Study on Midwife-Guided Birth Affirmation Cards to Improve Labor Duration, Pain, Fear, Control, and Support in First-Time Mothers

What this Trial Is About

Researchers are evaluating the effects of midwife-guided birth affirmation cards on labor duration, pain level, fear of childbirth, perceived control, and perceived support in first-time pregnant women primigravidas. The study aims to determine if this non-drug approach used during labor can improve the childbirth experience by providing psychological comfort and enhancing coping ability. This randomized controlled study contributes to understanding supportive care strategies led by midwives during labor. Participants will be randomly assigned to one of two groups the intervention group will receive midwife-guided birth affirmation card support alongside standard care during the active phase of labor, while the control group will receive routine institutional care without affirmation cards. The affirmation cards contain positive, empowering statements tailored to the labor stage and the womans condition, used in short cycles of 10-15 minutes. The midwife will provide verbal encouragement and support throughout labor. During the study, participants will have their labor duration measured, including the active phase and the second stage until birth. Pain levels will be recorded at several cervical dilation points and during the second stage using a visual scale. Fear of childbirth and perceptions of control and support will be assessed early in active labor and within two hours after birth. The study monitors participant safety and will continue until the end of labor, with data collected on psychological and physical outcomes related to childbirth experience.

Effects of Midwife-guided biırth Affirmation Cards on Labor Process and Experience ın Primigravidas