Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06637735
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-09-21
Brief Title:
The Effect of Education on Pregnant Women Perception of Traumatic Childbirth
Sponsor:
None
Organization:
None
Study Overview
Official Title:
The Effect of Education Given to Pregnant Women on the Perception of Traumatic Childbirth
Status:
RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
During pregnancy women are exposed to physical psychological and social changes and may experience anxiety and fears about childbirth Traumatic birth perception is defined as perceiving birth as a threat to oneself and one39s baby This perception can negatively affect women39s lives in the postpartum period Midwives are the primary health professionals in preventing traumatic birth perception In this context it is envisaged to create an important basis for preventing traumatic birth perception in pregnant women through the training to be given
Detailed Description:
One of the most important goals of the World Health Organization is to achieve integrated and quality care that creates positive pregnancy and childbirth experiences for women WHO 2016 Pregnancy is one of the most vulnerable periods in a womans life and it is possible to predict most of the deaths that occur during pregnancy or childbirth therefore providing health care during and after pregnancy is one of the main strategies to improve the health and prevent deaths of mothers and babies Doaltabadi et al 2021 In our country childbirth preparation training has been included in education and practice in different forms for many years Birth preparation class DHS related pieces of training started in the 1990s Childbirth education classes prepare pregnant women for childbirth and can be done individually or in groups These courses aim to improve womens lifestyles during pregnancy birth and postpartum while protecting infant and maternal rights Krysa et al 2016 Education and group interactions allow mothers to share their experiences and knowledge and support each other Participation in these educational courses includes reducing fear of childbirth and increasing awareness of the potential risks of cesarean section which leads to improved pregnancy outcomes Kordi et al 2017 Studies on the effectiveness of prenatal education have yielded conflicting results One study showed that this training significantly reduced the fear of childbirth in pregnant women and increased the desire for natural birth Mousavi et al 2021 On the other hand another study did not show a significant effect of this training on reducing anxiety and increasing mothers self-efficacy Khaikin et al 2016 It was also reported that this training reduced labor anxiety but did not affect the duration and mode of labor Artieta-Pinedo et al 2010 According to the results of Lee and Holroyd pregnant women participating in childbirth preparation courses can manage their pregnancy and postpartum better than women who receive only routine care Lee and Holroyd 2009 When the studies were examined it was seen that most of the studies were conducted on fear of childbirth and a study on traumatic birth perception has not been found yet Various health education methods such as face-to-face education brochures clips and educational mass media have been used for decades to motivate healthy behaviors in pregnant women
During pregnancy expectant mothers often seek information and support to better prepare for birth Traditionally pregnant women have relied on books health professionals and face-to-face childbirth education classes for information Given the importance of educating pregnant women about appropriate prenatal care and the potential for education to improve these activities this study will examine the impact of education on reducing perceptions of traumatic birth in pregnant women
Place of the study The study will be conducted with pregnant women admitted to Bartın Maternity and Pediatric Hospital
Population and sample of the study The population of the study will consist of pregnant women admitted to Bartın Maternity and Pediatric Hospital who scored at least 53 points on the Traumatic Birth Perception Scale The minimum traumatic birth perception scale score is 0 and the maximum is 130 Scale total score 0-26 points range is very low 27-52 points range is low 53-78 points range is medium 79-104 points range is high and 105-130 points range is very high traumatic birth perception level Yalnız et al 2016 Before starting the study power analysis was performed with the GPower 3197 program to determine the number of participants in the intervention and control groups Faul et al 2013 As a result of the power analysis applied with the GPower 3197 program the sample size was determined as 26 people in the groups and 52 people in total according to the type 1 error 005 type 2 error 020 and effect size 080 for the determination of the difference between the groups in terms of measurements Considering the calculated situation due to possible losses in the study the sample size was increased by 20 and it was planned to take 62 pregnant women 31 in groups Pregnant women participating in the study will not be informed which group they are in Blinding will not be done because the researcher is involved in grouping intervention and data collection
Inclusion Criteria
Volunteering to participate in the study
18 years of age or older
At least 53 points from the Traumatic Birth Perception Scale
