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Pregnant WomenNCT05797363

The Effect of Continuous Midwife Support on Various Parameters Related to Pregnancy, Childbirth and Postpartum Period

A study testing Continuous midwife support in people with Pregnant Women and Childbirth, run by Amasya University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

There is a need for studies with a high level of evidence regarding the effect of supportive care given during the preconceptional period, pregnancy, childbirth and postpartum processes. Read more about this study

Who is it for?
Ages 19 to 35 years, women onlyHealthy volunteers can take part
Conditions the study is for
Pregnant Women, Childbirth, Women's Health
What is being tested?
Continuous midwife support
Type of treatment
Vaccines
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
No sites listed yet
Study dates
15 Apr 2023to 30 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 to 35 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • She's newly married.
  • Women without children.

Who cannot join

  • women's desire to stop working

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Duygu Murat Öztürk, PhD contact

+905555151053

duygu.murat@hotmail.com

About this study

Official title: The Effect of Continuous Midwife Support During Pregnancy, Childbirth and Postpartum Processes Starting From Preconceptional Period on Various Parameters Related to Pregnancy, Delivery and Postpartum Period: A Randomized Controlled Study"

There is a need for studies with a high level of evidence regarding the effect of supportive care given during the preconceptional period, pregnancy, childbirth and postpartum processes. With this planned study, it is aimed to evaluate the effect of continuous midwife support during pregnancy, birth and postpartum periods, starting from the preconceptional period, on various parameters related to pregnancy, birth and postpartum period. The research is planned as a randomized controlled experimental study. It consists of two groups, the study group and the control group. 75 women out of 150 women will form the control group and 75 women will form the study group. The women in the working group will be given individual training in line with their needs. Data will be collected by using the checklist and many scales used by the control and study groups in preconceptional counseling recommended by ACOG (American College of Obstetricians and Gynecologists).

Read the detailed description

INTRODUCTION Globally, midwives are the primary caregivers of women during pregnancy, childbirth, and postpartum. It is recommended to use a midwife-led care model to provide support and assistance to women during pregnancy, childbirth, and the postpartum period. In midwife-led care, midwifery provides quality health care services to women and newborns during pregnancy, delivery, and the postpartum period. Therefore, the evidence-based literature from developed and developing countries emphasizes that maternal and neonatal mortality can be reduced with midwife-led care. Studies suggest that the constant presence of midwives during pregnancy, childbirth, and postpartum period encourages women. Continuity of care increases women's trust in midwives.

In the literature, no study has been found in which the effect of midwifery care initiated in the preconceptional period on pregnancy, birth or postpartum processes has been investigated. For this reason, it is thought that the research will provide meaningful data to the literature.

METHOD

The research is planned as a randomized controlled experimental study. Randomization is planned to be done by the second researcher in a computer environment using the www.randomizer.org internet address. Women numbered 1-150 will be assigned to the study and control groups. The assignment of women to the groups, analysis, and reporting stages will be done by the second researcher, and data collection, training, and follow-up will be done by the first and third researchers. Thus, data collection, training, and follow-up for the second researcher, and the assignment of women to the group for the first and third researcher, analysis, and reporting will be blinded. It consists of two groups, the study group, and the control group. 150 women who applied to Family Health Centers to get a health report for marriage and agreed to participate in the study will be identified. 75 women out of 150 women will form the control group and 75 women will form the study group. The control list used in preconception counseling recommended by ACOG (American College of Obstetricians and Gynecologists) and the scales will be used by both the control and study groups. The pregnancy, delivery, and postpartum period processes of 150 women will be followed starting from the preconception period. 75 women will be given training in line with their individual needs. 75 women will not be given any training. The data will be analyzed using the SPSS package program. Appropriate statistical analysis tests will be used in the analysis of the data by looking at the normality distribution.

