AzTrials
AzTrials

ChildbirthNCT07533448

Effects of Nada Yoga Music and Mandala Coloring During Labor on Pain, Anxiety, and Maternal Outcomes

A study testing NADA and MANDALA in people with Childbirth and Labor Process, run by Agri Ibrahim Cecen University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Aim: The aim of this study is to evaluate the effect of mandala coloring on labor pain, childbirth experience, and maternal satisfaction in pregnant women. Materials and Methods: This study was conducted as a randomized controlled trial with a pretest-post test group design including measurements at multiple time… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Childbirth, Labor Process
What is being tested?
NADA and MANDALA
Could I receive a placebo?
No, everyone receives an active treatment
How many people
106 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Jun 2025to 1 May 2026
Phase
Interventional
Are there results?
None posted in the registry

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 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥18 years
  • No communication barriers
  • Pregnant women admitted to Ağrı Training and Research Hospital for vaginal delivery
  • Willingness to participate in the study
  • No contraindication to normal vaginal delivery (e.g., cephalopelvic disproportion)
  • Term pregnancy (38-42 weeks of gestation)
Show all 9Show fewer
  • Absence of any chronic disease (e.g., diabetes, hypertension)
  • No condition preventing mandala coloring (e.g., hand or finger injuries, structural impairments)
  • No condition preventing listening to music (e.g., hearing impairment)

Who cannot join

  • Pregnant women who prefer cesarean delivery despite having no contraindication to vaginal birth
  • Failure to respond to the questionnaire items
  • Presence of psychiatric disorders (e.g., social phobia, schizophrenia, bipolar disorder)
  • Conditions requiring emergency cesarean section during the first stage of labor

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Ağri İbrahim Çeçen Universty

    Ağrı, Ağri, 04100

Other trials in Turkey (Türkiye)

About this study

Official title: Evaluation of the Effects of Nada Yoga Music and Mandala Coloring During Childbirth on Pain, Anxiety, Labor Process, and Maternal Satisfaction

Aim:

The aim of this study is to evaluate the effect of mandala coloring on labor pain, childbirth experience, and maternal satisfaction in pregnant women.

Read more

Materials and Methods:

This study was conducted as a randomized controlled trial with a pretest-post test group design including measurements at multiple time points. The study population consisted of pregnant women admitted for vaginal delivery to the labor unit of a hospital between June 1, 2025, and May 1, 2026. Sample size was calculated using the G*Power 3.1.9.7 program. In the sample size calculation, the Cohen's d = 0.80 value obtained from the reference study was used as the basis and was converted to an approximate effect size of f = 0.40. Analysis performed with a 5% significance level and 80% statistical power indicated that the required minimum sample size for the three groups was 66 participants in total. To prevent potential data loss, support voluntary participation, and increase statistical power, 36 participants were initially planned for each group; however, because one participant in each intervention group was younger than 18 years of age and was therefore excluded, the study was completed with a total of 106 participants in the mandala coloring (n = 35), Nada Yoga music (n = 35), and control (n = 36) groups.

Being tested
NADA, MANDALA
Keywords
Pain during labor, Mandala coloring, Childbirth, Nada Yoga music

What participants receive

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

  • NADAOther

    Listening to Nada Yoga music

  • MANDALAOther

    Mandala coloring

Study groups in NCT07533448
Study groupRoleWhat they receive
NADAExperimentalNada Yoga music
Receives: Other: NADA
MANDALAExperimentalMandala coloring
Receives: Other: MANDALA
CONTROLNo interventionControl

What is being measured

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

  1. Visual Analog Scale (VAS)

    The Visual Analog Scale (VAS) is It is a unidimensional measurement tool used to evaluate labor pain intensity. Pain level is determined by measuring the point marked by the participant on a 10-cm line ranging from 0 (no pain) to 10 (unbearable pain). Higher scores indicate more severe pain perception. The VAS is widely used as a valid and reliable method for the quantitative evaluation of pain perception, particularly in pregnant women and women during labor

    Measured: Baseline, Periprocedural (labor stages: first, second, third)

  2. Personal Information Form

    This form was developed by the researchers based on the relevant literature to collect data on the participants' sociodemographic characteristics.

