Labor Pain, Stress, Childbirth SatisfactionWhite & QuietNCT07575594
The Use of White Noise and Quiet Time During Labor
An observational study of Labor Pain, Stress, Childbirth Satisfaction, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
Trial summary
Childbirth is defined as the process in which the fetus and its appendages are expelled from the uterus. The World Health Organization emphasizes that women should have a positive childbirth experience and recommends interventions that reduce pain and stress while increasing maternal satisfaction. Read more about this study
- Who is it for?
- Ages 18 to 35 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Labor Pain, Stress, Childbirth Satisfaction
- What is being tested?
- White Noise Exposure and Quiet Time Intervention
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 159 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 10 Nov 2025to 15 Apr 2026
- Phase
- Observational
- 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 to 35 years
- Women only
- Healthy volunteers accepted
- Adult
Study population: Hospital
Who may be able to join
- Pregnant women aged 18-35 years Pregnant women without a diagnosis of high-risk pregnancy Pregnant women with a gestational age between 37-42 weeks Pregnant women who will have a vaginal delivery Pregnant women in the active phase of labor Pregnant women who can speak or understand Turkish Pregnant women carrying a singleton fetus Primiparous women
Who cannot join
- Pregnant women in the latent phase of labor Pregnant women with hearing impairment Pregnant women who are illiterate Pregnant women with an indication for cesarean section Multiparous women
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Esenler Women's and Children's Diseases Hospital
Istanbul
About this study
Official title: The Effect of White Noise and Quiet Time Interventions During Labor on Labor Pain, Stress, and Satisfaction
Childbirth is defined as the process in which the fetus and its appendages are expelled from the uterus. The World Health Organization emphasizes that women should have a positive childbirth experience and recommends interventions that reduce pain and stress while increasing maternal satisfaction.
White noise, defined as continuous and monotonous sounds such as wave, water, or wind sounds, and quiet time, described as periods in which environmental noise is minimized, have been shown to reduce pain and stress and improve satisfaction in various patient groups. However, there is a lack of evidence regarding their effects during labor.
Therefore, this study was planned to evaluate the effects of white noise and quiet time interventions applied during labor on perceived labor pain, stress levels, and childbirth satisfaction.
Read the detailed description
Childbirth is defined as a process in which the fetus and its appendages are expelled from the uterus. The World Health Organization emphasizes that women should have a positive childbirth experience. During childbirth, care providers are recommended to implement interventions that reduce women's pain and stress and increase satisfaction.
White noise is defined as continuous and monotonous sounds such as wave, water, and wind sounds. It has been studied in postoperative patients, infants, and neonates.
Quiet time is defined as a period in which environmental sounds are minimized. It has been studied in postpartum women, patients in acute care units, nurses working in neonatal intensive care units, and infants.
White noise and quiet time interventions have been found to be methods used to reduce pain and stress and to increase satisfaction. However, no study has been found that evaluates the effects of white noise and quiet time interventions on pain, stress, and satisfaction during the childbirth process. Therefore, this study was planned to evaluate the effects of white noise and quiet time interventions applied during childbirth on the level of perceived labor pain, stress level, and childbirth satisfaction.
- Being tested
- White Noise Exposure, Quiet Time Intervention
- Keywords
- Quiet time, White noise, birth
- Medical subject headings
- Labor Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
White Noise ExposureBehavioural
Participants received white noise intervention during the active phase of labor. At 4 cm cervical dilation, informed consent was obtained and baseline assessments including Demographic Information Form, Visual Analogue Scale (VAS) for pain, and Visual Analogue Scale for stress were completed. Routine care was provided.
At 6 cm and 8 cm cervical dilation, participants were exposed to white noise (50-65 dB) via Bluetooth headphones for 15 minutes each session. Routine monitoring and standard obstetric care were continued. After interventions, pain and stress were reassessed using VAS.
At the second postpartum hour, maternal satisfaction was assessed using the Maternal Satisfaction in Childbirth Scale.
Quiet Time InterventionBehavioural
Participants received quiet time intervention during the active phase of labor. At 4 cm cervical dilation, informed consent was obtained and baseline assessments including Demographic Information Form, Visual Analogue Scale (VAS) for pain, and Visual Analogue Scale for stress were completed. Routine care was provided.
At 6 cm and 8 cm cervical dilation, a quiet environment was maintained using Polter headphones for 15 minutes per session. Routine monitoring and standard obstetric care were continued. After interventions, pain and stress were reassessed using VAS.