Intervention group

  1. Meeting- Preconception ACOG Preconception Counseling Checklist and personal information form
  2. Meeting- Preconception Education
  3. Meeting- Preconception Education and the Childbirth Fear - Prior to Pregnancy Scale and family planning scale
  4. Meeting (First Trimester in Pregnancy) Education in pregnancy
  5. Meeting (First Trimester in pregnancy) Education in pregnancy and Health Practices Questionnaire In Pregnancy
  6. Meeting (First Trimester in pregnancy) Education and the scale of Self-perception of Pregnants, Pregnancy Experience Scale (PES)
  7. Meeting (Second Trimester in pregnancy) Education and Perception of Pregnancy Risk Scale
  8. Meeting (Second Trimester in pregnancy) Education and Pregnancy-related Anxiety Scale
  9. Meeting (Third Trimester in pregnancy) Education and Pregnancy Experience Scale, Prenatal Care Satisfaction Scale
  10. Meeting (Third Trimester in pregnancy) "Education and Prenatal Breastfeeding Self-Efficacy Scale, Health Practices Questionnaire in Pregnancy-II"
  11. Meeting (Third Trimester in pregnancy) Education and Scale of Childbirth of Self Efficacy, Antenatal Perceived Stress Scale, The Oxford Worries About Labour Scale
  12. Meeting ( Labour) "Education- supportive and Scale Of Woman's Perception Of Supportive Care Given To Woman In Labor, Partograph, the Childbirth Comfort Questionnaire"
  13. Meeting (Postpartum - first day) Postpartum follow-up breastfeeding support
  14. Meeting (Postpartum - 1-7 days) Postpartum follow-up, education
  15. Meeting (Postpartum - 7-21 days) Postpartum follow-up, education
  16. Meeting (Postpartum - 30-42 days) "Education and Maternal Postpartum Quality of Life Questionnaire, the Mothers' Postnatal Sense of Security Scale and Postpartum Sleep Quality Scale

Control Group

  1. Meeting- Preconception ACOG Preconception Counseling Checklist and personal information form
  2. Meeting- Preconception
  3. Meeting- Preconception the Childbirth Fear - Prior to Pregnancy Scale and family planning scale
  4. Meeting (First Trimester in Pregnancy)
  5. Meeting (First Trimester in pregnancy) Health Practices Questionnaire In Pregnancy
  6. Meeting (First Trimester in pregnancy) the scale of Self-perception of Pregnants, Pregnancy Experience Scale (PES)
  7. Meeting (Second Trimester in pregnancy) Perception of Pregnancy Risk Scale
  8. Meeting (Second Trimester in pregnancy) Pregnancy-related Anxiety Scale
  9. Meeting (Third Trimester in pregnancy) Pregnancy Experience Scale, Prenatal Care Satisfaction Scale
  10. Meeting (Third Trimester in pregnancy) " Prenatal Breastfeeding Self-Efficacy Scale, Health Practices Questionnaire in Pregnancy-II"
  11. Meeting (Third Trimester in pregnancy) Scale of Childbirth of Self Efficacy, Antenatal Perceived Stress Scale, The Oxford Worries About Labour Scale
  12. Meeting ( Labour) "Scale Of Woman's Perception Of Supportive Care Given To Woman In Labor, Partograph, the Childbirth Comfort Questionnaire"
  13. Meeting (Postpartum - first day)
  14. Meeting (Postpartum - 1-7 days)
  15. Meeting (Postpartum - 7-21 days)
  16. Meeting (Postpartum - 30-42 days) "Maternal Postpartum Quality of Life Questionnaire, the Mothers' Postnatal Sense of Security Scale and Postpartum Sleep Quality Scale "
Being tested
Continuous midwife support

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Continuous midwife supportOther

    The individuals included in the experimental group will be provided with consultancy services on many issues from the pre-pregnancy period to the postpartum period.

Study groups in NCT05797363
Study groupRoleWhat they receive
ExperimentExperimentalContinuous midwifery support will be applied to the intervention group. The women included in the experimental group will be counseled on many issues such as nutrition, vaccinations, family planning, pregnancy follow-ups, normal birth and cesarean section surgery, coping with labor pain, puerperium process, baby care, starting from the pre-pregnancy period, during pregnancy, childbirth and postpartum periods.
Receives: Other: Continuous midwife support
Control GroupNo interventionNo action will be taken against this group.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Perception of Pregnancy Risk Scale (PPRS)

    PPRS: An increase in the score obtained from the scale is interpreted as an increase in the risk perception of the pregnant woman and her baby.

    Measured: average of 1 year

  2. Pregnancy-related Anxiety Scale (PrAS)

    PrAS: The cut-off score calculated for the scale is 75.5. A total score of 75.5 and above indicates an increased anxiety level due to pregnancy.

    Measured: average of 1 year

  3. CHILDBIRTH FEAR - PRIOR TO PREGNANCY SCALE (CFPPS)

    CFPPS: While the minimum score on the scale is 10, the maximum score is 60. A high item total score indicates a high level of fear.