    Measured: Baseline

  3. Birth Satisfaction Scale-Short Form (BSS-S)

    The Birth Satisfaction Scale-Short Form (BSS-S) This scale, developed by Martin and Fleming and revised by Martin and Martin, is a 10-item, 5-point Likert-type instrument designed to evaluate women's perceptions of childbirth. The Turkish validity and reliability study was conducted by Göncü and Karahan. Scores obtained from the scale range from 0 to 40, with higher scores indicating greater satisfaction; in the Turkish adaptation, scores were classified as low (<13), moderate (14-27), and high (≥28) satisfaction. Items are scored between 0 and 4, and items 2, 4, 7, and 8 are reverse coded. Although the original scale included three subdimensions, the Turkish validity study identified two subdimensions with eigenvalues above 1: Personal Attributes \& Stress (PAS) and Quality of Care (QC).

    Measured: Baseline, Periprocedural (labor stages: first, second, third)

  4. State Anxiety Inventory (SAI-I)

    The State Anxiety Inventory (SAI-I) It was developed to evaluate anxiety level at a specific moment. The scale was adapted into Turkish by Öner and Le Compte. The scale is a self-report instrument that evaluates the individual's current emotional state. It consists of a total of 20 items, and items are scored on a 4-point Likert scale (not at all = 1, somewhat = 2, very much = 3, completely = 4). Obtained scores range from 20 to 80, with higher scores indicating higher anxiety levels.

    Measured: Baseline, Periprocedural (labor stages: first, second, third)

  5. Labor Process Evaluation Form

    The Labor Process Evaluation Form (Appendix 5) is a tool developed by the researcher based on the relevant literature (Tuncay, 2024) to assess the childbirth process of the participants.

    Measured: Periprocedural (labor stages: first, second, third)

  6. Labor Process Evaluation Form (LPEF)

    Labor Process Evaluation Form (LPEF): It was prepared by the researcher in accordance with the literature to evaluate clinical and experiential characteristics associated with the labor process in the participants. The form includes labor stages, labor duration, and basic clinical findings related to the mother and newborn

    Measured: Periprocedural (labor stages: third)

Timeline

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

  1. First posted16 Apr 2026
  2. Study start1 Jun 2025
  3. Primary completion1 Oct 2025
  4. Study completion1 May 2026

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
All individuals who agreed to participate in the study will be informed about the research, and written informed consent will be obtained using the Informed Consent Form. A copy of the signed consent form will also be provided to the participants. The study data will be collected by the researcher using the following instruments developed in line with the relevant literature: Personal Information Form (PIF), Visual Analog Scale (VAS), State Anxiety Inventory, Birth Satisfaction Scale-Short Form (BSS-S), and the Labor Process Evaluation Form. Participants will be assigned to groups using a randomization method. The control group will receive only routine care. The intervention group will receive the assigned non-pharmacological interventions. All participants in both groups will complete the Personal Information Form (PIF) (Appendix 1), Visual Analog Scale (VAS) (Appendix 2), State Anxiety Inventory (Appendix 4), and Labor Process Evaluation Form (Appendix 5). During the first, secon
Masking
None (open label)
Enrolment
106 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07533448
Sponsor's protocol ID
2025/87
Status last verified
May 2026
First submitted
22 Mar 2026
Last updated
26 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data (IPD) will not be publicly shared due to ethical and confidentiality considerations, as the dataset contains sensitive personal and clinical information. However, de-identified data may be made available from the corresponding author upon reasonable request.

Publications

  • Göncü S. Adaptation of the Birth Satisfaction Scale-Short Form into Turkish and Determination of Its Psychometric Properties. Institute of Health Sciences, Department of Midwifery. Master's Thesis, Karabük: Karabük University; 2015.

Questions about this trial

What is this clinical trial studying?

A study testing NADA and MANDALA in people with Childbirth and Labor Process, run by Agri Ibrahim Cecen University at 1 site in Turkey (Türkiye).

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 9 inclusion and 4 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: finished, as of the sponsor's last update on 26 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Visual Analog Scale (VAS) (time frame: Baseline, Periprocedural (labor stages: first, second, third)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07533448, which also lists 1 linked publication.

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 26 Aug 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in