At the second postpartum hour, maternal satisfaction was assessed using the Maternal Satisfaction in Childbirth Scale.
| Study group | Role | What they receive |
|---|---|---|
| White Noise Group | Participants received white noise via Bluetooth headphones during active labor at 6 cm and 8 cm cervical dilation (15 minutes each, 50-65 dB). Pain and stress were assessed using VAS, and maternal satisfaction was evaluated postpartum. Receives: Behavioral: White Noise Exposure | |
| Quiet Time Group | At the beginning of the active phase (when cervical dilation was 4 cm), the participant was informed about the study and informed consent was obtained. The Demographic Information Form was completed, and pain was assessed using the Visual Analogue Scale (VAS), while stress was evaluated using a Visual Analogue Scale (VAS). Routine monitoring and standard care were provided.
At 6 cm cervical dilation during the active phase, quiet time was provided for 15 minutes using Polter headphones. Routine monitoring and standard care were continued.
At 8 cm cervical dilation during the active phase, quiet time was again provided for 15 minutes using Polter headphones. Routine monitoring and standard care were continued. After the intervention, pain was assessed using the Visual Analogue Scale (VAS), and stress was evaluated using a Visual Analogue Scale (VAS).
At the second hour postpartum, the Maternal Satisfaction in Childbirth Scale was completed. Receives: Behavioral: Quiet Time Intervention | |
| Control Group | At the beginning of the active phase (when cervical dilation was 4 cm), the participant was informed about the study and informed consent was obtained. The Demographic Information Form was completed, and pain was assessed using the Visual Analogue Scale (VAS), while stress was evaluated using a Visual Analogue Scale (VAS). Routine monitoring and standard care were provided. The participant received routine care throughout the active phase. At the end of the phase, pain was assessed using the Visual Analogue Scale (VAS), and stress was evaluated using a Visual Analogue Scale (VAS). Routine care was continued. At the second hour postpartum, the Maternal Satisfaction in Childbirth Scale was completed. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain level during labor
Labor pain levels will be assessed using the Visual Analog Scale (VAS). Measurements will be performed during the latent and active phases of labor at specific cervical dilation stages (4-10 cm).
Measured: During labor, between 4-10 cm cervical dilation (latent and active phases)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 May 2026
- Study start10 Nov 2025
- Primary completion11 Apr 2026
- Study completion15 Apr 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Labor Pain, Stress, Childbirth SatisfactionStudies of the same condition, open and under way.
- More trials run by Istanbul University - CerrahpasaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 159 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul University - Cerrahpasa
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, ecenur çakır, Istanbul University - Cerrahpasa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07575594
- Sponsor's protocol ID
- 2025/55
- Acronym
- White & Quiet
- Status last verified
- May 2026
- First submitted
- 2 May 2026
- Last updated
- 8 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: No, individual participant data will not be shared due to privacy and ethical considerations.
Study at a glance
From the registry record, last updated by the sponsor on 8 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of White Noise and Quiet Time Interventions During Labor on Labor Pain, Stress, and Satisfaction
- ClinicalTrials.gov ID
- NCT07575594
- Acronym / sponsor ID
- White & Quiet / 2025/55
- Keywords
- Quiet time, White noise, birth
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 159 participants (actual)
- Lead sponsor
- Istanbul University - CerrahpasaUniversity, hospital or other
- Study start
- 10 Nov 2025 (actual)
- Primary completion
- 11 Apr 2026 (actual)
- Study completion
- 15 Apr 2026 (actual)
- First posted
- 8 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Childbirth is defined as the process in which the fetus and its appendages are expelled from the uterus. The World Health Organization emphasizes that women should have a positive childbirth experience and recommends interventions that reduce pain and stress while increasing maternal satisfaction.
White noise, defined as continuous and monotonous sounds such as wave, water, or wind sounds, and quiet time, described as periods in which environmental noise is minimized, have been shown to reduce pain and stress and improve satisfaction in various patient groups. However, there is a lack of evidence regarding their effects during labor.
Therefore, this study was planned to evaluate the effects of white noise and quiet time interventions applied during labor on perceived labor pain, stress levels, and childbirth satisfaction.
Detailed description
Childbirth is defined as a process in which the fetus and its appendages are expelled from the uterus. The World Health Organization emphasizes that women should have a positive childbirth experience. During childbirth, care providers are recommended to implement interventions that reduce women's pain and stress and increase satisfaction.
White noise is defined as continuous and monotonous sounds such as wave, water, and wind sounds. It has been studied in postoperative patients, infants, and neonates.
Quiet time is defined as a period in which environmental sounds are minimized. It has been studied in postpartum women, patients in acute care units, nurses working in neonatal intensive care units, and infants.