No pregnancy-related risks such as pre-eclampsia diabetes heart disease placenta previa oligohydramnios
The fetus has no health problems fetal anomaly intrauterine growth retardation etc
Literate
Exclusion Criteria
Refused to participate in the study
Illiterate
Has a disorder based on a psychiatricpsychological diagnosis
Pregnant women with communication and language problems will not be included in the study
Variables of the Study Independent Variables Information on sociodemographic age education family type employment status etc and obstetric characteristics gestational week gravida parity etc of pregnant women were the independent variables of the study
Dependent Variables Traumatic Birth Perception Scale and E-Health Literacy in Pregnant Women Scale constitute the dependent variables
Data collection tools
Pregnant Introductory Information Form This form was developed in line with the literature Noordam et al 2011 Lagan et al 2011 Evans et al 2012 Parker et al 2012 Gökçe İsbir amp İnci 2014 Yamin et al 2016 Yalnız et al 2016 The study consisted of 8 questions including information about women39s sociodemographic age education period family type employment status and obstetric characteristics gestational week sex of the baby The Pregnant Introductory Information Form will be completed after the informed consent form and voluntary consent form are completed
Traumatic Perception of Childbirth Scale The scale was developed by Yalnız et al in 2016 to determine the traumatic perception of childbirth Traumatic perception of birth consists of 13 questions including women39s thoughts about the moment of birth Women39s agreement with the given statements was graded between 0 positive thought and 10 negative thought It is possible to score between 0 and 130 points from the scale The total mean score of the scale shows that the level of TDA is 0-26 very low 27-52 low 53-78 medium 79-104 high and 105-130 very high The Cronbach Alpha internal consistency coefficient of the scale was found to be 089 Yalnız 2016
E-Health Literacy Scale in Pregnant Women The scale was developed by Ada and İlçioğlu 2024 The scale consists of 2 sub-dimensions A minimum score of 1 and a maximum score of 65 is obtained from the scale There are no reverse coded items in the scale The scale consists of 13 items The Cronbachs alpha internal reliability coefficient of the scale was 0933 and the sub-dimension reliabilities were found to be reliable in the range of 0910-0894
Data Analysis In the study the data will be entered into the database in IBM SPSS 260 Statistical Package for the Social Sciences and AMOS 24 package program and analyzed While evaluating the study data frequency distribution number percentage for categorical variables and descriptive statistics mean standard deviation median minimum maximum for numerical variables will be given The independent sample t-test will be used for the differences between the variables if they conform to the normal distribution and the Mann Whitney U test will be used if they do not conform to the normal distribution In addition in order to examine the change in measurements over time the dependent sample t test will be used for those who comply with the normal distribution Wilcoxon test for those who do not comply with the normal distribution and Crombach alpha value for scale reliability For significance plt005 will be accepted
Ethics Committee permission was obtained for the implementation of the study Institutional permission was obtained from Bartın Provincial Health Directorate and Bartın State Hospital before the research
Each group will consist of pregnant women who scored at least 53 points on the Perception of Traumatic Birth Scale
A 4-week training will be given online to the Experimental Group The content of the training will be creaated in line with the expectations of the pregnant women
The content of the training will be based on Beck39s 2015 Traumatic Birth Mid-Range Theory and will be created by aiming to help pregnant women have a healthy pregnancy and birth process with supportive and educational midwifery system recommendations
Pregnant women included in the groups will be administered the Traumatic Birth Perception Scale and the E-Health Literacy Scale in Pregnant Women as a pre-test Then after 4 weeks of training the post-test will be applied to the pregnant women Traumatic Birth Perception Scale and E-Health Literacy Scale for Pregnant Women will be applied
During pregnancy expectant mothers often seek information and support to better prepare for birth Traditionally pregnant women have relied on books health professionals and face-to-face childbirth education classes for information Given the importance of educating pregnant women about appropriate prenatal care and the potential for education to improve these activities this study will examine the impact of education on reducing perceptions of traumatic birth in pregnant women
Place of the study The study will be conducted with pregnant women admitted to Bartın Maternity and Pediatric Hospital
