuity of midwifery care has positive results at birth. However, no study has been found regarding the partnership or cooperation of the midwife with the pregnant woman during delivery with standards. It is thought that this research to be conducted has a unique value in terms of meeting the need for scientific information on the effect of midwife-pregnant cooperation on birth experience and birth satisfaction. In the study, continuous midwifery care will be given to pregnant women during delivery based on midwife-pregnant cooperation in line with the midwifery care model checklist. It is thought that this midwifery care given during birth will positively affect the birth experience and birth satisfaction.

Detailed description: It has been reported that the medical care model has become widespread, the autonomy of midwives has decreased within the scope of medical care, the care is more medical, the relations of the midwife with the care recipients are under threat and holistic care is avoided. Due to the inability to provide one-to-one holistic care to pregnant women, pregnant women perceive their births as traumatic and experience negative births. In this context, the aim of the research is to evaluate the effect of midwife-pregnant cooperation on birth experience and birth satisfaction within the scope of partnership model. A total of 154 (Intervention; 77, Control; 77) people are planned to be included in the research by performing power analysis. Within the scope of the partnership model, one-to-one care will be given to the pregnant woman in the intervention group during delivery, according to the partnership model, and no intervention will be applied to the control group. Voluntary consent will be obtained from the volunteers to be included in the study and will be randomly included in the groups. Pregnant Information Form, Midwife-Pregnant Collaboration Scale at Birth, Birth Experience Scale, Birth Satisfaction Scale and Midwifery Birth Care Model Checklist will be used to collect research data. Number, percentage distribution, mean and standard deviation, correlation/regression test and t-test for independent groups will be used in the analysis of the research. It is thought that with the care given at the end of the research, the birth experience of the pregnant women will be positive and they will be satisfied with the birth. In the research, it is thought that the positive birth experience and satisfaction of the pregnant women will indirectly give a positive perspective to the normal birth.

Eligibility criteria: Inclusion Criteria:

* Between the ages of 18-35,
* Childbirth started and hospitalized,
* Having a live, single, healthy fetus,
* In the active phase (dilatation= 4 cm and above),
* No maternal and fetal complications that may affect labor,
* At least primary school graduate and no language-communication problem,
* Pregnant women who accepted to participate in the study and whose consent was obtained will be included in the study.

Exclusion Criteria:

* Those with a chronic disease,
* Those with multiparous pregnancy,
* Adolescent pregnant women under the age of 18,
* Advanced age pregnant women over 35 years old,
* Being unable to speak Turkish and having communication difficulties,

Primary outcomes:
measure: Childbirth Experience
timeFrame: 12 hours after childbirth
measure: Childbirth Satisfaction
timeFrame: 12 hours after childbirth
Secondary outcomes:
Other outcomes:
Locations:
city: Tunceli
country: Turkey
facility: Munzur University
Study officials:
References:
citation: Boyle S, Thomas H, Brooks F. Women's views on partnership working with midwives during pregnancy and childbirth. Midwifery. 2016 Jan;32:21-9. doi: 10.1016/j.midw.2015.09.001. Epub 2015 Sep 9.
citation: Fleming VE. Women-with-midwives-with-women: a model of interdependence. Midwifery. 1998 Sep;14(3):137-43. doi: 10.1016/s0266-6138(98)90028-6.
citation: Fleming VE. Women and midwives in partnership: a problematic relationship? J Adv Nurs. 1998 Jan;27(1):8-14. doi: 10.1046/j.1365-2648.1998.00474.x.