White noise and quiet time interventions have been found to be methods used to reduce pain and stress and to increase satisfaction. However, no study has been found that evaluates the effects of white noise and quiet time interventions on pain, stress, and satisfaction during the childbirth process. Therefore, this study was planned to evaluate the effects of white noise and quiet time interventions applied during childbirth on the level of perceived labor pain, stress level, and childbirth satisfaction.
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| White Noise Group | – | Behavioral: White Noise ExposureParticipants received white noise via Bluetooth headphones during active labor at 6 cm and 8 cm cervical dilation (15 minutes each, 50-65 dB). Pain and stress were assessed using VAS, and maternal satisfaction was evaluated postpartum. |
| Quiet Time Group | – | Behavioral: Quiet Time InterventionAt the beginning of the active phase (when cervical dilation was 4 cm), the participant was informed about the study and informed consent was obtained. The Demographic Information Form was completed, and pain was assessed using the Visual Analogue Scale (VAS), while stress was evaluated using a Visual Analogue Scale (VAS). Routine monitoring and standard care were provided. At 6 cm cervical dilation during the active phase, quiet time was provided for 15 minutes using Polter headphones. Routine monitoring and standard care were continued. At 8 cm cervical dilation during the active phase, quiet time was again provided for 15 minutes using Polter headphones. Routine monitoring and standard care were continued. After the intervention, pain was assessed using the Visual Analogue Scale (VAS), and stress was evaluated using a Visual Analogue Scale (VAS). At the second hour postpartum, the Maternal Satisfaction in Childbirth Scale was completed. |
| Control Group | – | –At the beginning of the active phase (when cervical dilation was 4 cm), the participant was informed about the study and informed consent was obtained. The Demographic Information Form was completed, and pain was assessed using the Visual Analogue Scale (VAS), while stress was evaluated using a Visual Analogue Scale (VAS). Routine monitoring and standard care were provided. The participant received routine care throughout the active phase. At the end of the phase, pain was assessed using the Visual Analogue Scale (VAS), and stress was evaluated using a Visual Analogue Scale (VAS). Routine care was continued. At the second hour postpartum, the Maternal Satisfaction in Childbirth Scale was completed. |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
- Study population
- Hospital
Key inclusion criteria (1 listed)
- Pregnant women aged 18-35 years Pregnant women without a diagnosis of high-risk pregnancy Pregnant women with a gestational age between 37-42 weeks Pregnant women who will have a vaginal delivery Pregnant women in the active phase of labor Pregnant women who can speak or understand Turkish Pregnant women carrying a singleton fetus Primiparous women
Key exclusion criteria (1 listed)
- Pregnant women in the latent phase of labor Pregnant women with hearing impairment Pregnant women who are illiterate Pregnant women with an indication for cesarean section Multiparous women
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| White Noise ExposureParticipants received white noise intervention during the active phase of labor. At 4 cm cervical dilation, informed consent was obtained and baseline assessments including Demographic Information Form, Visual Analogue Scale (VAS) for pain, and Visual Analogue Scale for stress were completed. Routine care was provided. At 6 cm and 8 cm cervical dilation, participants were exposed to white noise (50-65 dB) via Bluetooth headphones for 15 minutes each session. Routine monitoring and standard obstetric care were continued. After interventions, pain and stress were reassessed using VAS. At the second postpartum hour, maternal satisfaction was assessed using the Maternal Satisfaction in Childbirth Scale. | Behavioural | White Noise Group |
| Quiet Time InterventionParticipants received quiet time intervention during the active phase of labor. At 4 cm cervical dilation, informed consent was obtained and baseline assessments including Demographic Information Form, Visual Analogue Scale (VAS) for pain, and Visual Analogue Scale for stress were completed. Routine care was provided. At 6 cm and 8 cm cervical dilation, a quiet environment was maintained using Polter headphones for 15 minutes per session. Routine monitoring and standard obstetric care were continued. After interventions, pain and stress were reassessed using VAS. At the second postpartum hour, maternal satisfaction was assessed using the Maternal Satisfaction in Childbirth Scale. | Behavioural | Quiet Time Group |
Primary outcome
Pain level during labor
Time frame: During labor, between 4-10 cm cervical dilation (latent and active phases)
Labor pain levels will be assessed using the Visual Analog Scale (VAS). Measurements will be performed during the latent and active phases of labor at specific cervical dilation stages (4-10 cm).
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 May 2026.
- Individual participant dataSharing planned: No. No, individual participant data will not be shared due to privacy and ethical considerations.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Labor Pain, Stress, Childbirth Satisfaction, run by Istanbul University - Cerrahpasa 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 1 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: finished, as of the sponsor's last update on 8 May 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?
Pain level during labor (time frame: During labor, between 4-10 cm cervical dilation (latent and active phases)). 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 8 May 2026.