Actively Recruiting
Effect of Midwife-Guided Birth Affirmation Cards on Labor Duration, Pain, Fear, Control and Perceived Support in Primigravidas: A Randomized Controlled Study
Led by KTO Karatay University · Updated on 2026-05-19
60
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
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 woman's 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.
CONDITIONS
Brief Title
Effects of Midwife-guided biırth Affirmation Cards on Labor Process and Experience ın Primigravidas
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Having a singleton pregnancy between 37 and 42 weeks of gestation
- Being between 18 and 40 years of age
- Being a primigravida (first pregnancy)
- Having a cephalic presentation with vertex position
- Being in the active phase of labor with cervical dilation of 4 cm or more
- Accepting non-invasive interventions
- Having no mental or physical disability
- Being able to understand and speak Turkish
- Willingness to participate in the study
You will not qualify if you...
- High-risk pregnancies
- Pregnancies with risks such as oligohydramnios, polyhydramnios, fetal demise, placenta previa, placental abruption, acute fetal distress, preeclampsia, fetal dystocia, macrosomia
- History of medical or obstetric complications
- Attendance at antenatal education classes (pregnancy school)
- Use of epidural analgesia or other pharmacological pain management methods
- Communication difficulties
- Unwillingness to participate
- Experiencing dizziness, shortness of breath, or other discomfort during labor
- Difficult or prolonged labor, instrumental delivery, placental retention, postpartum hemorrhage, need for neonatal intensive care
- Emergency cesarean section during labor
- Ceasing cooperation during labor
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - During active labor phase (from 4 cm cervical dilation to birth)
During the active phase of labor, participants in the intervention group receive midwife-guided birth affirmation card support. The midwife uses structured affirmation cards with positive, empowering statements tailored to the labor stage and participant's condition, providing verbal and emotional support in short cycles of about 10-15 minutes, repeated as tolerated throughout labor.
Continuous support during labor
Duration - Within 2 hours after birth
After birth, participants complete assessments of fear of childbirth, perception of control, and perceived support within 2 hours when stable to evaluate the effects of the intervention on the childbirth experience.
1 visit (in-person)
Trial Site Locations
Total: 1 location
1
Mut Devlet Hastanesi
Mut, Mersi̇n, Turkey (Türkiye), 33600
Actively Recruiting
Research Team
F
Fatma B Dr. Öğretim Üyesi
E
Esma G EBE
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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