Clinical trial NCT06648161: Using a Mirror in the Second Stage of Labor: Effects on Duration and Birth Experience
Official title: Impact of Using a Mirror in the Second Stage of Labor on Childbirth Duration and Experience
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Labor Stage, Second
Lead sponsor: Kocaeli University
Sponsor class: OTHER
First posted: 2024-10-18
Enrollment: 122
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study aims to investigate the impact of using a labor mirror during the second stage of labor on both the duration of labor and the mother's overall experience. The main questions it aims to answer are:

* Does using a labor mirror in the second stage of labor affect the duration of labor?
* Does the use of a labor mirror in the second stage of labor affect women's total birth experience scale score? To assess the effect of using a birth mirror during the second stage of labor on the duration of labor and mothers' satisfaction with labor, the researchers will give one group a birth mirror and the other group will receive normal midwifery care.
* In the second stage of labor, the birth mirror will be positioned so that the woman can see the progress of the baby as she pushes (lithotomy position).
* Within 24 hours after delivery, mothers will complete the Birth Experience Scale and an opinion form about the use of the mirror.
* The control group will not receive any intervention.

Detailed description: Childbirth is one of the most significant experiences in a woman's life. The second stage of labor, when the cervix is fully dilated and the baby moves through the birth canal, is a crucial phase. Various techniques and tools are used during this stage to assist delivery, one of which is the labor mirror. This tool allows the mother to visually observe the perineum and monitor the progress of labor, especially in water births. Both handheld and bed-mounted options are available, usually made of acrylic, and they can have adjustable angles for better visualization.

The use of a labor mirror offers several benefits. It enables real-time monitoring of the birthing process, allowing midwives to make timely interventions. More importantly, it helps mothers feel more involved in the birth, boosting their confidence and motivation, especially when they see the baby's head. This can lead to more controlled pushing and potentially shorten the duration of labor.

In summary, the labor mirror can enhance the birth experience by allowing mothers to participate actively and by providing emotional support, which may reduce the length of the second stage of labor. However, its use is not widespread in Turkey. This study aims to investigate the impact of using a labor mirror during the second stage of labor on both the duration of labor and the mother's overall experience.

Eligibility criteria: Inclusion Criteria:

* between 38-42 weeks of gestation,
* had a healthy fetus,
* had no perinatal and obstetric risk,
* did not have prolonged trauma,
* could understand and speak Turkish

Exclusion Criteria:

* preterm labor onset,
* premature rupture of membranes,
* epidural analgesia,
* amniotic fluid with meconium,
* fetal risk
* intervention delivery

Primary outcomes:
measure: Duration of the second stage of labor
timeFrame: Average 20 minutes
Secondary outcomes:
measure: Mean score of Childbirth Experience Scale
timeFrame: Average 10 minutes
Other outcomes:
Locations:
city: Kocaeli
country: Turkey
facility: Kocaeli University
state: İzmit
Study officials:
References: