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IRCT20120718010324N50 IRCT 2019-06-28 Tabriz University of Medical Sciences The effect of supportive interventions on birth experience The effect of supportive interventions on birth experience: Randomized Controlled Trial 2019-08-02 anticipated 30 Complete https://irct.ir/trial/38227 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Randomization will be conducted using the website www.random.org and through blocking with block sizes of four and six and an allocation ratio of 1: 1 to the two groups of intervention and control. N/A Birth experience. Intervention 1: Intervention group: The intervention group will receive interventions during labor, delivery, and postpartum. Interventions during labor and delivery include the provision of latent and active labor definitions, duration of labor, answering questions from women, respectful care, caring with empathy, management of labor pain (use of pharmacological pain relief methods such as remifentanil or pethidine or non-pharmacological such as teaching visualization techniques, breathing techniques, progressive muscle relaxation, massage or use a warm bag according to the woman's preference), providing a hygienic room, private, presence of doula, the possibility of telephone conversation with her family, woman's participation in decision-making, not doing unnecessary interventions such as connecting the bladder catheter, frequent vaginal examinations, pushing during delivery, women's inactivity, lack of nutrition, continuous heartbeat auscultation and recording cardiotocography, use of early onset of oxytocin, perineal/pubic shaving, privacy and confidentiality (using a separate room, no vaginal examination in the presence of women or other providers, the absence of a male student, access to a suitable cover for keeping hijab during transfer to other parts of the hospital), getting different positions such as upright position during labor, doing exercise during labour, encouraging the woman to follow their own urge to push, no routine use of episiotomy, choosing the delivery position according to the woman choice, delayed umbilical cord clamping, controlled cord traction, no nasal or oral suction baby in case of clear amniotic fluid, and during postpartum included use of uterotonics for the prevention of postpartum haemorrhage, sufficient analgesia during episiotomy repair, skin to skin contact during the first hour after birth, breastfeeding during the first hour after birth, uterine tonus assessment, regular assessment of vaginal bleeding, uterine contraction, fundal height, temperature and heart rate during the first 24 hours starting from the first hour after birth, no antibiotics prophylaxis for uncomplicated vaginal birth and follow up and responding to postpartum maternity problems by telephone and, if necessary, attending in person will be provided. Intervention 2: The control group will receive routine maternity care. No - There is not a plan to make this available Justification or reason for not sharing IPD is Participants' data is confidential.
public Solmaz Ghanbari Homayi
Faculty of Nursing & Midwifery, South Shariati street
Tabriz Iran (Islamic Republic of) 5155884818 +98 41365706391 homayisolmaz@gmail.com Tabriz University of Medical Sciences scientific Mojgan Mirghafourvand
Nursing & Midwifery Faculty, South Shariati Street
Tabriz Iran (Islamic Republic of) 5138947977 +98 41 3479 6770 mirg1385@yahoo.com Tabriz University of Medical Sciences Iran (Islamic Republic of) Age older than 18 years Gestational age of 37 to 42 weeks 18 years no limit Female Having complications during pregnancy or childbirth such as preeclampsia, diabetes, placenta abruption Having a cesarean section indication such as history of cesarean section and ... Having mental-psychological problems, according to mother's report Z39.0 Encounter for care and examination of mother immediately after delivery Behavior N/A Intervention group: The intervention group will receive interventions during labor, delivery, and postpartum. Interventions during labor and delivery include the provision of latent and active labor definitions, duration of labor, answering questions from women, respectful care, caring with empathy, management of labor pain (use of pharmacological pain relief methods such as remifentanil or pethidine or non-pharmacological such as teaching visualization techniques, breathing techniques, progressive muscle relaxation, massage or use a warm bag according to the woman's preference), providing a hygienic room, private, presence of doula, the possibility of telephone conversation with her family, woman's participation in decision-making, not doing unnecessary interventions such as connecting the bladder catheter, frequent vaginal examinations, pushing during delivery, women's inactivity, lack of nutrition, continuous heartbeat auscultation and recording cardiotocography, use of early onset of oxytocin, perineal/pubic shaving, privacy and confidentiality (using a separate room, no vaginal examination in the presence of women or other providers, the absence of a male student, access to a suitable cover for keeping hijab during transfer to other parts of the hospital), getting different positions such as upright position during labor, doing exercise during labour, encouraging the woman to follow their own urge to push, no routine use of episiotomy, choosing the delivery position according to the woman choice, delayed umbilical cord clamping, controlled cord traction, no nasal or oral suction baby in case of clear amniotic fluid, and during postpartum included use of uterotonics for the prevention of postpartum haemorrhage, sufficient analgesia during episiotomy repair, skin to skin contact during the first hour after birth, breastfeeding during the first hour after birth, uterine tonus assessment, regular assessment of vaginal bleeding, uterine contraction, fundal height, temperature and heart rate during the first 24 hours starting from the first hour after birth, no antibiotics prophylaxis for uncomplicated vaginal birth and follow up and responding to postpartum maternity problems by telephone and, if necessary, attending in person will be provided. The control group will receive routine maternity care. Birth experience. Timepoint: Four weeks postpartum. Method of measurement: Childbirth Experience Questionnaire version 2.0. Duration of childbirth stages. Timepoint: During the labor and childbirth stages. Method of measurement: Partograph. Frequency of oxytocin use. Timepoint: After childbirth. Method of measurement: Postpartum checklist. Frequency of Cesarean childbirth. Timepoint: After childbirth. Method of measurement: Postpartum checklist. Apgar score. Timepoint: 5 minutes and 10 minutes after baby's birth. Method of measurement: Postpartum checklist. Tabriz University of Medical Sciences Approved 2017-12-03 Ethics committee of Tabriz University of Medical Sciences Research department, third floor, central construction number 2, Tabriz University of Medical Sciences, Golgasht Street, Azadi Avenue, Tabriz, East Azerbaijan Tabriz East Azarbaijan Iran (Islamic Republic of)