Population and sample of the study The population of the study will consist of pregnant women admitted to Bartın Maternity and Pediatric Hospital who scored at least 53 points on the Traumatic Birth Perception Scale The minimum traumatic birth perception scale score is 0 and the maximum is 130 Scale total score 0-26 points range is very low 27-52 points range is low 53-78 points range is medium 79-104 points range is high and 105-130 points range is very high traumatic birth perception level Yalnız et al 2016 Before starting the study power analysis was performed with the GPower 3197 program to determine the number of participants in the intervention and control groups Faul et al 2013 As a result of the power analysis applied with the GPower 3197 program the sample size was determined as 26 people in the groups and 52 people in total according to the type 1 error 005 type 2 error 020 and effect size 080 for the determination of the difference between the groups in terms of measurements Considering the calculated situation due to possible losses in the study the sample size was increased by 20 and it was planned to take 62 pregnant women 31 in groups Pregnant women participating in the study will not be informed which group they are in Blinding will not be done because the researcher is involved in grouping intervention and data collection
Inclusion Criteria
Volunteering to participate in the study
18 years of age or older
At least 53 points from the Traumatic Birth Perception Scale
No pregnancy-related risks such as pre-eclampsia diabetes heart disease placenta previa oligohydramnios
The fetus has no health problems fetal anomaly intrauterine growth retardation etc
Literate
Exclusion Criteria
Refused to participate in the study
Illiterate
Has a disorder based on a psychiatricpsychological diagnosis
Pregnant women with communication and language problems will not be included in the study
Variables of the Study Independent Variables Information on sociodemographic age education family type employment status etc and obstetric characteristics gestational week gravida parity etc of pregnant women were the independent variables of the study
Dependent Variables Traumatic Birth Perception Scale and E-Health Literacy in Pregnant Women Scale constitute the dependent variables
Data collection tools
Pregnant Introductory Information Form This form was developed in line with the literature Noordam et al 2011 Lagan et al 2011 Evans et al 2012 Parker et al 2012 Gökçe İsbir amp İnci 2014 Yamin et al 2016 Yalnız et al 2016 The study consisted of 8 questions including information about women39s sociodemographic age education period family type employment status and obstetric characteristics gestational week sex of the baby The Pregnant Introductory Information Form will be completed after the informed consent form and voluntary consent form are completed
Traumatic Perception of Childbirth Scale The scale was developed by Yalnız et al in 2016 to determine the traumatic perception of childbirth Traumatic perception of birth consists of 13 questions including women39s thoughts about the moment of birth Women39s agreement with the given statements was graded between 0 positive thought and 10 negative thought It is possible to score between 0 and 130 points from the scale The total mean score of the scale shows that the level of TDA is 0-26 very low 27-52 low 53-78 medium 79-104 high and 105-130 very high The Cronbach Alpha internal consistency coefficient of the scale was found to be 089 Yalnız 2016
E-Health Literacy Scale in Pregnant Women The scale was developed by Ada and İlçioğlu 2024 The scale consists of 2 sub-dimensions A minimum score of 1 and a maximum score of 65 is obtained from the scale There are no reverse coded items in the scale The scale consists of 13 items The Cronbachs alpha internal reliability coefficient of the scale was 0933 and the sub-dimension reliabilities were found to be reliable in the range of 0910-0894
Data Analysis In the study the data will be entered into the database in IBM SPSS 260 Statistical Package for the Social Sciences and AMOS 24 package program and analyzed While evaluating the study data frequency distribution number percentage for categorical variables and descriptive statistics mean standard deviation median minimum maximum for numerical variables will be given The independent sample t-test will be used for the differences between the variables if they conform to the normal distribution and the Mann Whitney U test will be used if they do not conform to the normal distribution In addition in order to examine the change in measurements over time the dependent sample t test will be used for those who comply with the normal distribution Wilcoxon test for those who do not comply with the normal distribution and Crombach alpha value for scale reliability For significance plt005 will be accepted
Ethics Committee permission was obtained for the implementation of the study Institutional permission was obtained from Bartın Provincial Health Directorate and Bartın State Hospital before the research
Each group will consist of pregnant women who scored at least 53 points on the Perception of Traumatic Birth Scale
A 4-week training will be given online to the Experimental Group The content of the training will be creaated in line with the expectations of the pregnant women
The content of the training will be based on Beck39s 2015 Traumatic Birth Mid-Range Theory and will be created by aiming to help pregnant women have a healthy pregnancy and birth process with supportive and educational midwifery system recommendations
Pregnant women included in the groups will be administered the Traumatic Birth Perception Scale and the E-Health Literacy Scale in Pregnant Women as a pre-test Then after 4 weeks of training the post-test will be applied to the pregnant women Traumatic Birth Perception Scale and E-Health Literacy Scale for Pregnant Women will be applied
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None