Clinical trial NCT04746170: The Effect of Labor Dance on Labor Pain, Anxiety, Birth Time and Maternal Satisfaction
Official title: The Effect of Labor Dance Applied to Pregnant Women in the First Stage of Labor on Labor Pain, Anxiety, Birth Time and Maternal Satisfaction at Birth: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pregnant Women
Keywords: Birth
Labor Dance
Anxiety
Maternal Satisfaction
Nurse
Lead sponsor: Artvin Coruh University
Sponsor class: OTHER
First posted: 2021-02-09
Enrollment: 128
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study was planned as a randomized controlled trial. The pregnant will be followed in single rooms. Pregnant women in the experimental group will be given labor dance with music for 15 minutes per hour until the cervical opening starts from 3 cm (latent phase) and the cervical opening reaches 8 cm.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Pregnant women who are in the process of labor need physical and emotional support of health professionals in issues such as coping with labor pain, relieving fear and anxiety, and experiencing positive birth. The fact that labor dance includes components such as upright posture, pelvic movement, touch, massage provides both physical and emotional support to the pregnant woman. The aim of the study is to examine the effect of labor dance applied to pregnant women in the first stage of birth on labor pain, anxiety, birth time and maternal satisfaction at birth.

Detailed description: The study was planned in randomized controlled experimental type. The pregnant women will be followed in single rooms. The information about how to apply the labor dance to the pregnant women in the experimental group will be explained by the researcher in the latent phase of birth and will be shown practically. Pregnant women in the experimental group will be given labor dance with music every hour until the cervical opening starts from 3 cm (latent phase) and the cervical opening reaches 8 cm. Pregnant women will musically choose one of Acemaşiran Authority, Rehavi Authority and Farid Farjad's Thin Rose of My Idea. The researcher and pregnant women will perform a labor dance with the music for 15 minutes per hour. The researcher and the pregnant will hold each other's hands (3-4 steps distance), stand opposite each other and perform pelvic tilt together. When the pregnant woman desires or has contractions, the researcher will massage the waist and sacrum area with a ball massage glove.

Details of the application and birth (such as dance time, birth time, contractions) will be recorded by the researcher. Pregnant women will be followed by the doctor, midwife and researcher during the tram, birth and first four hours postpartum.

Ball Massage Glove Used in Mechanical Massage Application It consists of nine metal balls with a diameter of 1.5 cm that can rotate 360 degrees. With its glove design and ergonomic structure, it can be easily applied to any area. By concentrating directly on the massage points, it can be used more effectively on all points of the body. Since it is made of silicone material, it does not harm the hand and the area to be massaged while massaging. (Information taken from introductory guide).

Eligibility criteria: Inclusion Criteria:

* Not being pregnant diagnosed with Covid -19 (last 20 days)
* Accepting to be included in research,
* 20 years of age,
* Speak Turkish,
* At least a primary school graduate,
* No disability such as hearing or vision,
* Having a pregnancy at term (those between 38-41 weeks of gestation),
* Pregnant women whose labor has started actively,
* Applying to the delivery room for vaginal delivery in the latent phase of labor (when the cervical opening is 1-3 cm),
* Pregnant women without uterine contraction anomaly,
* Having a single fetus, The leading part of the fetus is the head coming (in the vertex position),
* Fetus weight 2500-4000 gr,
* Being in the low risk pregnant group (Absence of conditions such as placenta previa, preeclampsia, heart, gestational diabetes, intrauterine growth retardation, intrauterine dead fetus, macrosomic babies, fetal distress etc.),

Exclusion Criteria:

* Pregnant women whose previous birth type was cesarean section (pregnant women who preferred vaginal delivery after cesarean section)
* Pregnant women who received epidural analgesia,
* Pregnant women whose labor lasted less than 3 hours (rapid birth story).

Primary outcomes:
measure: Visual Analogue Scale (VAS)
timeFrame: During labor assessed up to 12 hours
measure: State Anxiety Scale
timeFrame: During labor assessed up to 7 hours
measure: State Anxiety Scale
timeFrame: within the first 4 hours postpartum
Secondary outcomes:
measure: The Scale for Measuring Maternal Satisfaction (SMMS)-normal birth
timeFrame: within the first 4 hours postpartum
measure: Labor duration was assessed with The Postpartum Maternal Information Form (PMIF)
timeFrame: During labor assessed up to 18 hours
Other outcomes:
Locations:
city: Artvin
country: Turkey
facility: Artvin State Hospital
Study officials:
affiliation: Artvin Coruh University
name: Dilek KALOĞLU BİNİCİ
role: PRINCIPAL_INVESTIGATOR
References:
citation: Akin B, Saydam BK. The effect of labor dance on perceived labor pain, birth satisfaction, and neonatal outcomes. Explore (NY). 2020 Sep-Oct;16(5):310-317. doi: 10.1016/j.explore.2020.05.017. Epub 2020 May 30.