    Measured: average of 1 year

  4. Antenatal Perceived Stress Scale (APSS)

    APSS: The perceived stress score during pregnancy is obtained by summing the item scores in the scale and then dividing by the number of items. While the lowest score that can be obtained from the scale is 1, the highest score is 5. The high total score obtained from the scale indicates the highest perceived stress level in pregnant women.

    Measured: average of 1 year

  5. Prenatal breastfeeding self efficacy scale (PBSeS)

    PBSeS: Each item of the scale is graded as a 5-point Likert type. The lowest score that can be obtained from the total of the scale is 20, and the highest score is 100. The higher the score, the higher the perception of breastfeeding self-efficacy.

    Measured: average of 1 year

  6. Family Planning Attitude Scale (FPAS)

    FPAS: The scale is a five-point Likert-type scale consisting of 34 items. The lowest 34 and the highest 170 points can be obtained from the scale, and an increase in the total score means a more positive family planning attitude.

    Measured: average of 1 year

  7. Prenatal Care Satisfaction Scale (PCSS)

    PCSS: There is no cut-off point in the evaluation of the scale. The higher the score obtained from the scale, the higher the satisfaction, and the lower it is, the lower the satisfaction.

    Measured: average of 1 year

  8. Oxford Birth Anxiety Scale (OBAS)

    OBAS: The scale is evaluated over the total score (min=10, max=40). As the score increases, it is interpreted that the anxiety level of women increases.

    Measured: average of 2 year

  9. Pregnancy Experience Scale (PES)

    PES: A total of six sub-dimension scores (positive emotions frequency score, negative emotions frequency score, positive emotions intensity score, negative emotions intensity score, frequency ratio and intensity ratio) are obtained in GDS.

    Measured: average of 2 year

  10. Self-perception of Pregnants Scale (SPS)

    SPS: When evaluating the scores of the Pregnancy Body Perception sub-dimension, high scores indicate negative pregnancy body perception, and low scores indicate positive pregnancy body perception. The highest score that can be obtained in the Pregnancy Body Perception sub-dimension is 20, and the lowest score is 5.

    Measured: average of 2 year

  11. HEALTH PRACTICES QUESTIONNAIRE IN PREGNANCY

    The highest score that can be obtained from the scale is 165, and the lowest score is 33. High scores indicate good health practices.

    Measured: average of 2 year

  12. Childbirth Comfort Questionnaire (CCQ)

    CCQ: The minimum score that can be obtained from the scale is 14, the highest score is 70. As the score increases, it is said to be high-level comfort, and as the score decreases, low-level comfort is mentioned.

    Measured: average of 3 year

  13. MOTHERS' POSTNATAL SENSE OF SECURITY SCALE (MPSSS)

    MPSSS: Scores from the scale range from 18 to 72, and high scores indicate good feelings of security.

    Measured: average of 3 year

  14. Postpartum Quality of Life Questionnaire (PQLQ)

    PQLQ: The higher the score obtained from the scale, the higher the person's postpartum quality of life, and lower scores the lower the postpartum quality of life.

    Measured: average of 3 year

  15. SCALE OF WOMAN'S PERCEPTION OF SUPPORTIVE CARE GIVEN TO WOMAN IN LABOR

    At least 33 from the scale; maximum 132 points are taken. There is no cut-off point in the scale. The higher the score from the scale, the better the supportive nursing care received.

    Measured: average of 3 year

  16. Childbirth Self-Efficacy Scale (CSES)

    CSES: The lowest total score that can be obtained from the scale is 32, and the highest total score is 320. High scores from the scale show that pregnant women have high self-efficacy levels in labor.

    Measured: average of 3 year

  17. Postpartum Sleep Quality Scale (PSQS)

    PSQS: The lowest 0 and the highest 56 points can be obtained from the scale and there is no cut-off point. An increase in the score indicates a decrease in sleep quality.

    Measured: average of 3 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Apr 2023
  2. Study start15 Apr 2023 (estimated)
  3. Primary completion15 Apr 2025 (estimated)
  4. Study completion30 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05797363
Sponsor's protocol ID
AmasyaU-1
Status last verified
Apr 2023
First submitted
20 Sep 2021
Last updated
4 Apr 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The data obtained is planned to be published as a scientific article.

Questions about this trial

What is this clinical trial studying?

A study testing Continuous midwife support in people with Pregnant Women and Childbirth, run by Amasya University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 4 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Duygu Murat Öztürk, PhD (+905555151053, duygu.murat@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Perception of Pregnancy Risk Scale (PPRS) (time frame: average of 1 year). The study lists 17 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2023.

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